Comparison of Therapeutic Motor Control Interventions and Conventional Treatment in Children with Functional Constipation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 36
- 试验地点
- 2
- 主要终点
- Vancouver Non-Neurogenic Lower Urinary Tract Dysfunction/Dysfunctional Elimination Syndrome Questionnaire- symptom assessment
研究概览
简要总结
The purpose of this study; to compare the effects of therapeutic motor control interventions and conventional treatment in children with functional constipation on symptoms, spinal posture and mobility and trunk muscles endurance.
详细描述
Constipation is a very common problem in children. The pathophysiology of pediatric constipation is multifactorial and not fully understood. Constipation is a problem characterized by infrequent, difficult, often painful defecation and involuntary leakage of stool. It has been reported in the literature that the prevalence of constipation in children is 30%. It has been determined that approximately 96% of children with constipation have functional constipation.
It has been shown in the literature that children with functional constipation had a protrusion in the abdomen compared to healthy children, and their ability to actively relax their trunks decreased. Thus, it has been suggested that children with functional constipation may have reduced trunk muscle and/or endurance or muscle control. As a result of this study, they recommend that the treatment of these children should focus on awareness and education about trunk muscles, defecation and correction of sitting position.
According to the Cochrane systematic review published in 2016, physiotherapy and rehabilitation methods in bladder and bowel dysfunction are generally divided into two as education and specific methods. Specific methods are therapeutic motor control methods, manual therapy techniques (abdominal classical massage) and electrotherapy.
The use of therapeutic motor control methods in the treatment of constipation in children is quite new, and there is a need for innovative studies in this field in the literature.
The conventional treatment in children with functional constipation is education and laxatives.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
盲法说明
Children will be divided into two intervention groups by randomization method. Randomization method will be made with a computer program (Random Allocation Software version 2.0) stratified according to age and gender.
入排标准
- 年龄范围
- 4 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Voluntary participation in the research
- •Fulfill the diagnostic criteria for functional constipation (Rome IV)
排除标准
- •Having neurological diseases
- •Having chronic diseases
- •Having previous orthopedic surgery or trauma
- •Presence of organic pathology underlying constipation.
结局指标
主要结局
Vancouver Non-Neurogenic Lower Urinary Tract Dysfunction/Dysfunctional Elimination Syndrome Questionnaire- symptom assessment
时间窗: Eight weeks
Vancouver Non-Neurogenic Lower Urinary Tract Dysfunction/Dysfunctional Elimination Syndrome Questionnaire was developed in 2009. The questionnaire consists of 14-item. Each question is 5-Likert type, and the last question is not added to the scoring. The total score ranges from 0 to 52 and increasing score means an increase in symptom severity.
7-day bowel diary (symptom assessment)
时间窗: Eight weeks
The bowel histories of the children (frequency of defecation, fecal incontinence, feeling urgency defecations...) will be evaluated with a 1-week bowel diary.
次要结局
- Spinal Posture(Eight weeks)
- Trunk flexor muscle endurance test(Eight weeks)
- Spinal Mobility(Eight weeks)
- Trunk extensor muscle endurance test(Eight weeks)
- Trunk right lateral bridge test(Eight weeks)
- Trunk left lateral bridge test(Eight weeks)
- Physical activity level (pedometer)(Eight weeks)
- Evaluation of compliance with lifestyle changes(Eight weeks)
- Evaluation of subjective perception of improvement(Eight weeks)
- Physical activity level (questionnaire)(Eight weeks)
- Evaluation of compliance with breathing exercises(Eight weeks)
研究者
nuriye ozengin
Associate Professor
Abant Izzet Baysal University