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Physiotherapeutic Intervention in Children With Chronic Functional Constipation

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ClinicalTrials.gov Identifier: NCT00906971
Recruitment Status : Completed
First Posted : May 21, 2009
Results First Posted : October 18, 2012
Last Update Posted : November 12, 2012
Sponsor:
Information provided by (Responsible Party):
Carlos Andre Gomes Silva, Universidade Federal de Pernambuco

Brief Summary:
The purpose of this study is to determine whether physiotherapy is effective in the treatment of the chronic functional constipation in children.

Condition or disease Intervention/treatment
Chronic Constipation Other: diaphragmatic breathing, isometric training of the abdominal muscles and abdominal massage

  Show Detailed Description

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 72 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Physiotherapeutic Intervention in Children With Chronic Functional Constipation
Study Start Date : March 2009
Primary Completion Date : February 2010
Study Completion Date : April 2010

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Constipation
U.S. FDA Resources

Arm Intervention/treatment
Active Comparator: Laxatives
Magnesium hydroxide for which the dosage varied according to individual needs (a minimum of 2 ml/kg), and received guidance regarding fiber-rich foods, water and toilet training. Patients attended weekly consultations with a pediatric gastroenterologist.
Other: diaphragmatic breathing, isometric training of the abdominal muscles and abdominal massage
Exercises will be conducted by one physiotherapist. A one-minute rest period will be observed between each series. Isometric training of the abdominal muscles: This will consist of a contraction of the upper abdomen muscle and diaphragm and the simultaneous relaxation of the lower abdomen. Training will be carried out in two manners: with the patient lying in a left lateral decubitus position with the hip and knee flexed at 90º and sitting. Breathing exercises: With the patient in a seated position, with one hand placed on the abdomen and the other on the thorax, and will be instructed to breath in slowly,. Two series will be completed, with ten repetitions. Abdominal massage: The physiotherapist will perform slow circular clockwise movements, along the line of the colon, with a regular tennis ball, remaining on each point for one minute, beginning with the ascending colon moving in the direction of the sigmoid colon.



Primary Outcome Measures :
  1. Frequency of Defecation. [ Time Frame: six weeks ]
    The patients (or their parents) received a bowel diary and they fulfilled about frequency of defecation weekly.

  2. Retentive Fecal Incontinence. [ Time Frame: six weeks ]

    Retentive fecal incontinence is the lose of fecal while the patient tries to avoid the bowel movement.

    The patients (or their parents) received a bowel diary and they fulfilled about frequency of episodes of retentive fecal incontinence weekly.




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Ages Eligible for Study:   4 Years to 18 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Less than 2 per week defecation
  • Fecal incontinence
  • Retentive behavior
  • Pain at defecation and
  • Hard stools

Exclusion Criteria:

  • Medication use (calcium, antacid, diuretic and hematinic)
  • Organic causes (spina bifid, hypothyroidism, hirschusprung disease, developmental delay neuropsychomotor, kidney disease and metabolic diseases)

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00906971


Locations
Brazil
Hospital's Clinical - UFPE
Recife, Pernambuco, Brazil, 50670-420
Sponsors and Collaborators
Universidade Federal de Pernambuco

Responsible Party: Carlos Andre Gomes Silva, Master, Universidade Federal de Pernambuco
ClinicalTrials.gov Identifier: NCT00906971     History of Changes
Other Study ID Numbers: posca-832
First Posted: May 21, 2009    Key Record Dates
Results First Posted: October 18, 2012
Last Update Posted: November 12, 2012
Last Verified: November 2012

Keywords provided by Carlos Andre Gomes Silva, Universidade Federal de Pernambuco:
Physical Therapy
Chronic Functional Constipation
Children

Additional relevant MeSH terms:
Constipation
Signs and Symptoms, Digestive
Signs and Symptoms