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Multimodal rehabilitation strategies for functional constipation in adults

Constipation Constipation
Constipation Constipation

This randomized controlled trial explored the feasibility, safety, and potency of an 8-week multimodal physical therapy program in functional constipation.

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Key take away

An 8-week pelvic floor–focused multimodal therapy program enhances symptom control and health-related quality of life in adults with functional constipation.

Background

This randomized controlled trial explored the feasibility, safety, and potency of an 8-week multimodal physical therapy program in functional constipation.

Method

Overall, 27 adults suffering from functional constipation were randomly allocated to:

  • Intervention group (IG; n=14): Involved an 8-week multimodal physical therapy program incorporating therapist-directed lifestyle modification education, twice-weekly supervised physical exercises, and pelvic floor muscle strengthening.
  • Control group (CG; n=13): Received a single session of lifestyle modification education following baseline assessment.

Evaluation of outcomes was performed at baseline and after 8 weeks. Primary outcomes focused on feasibility indicators, while secondary outcomes included constipation symptom severity, pelvic floor muscle function, health-related quality of life, and levels of physical activity.

Result

The study achieved a 65.2% consent rate with a 14.8% overall dropout rate. No treatment-related adverse events were witnessed, and participant satisfaction ranged from moderate to high. Following the intervention, the IG illustrated statistically significant improvements in:

  • Constipation symptom severity (P = 0.003)
  • Pelvic floor muscle coordination (P = 0.011)
  • Pelvic floor muscle strength (P = 0.007)
  • Health-related quality of life (P = 0.013)
  • Physical activity levels (P = 0.037)

No profound changes were witnessed in the CG.

Conclusion

Multimodal physical therapy program proved both feasible and potentially valuable for ameliorating constipation symptoms, pelvic floor muscle function, quality of life, and physical activity in functional constipation. These findings support the role of non-pharmacological, pelvic floor–focused rehabilitation as a promising strategy for chronic constipation.

Source:

Journal of Clinical Gastroenterology

Article:

Feasibility of Multimodal Physical Therapy Intervention on Pelvic Floor Symptoms and Function in Adults With Constipation A Pilot Randomized Controlled Trial

Authors:

Yi-Fang Tsai et al.

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