The Effectiveness of Massage in Treating Constipation

NCT ID: NCT01354080

Last Updated: 2011-05-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

29 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-06-30

Study Completion Date

2010-03-31

Brief Summary

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The purpose of this study is to compare the effectiveness of massage based on the tensegrity rule and classical abdominal massage in persons with constipation.

Detailed Description

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Constipation can be defined as "an embarrassing ailment of the 21st century". It affects about 20-25% of the population, women as well as men, but occurs more frequently in women (female:male ratio of 2.2:1). Persons of different age suffer from it. Constipation is a bothersome ailment which negatively affects the general physical and mental state, lowers physical and mental fitness, significantly hinders professional work, and decreases life comfort As the factors which contribute to the occurrence of constipation are very diverse and complex, the treatment is a long-term and slow process. There are numerous conservative treatment methods for constipation, such as physical treatments, reflexotherapy, biofeedback, pharmacotherapy, and modification of lifestyle. There is also a possibility of applying classical massage in persons with constipation. However, observations of the authors suggest it is not a therapy commonly applied.

Conditions

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Constipation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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tensegrity massage

In this group of patients massage sessions based on the tensegrity method were applied.

Group Type EXPERIMENTAL

massage based on the tensegrity rule

Intervention Type OTHER

The massage consist of brushing the skin, stroking of the lower abdominal integuments. Elastic deformation of the thoracolumbar fascia. Then the abdominal integuments were elastically deformed by kneading to normalize the rest tension of the muscles of the abdominal integuments as well as, indirectly, the myofascial apparatus of the pelvic floor and in this way improve venous blood and lymph outflow from the large intestine and the sigmoid colon area. The next treatment stage - performing circular movements within the limits of the skin's mobility at 1/3 of the medial part of the thigh. By stroking movements in the direction of the armpit in accordance with the run of the thoracoepigastric and costalaxillary veins. Then the intercostal muscles were deformed.

classical massage

In this group of patients classical massage sessions were applied

Group Type ACTIVE_COMPARATOR

massage - classical abdominal

Intervention Type OTHER

The classical abdominal massage consisted of circular movements performed on the abdominal integuments by superficial and deep stroking techniques according to the colonic route (clockwise)

Interventions

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massage based on the tensegrity rule

The massage consist of brushing the skin, stroking of the lower abdominal integuments. Elastic deformation of the thoracolumbar fascia. Then the abdominal integuments were elastically deformed by kneading to normalize the rest tension of the muscles of the abdominal integuments as well as, indirectly, the myofascial apparatus of the pelvic floor and in this way improve venous blood and lymph outflow from the large intestine and the sigmoid colon area. The next treatment stage - performing circular movements within the limits of the skin's mobility at 1/3 of the medial part of the thigh. By stroking movements in the direction of the armpit in accordance with the run of the thoracoepigastric and costalaxillary veins. Then the intercostal muscles were deformed.

Intervention Type OTHER

massage - classical abdominal

The classical abdominal massage consisted of circular movements performed on the abdominal integuments by superficial and deep stroking techniques according to the colonic route (clockwise)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. age from 18 to 70 years old
2. after therapy with Vermoks 2\*1/ 3 regardless of body weight
3. negative Elis test for lambliasis
4. proper laboratory tests results: bilirubin, FA, GGTP, AspAT, AlAT
5. ultrasound scan of the abdominal cavity
6. positive interview based on questionnaire

Exclusion Criteria

1. present cancer or prior cancer treatment, if there is no clear agreement of the involved oncologist
2. renal insufficiency \> II NYHA
3. cardiovascular problems
4. respiratory insufficiency \> II degree GOLD
5. unstable coronary disease
6. hypertensive crisis
7. liver insufficiency
8. prior liver transplant
9. prior or active hepatitis
10. jaundice
11. prior surgical treatments except: appendectomy \>5 years before, cholecystectomy 5 years before
12. unequalized endocrinopathies
13. metabolic storage diseases
14. diabetes
15. nephrolithiasis
16. cholelithiasis
17. pancreatitis
18. chronic diseases of the intestines
19. diseases of the muscles
20. pregnancy
21. parasite infections of the digestive system (infection with human roundworm, lambliasis)
22. age above 18 years old
23. BMI\> 33
24. improper ultrasound scan result or laboratory tests results
25. blood presence in feces
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Wroclaw University of Health and Sport Sciences

OTHER

Sponsor Role lead

Responsible Party

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University School of Physical Education in Wroclaw

Principal Investigators

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Krzysztof Kassolik, PhD

Role: STUDY_CHAIR

University School of Physical Education in Wrocław

Locations

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University School of Physical Education in Wrocław

Wroclaw, Wroclaw Destrict, Poland

Site Status

Countries

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Poland

References

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Ingber DE. The architecture of life. Sci Am. 1998 Jan;278(1):48-57. doi: 10.1038/scientificamerican0198-48.

