Effect of Abdominal Massage Versus Visceral Manipulation on Constipation

Effect of Abdominal Massage Versus Visceral Manipulation on Constipation Status and Quality of Life in Adults

The study compares the effect of abdominal massage vs. visceral manipulation on constipation status and quality of life in adults.

Chronic idiopathic constipation (CIC) is considered a common functional bowel disorder characterized by difficult, infrequent, and/or incomplete defecation. It has a great impact on the quality of life and on the healthcare system and represents an important financial strain .

Inclusion Criteria:

• Patients of both sex with age ranges (20-40) years old.
• having a diagnosis of functional constipation according to Rome IV criteria onset of constipation symptoms from 6-12 months .
• having body mass index 18.5-29.9 kg/m2 , waist height ratio </=0.5
• Subjects bothered by their constipation

Exclusion Criteria:

• Pregnancy.
• Having comorbidities (chronic pelvic pain, neurological (Parkinson's, multiple sclerosis, spinal cord lesion, etc.), metabolic / endocrine (diabetes mellitus, hypercalcemia, hypothyroid, etc.), cardiorespiratory diseases
• Health problems which may prevent standing from sitting, walking (orthopedic, neurological, cardiorespiratory, etc.)
• Malignancy, acute inflammation, intestinal tumor
• History of gastrointestinal and pelvic surgery or spinal surgery other than cholecystectomy, appendectomy, or hysterectomy
• Visual, auditory or cognitive problems which may prevent participation to the study.
• Tumor, presence of skin problems in the application area
• Presence of laxative use for functional constipation in the last four weeks or patients on laxative therapy.
• Alarm symptoms (unexplained, more than 10% weight loss in 3 months, hemorrhoids and anal fissures, rectal bleeding, family history of colon cancer)