Overview
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 .
Eligibility
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)