Overview
The primary aim of this study will be to determine if a respiratory muscle training program that includes both inspiratory muscle training (IMT) and expiratory muscle training (EMT), targeted at improving respiratory muscle performance-based measures combined with patient education about breathing on the toilet will improve patient satisfaction scores in individuals with chronic constipation (CC).
Eligibility
Inclusion Criteria:
- Adults >18 years of age
- Complaint of CC and associated symptoms
- Willing and able to sign an informed consent
- The ability to comply with study guidelines
- Report two or more of the following: straining during more than 25% of defecations, lumpy or hard stools more than 25% of defecations, sensations of incomplete bowel evacuation more than 25% of defecations, manual maneuvers to facilitate more than 25% of defecations, sensation of anorectal obstruction/blockage more than 25% of defecations, and fewer than 3 small bowel movements per week.
Exclusion Criteria:
- Rectal prolapse greater than grade 2
- Pregnancy
- Cognitive impairments
- Currently receiving physical therapy treatment for conditions associated with pelvic floor muscle dysfunction
- Recent surgery within the past 3 months without clearance from a medical doctor
- Medication usage that would interfere with their ability to exercise safely
- Individuals recovering from a confirmed eating disorder
- Recent unexplained weight loss >10lbs within one month.