Document Type : Original Article
Authors
1
Department of physical therapy, Abo Khalefa Hospital, Ismailia, Egypt.
2
Department Of Endemic & Infection Diseases, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
3
Department of Physical Therapy for Cardiovascular and Respiratory Disorders, Faculty of Physical Therapy, Cairo University, Egypt
10.21608/iptccu.2024.457158
Abstract
Chronic idiopathic constipation is a common functional bowel condition marked by a significant influence on the quality of life. Many patients are dissatisfied with laxatives due to concerns surrounding efficacy and safety. The long-term usage of this medication has been associated with a range of adverse effects indicating a need for other treatment options. Manual therapy techniques may be effective for the treatment of functional constipation such as abdominal massage and visceral manipulation. Abdominal massage techniques involve stroking, effleurage, kneading, and vibration; leading to increased local and visceral circulation, stimulating peristalsis, decreasing colonic transit time, increasing the frequency of bowel movements in constipated patients, and decreasing the feelings of discomfort and pain that accompany constipation. Therefore, abdominal massage can improve quality of life because it reduces the severity of constipation and improves bowel function parameters. Additionally, visceral mobilization is a gentle, manual treatment that targets the internal organs. This form of treatment for constipation is effective because the structures surrounding the peritoneal bowels may have lost their normal capacity for resilience. Thus, the goal of visceral manipulation is to restore the movement of abdominal organs and reestablish the functional characteristics of the tissues involved, modulate intestinal function, and reduce colon tension. Although there are studies suggesting that abdominal massage and visceral manipulation are helpful treatments for constipation, the overall evidence is weak, and more studies are needed.
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