Physiotherapy for Children with Functional Constipation: A Pragmatic Randomized Controlled Trial in Primary Care

To determine the effectiveness of physiotherapy plus conventional treatment compared with conventional treatment alone for the treatment of functional constipation in children age 4-17  years in primary care.
Source: The Journal of Pediatrics - Category: Pediatrics Authors: Tags: Original Articles Source Type: research

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We report our clinical experience of fifteen patients with refractory spasticity who underwent a continuous ITB trial using a temporary intraspinal indwelling catheter prior to permanent pump implantation.Patients underwent placement of a temporary intrathecal catheter that was connected to an external pump. Multisource feedback was obtained from the various healthcare professionals involved (Staff Nurse, Specialist nurse, physiotherapist, Doctor, family members, patient) regarding progress of test over 48–72 h.Average Modified Ashworth score after the trial was less than 2. Some degree of dose related minor advers...
Source: Journal of Clinical Neuroscience - Category: Neuroscience Source Type: research
ConclusionThe use of VD did not alter the dimensions of the vaginal canal within the first 3  months after the end of radiotherapy treatment. However, there was a large sample loss during follow-up so studies with a larger sample number and longer follow-up time need to be conducted.Trial RegistrationClinicalTrials.gov Identifier NCT03090217.
Source: Advances in Therapy - Category: Drugs & Pharmacology Source Type: research
AbstractPurpose of reviewFunctional constipation (FC) in children is a common health problem with reported worldwide prevalence rates up to 32.2%. The majority of children with constipation respond to oral laxative treatment. After 5  years of intensive treatment, however, approximately 50% of children remain symptomatic. To discuss the evidence for new treatments in these children, including pre- and probiotics, pelvic physiotherapy, prucalopride, sacral nerve stimulation, and surgery, and to highlight the controversies surrou nding them.Recent findingsPre- and probiotics and prucalopride are not effective in the tre...
Source: Current Gastroenterology Reports - Category: Gastroenterology Source Type: research
Abstract BACKGROUND AND PURPOSE: The purpose of this case report is to describe the benefits of manual therapy techniques, including mobilization and stretching, in the management of a patient with chronic constipation. CASE DESCRIPTION: A 17-year-old male with an 8-month history of constipation and complaint of incomplete evacuation after defecation was referred for therapy. The patient was diagnosed with a spastic perineal syndrome. Isolated puborectalis relaxation exercise was not successful in alleviating constipation. Physical examination showed tightness of left side piriformis, thoracic kyphosis, appar...
Source: Physiotherapy Theory and Practice - Category: Physiotherapy Authors: Tags: Physiother Theory Pract Source Type: research
Publication date: Available online 23 October 2018Source: African Journal of UrologyAuthor(s): S. Gallas, S. Frioui, H. Rabeh, M. Ben RejebAbstractObjectivesTo estimate the prevalence of urinary incontinence and anal incontinence in Tunisian women and to identify their risk factors.Subjects and methodsA cross-sectional study was conducted among 402 female doctors and nurses randomly selected from 3 large hospitals in the center of Tunisia. The prevalence of urinary incontinence and anal incontinence were measured using validated questionnaires.ResultsOverall 45.3% of women experienced incontinence (urinary incontinence or ...
Source: African Journal of Urology - Category: Urology & Nephrology Source Type: research
Our aim was to design a study to evaluate the effectiveness and cost-effectiveness of adding physiotherapy to conventional treatment for children with functional constipation in primary care. Physiotherapy is ...
Source: BMC Pediatrics - Category: Pediatrics Authors: Tags: Study protocol Source Type: research
Publication date: Available online 6 September 2017 Source:Journal of Physiotherapy Author(s): Nora Shields
Source: Journal of Physiotherapy - Category: Physiotherapy Source Type: research
AbstractPurpose of ReviewThe purpose of the study was to catalog the most recent available literature regarding the use of conservative measures in treatment of pelvic floor disorders.Recent FindingsPelvic floor disorders encompass abnormalities of urination, defecation, sexual function, pelvic organ prolapse, and chronic pain, and can have significant quality of life implications for patients. Current guidelines recommend behavioral modifications and conservative treatments as first-line therapy for pelvic floor disorders. We have reviewed the literature for articles published on physical, complementary, and alternative t...
Source: Current Urology Reports - Category: Urology & Nephrology Source Type: research
Conclusions: When completed by parents, the 18-item evaluative CBBDQ appears feasible, content, and structurally valid with good internal consistency for the bladder and bowel subscales. The Dutch and English versions will be introduced clinically and subjected to further psychometric evaluation.
Source: Journal of Pediatric Gastroenterology and Nutrition - Category: Gastroenterology Tags: Original Articles: Gastroenterology Source Type: research
We congratulate van Engelenburg-van Lonkhuyzen et  al1 on their study on the effectiveness of pelvic physiotherapy in children with functional constipation. This randomized, controlled trial showed that pelvic physiotherapy was more effective than standard medical care in the treatment of children with constipation after 6 months of follow-up. Thi s is the first study exploring a promising nonpharmacologic treatment for functional constipation in children with a longer follow-up. The results are in line with an earlier study by Silva et al2 that showed a significantly positive effect of a 6-week physiotherapy pro...
Source: Gastroenterology - Category: Gastroenterology Authors: Tags: Correspondence Source Type: research
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