Reference Type BACKGROUND
PMID: 11536845 (View on PubMed)

Kalish VB, Loven B, Sehgal M. Clinical inquiries. What is the best treatment for chronic constipation in the elderly? J Fam Pract. 2007 Dec;56(12):1050-2. No abstract available.

Reference Type BACKGROUND
PMID: 18053448 (View on PubMed)

Kassolik K, Andrzejewski W, Trzęsicka E, Charlton G. Anatomical Grounds for the Use of the Tensegrity Principle in Massage. Fizjoterapia Polska 3(4) vol. 7: 332-343, 2007.

Reference Type BACKGROUND

Lamas K, Lindholm L, Stenlund H, Engstrom B, Jacobsson C. Effects of abdominal massage in management of constipation--a randomized controlled trial. Int J Nurs Stud. 2009 Jun;46(6):759-67. doi: 10.1016/j.ijnurstu.2009.01.007. Epub 2009 Feb 12.

Reference Type BACKGROUND
PMID: 19217105 (View on PubMed)

Leung FW. Etiologic factors of chronic constipation: review of the scientific evidence. Dig Dis Sci. 2007 Feb;52(2):313-6. doi: 10.1007/s10620-006-9298-7. Epub 2007 Jan 12.

Reference Type BACKGROUND
PMID: 17219073 (View on PubMed)

Stark ME. Challenging problems presenting as constipation. Am J Gastroenterol. 1999 Mar;94(3):567-74. doi: 10.1111/j.1572-0241.1999.00917.x.

Reference Type BACKGROUND
PMID: 10086634 (View on PubMed)

Tariq SH. Constipation in long-term care. J Am Med Dir Assoc. 2007 May;8(4):209-18. doi: 10.1016/j.jamda.2007.02.009.

Reference Type BACKGROUND
PMID: 17498603 (View on PubMed)

Ayas S, Leblebici B, Sozay S, Bayramoglu M, Niron EA. The effect of abdominal massage on bowel function in patients with spinal cord injury. Am J Phys Med Rehabil. 2006 Dec;85(12):951-5. doi: 10.1097/01.phm.0000247649.00219.c0.

Reference Type RESULT
PMID: 17117000 (View on PubMed)

Lacy BE. Defining and treating constipation in older adults. Am Fam Physician. 2006 Sep 1;74(5):715-6; author reply 716. No abstract available.

Reference Type RESULT
PMID: 16970017 (View on PubMed)

Bharucha AE. Constipation. Best Pract Res Clin Gastroenterol. 2007;21(4):709-31. doi: 10.1016/j.bpg.2007.07.001.

Reference Type RESULT
PMID: 17643910 (View on PubMed)

Chitkara DK, Talley NJ, Locke GR 3rd, Weaver AL, Katusic SK, De Schepper H, Rucker MJ. Medical presentation of constipation from childhood to early adulthood: a population-based cohort study. Clin Gastroenterol Hepatol. 2007 Sep;5(9):1059-64. doi: 10.1016/j.cgh.2007.04.028. Epub 2007 Jul 13.

Reference Type RESULT
PMID: 17632040 (View on PubMed)

Emly M. Abdominal massage. Nurs Times. 1993 Jan 20-26;89(3):34-6. No abstract available.

Reference Type RESULT
PMID: 8426818 (View on PubMed)

Harrington KL, Haskvitz EM. Managing a patient's constipation with physical therapy. Phys Ther. 2006 Nov;86(11):1511-9. doi: 10.2522/ptj.20050347.

Reference Type RESULT
PMID: 17079751 (View on PubMed)

Kassolik K, Andrzejewski W, Trzęsicka E. Role of the Tensegrity Rule in Theoretical Basis of Massage Therapy. Journal of Back and Musculoskeletal Rehabilitation 20(1):1053-8127, 2007.

Reference Type RESULT

Kassolik K, Jaskolska A, Kisiel-Sajewicz K, Marusiak J, Kawczynski A, Jaskolski A. Tensegrity principle in massage demonstrated by electro- and mechanomyography. J Bodyw Mov Ther. 2009 Apr;13(2):164-70. doi: 10.1016/j.jbmt.2007.11.002. Epub 2007 Dec 21.

Reference Type RESULT
PMID: 19329052 (View on PubMed)

Klauser AG, Flaschentrager J, Gehrke A, Muller-Lissner SA. Abdominal wall massage: effect on colonic function in healthy volunteers and in patients with chronic constipation. Z Gastroenterol. 1992 Apr;30(4):247-51.

Reference Type RESULT
PMID: 1534955 (View on PubMed)

Other Identifiers

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03constip2011KASS

Identifier Type: -

Identifier Source: org_study_id

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