The effect of abdominal massage on bowel function in patients with spinal cord injury.

Abstract:

OBJECTIVES:To investigate the effect of abdominal massage on clinical aspects of bowel dysfunction and colonic transit time in patients with spinal cord injury. Twenty-four patients were placed on a standard bowel program (phase I), after which abdominal massage was added to the regimen (phase II). Parameters of gastrointestinal system function and colonic transit times were evaluated. DESIGN:Uncontrolled clinical study. RESULTS:Eleven (45.8%) of the 24 patients had abdominal distention, and 10 (41.7%) had fecal incontinence in phase I; corresponding results for phase II were three (12.5%) and four (16.7%) (P = 0.008 and 0.031, respectively). There were no significant differences between the proportions of patients with difficult intestinal evacuation or abdominal pain or in mean time required for bowel evacuation in phase I vs. phase II. The mean frequencies of defecation in phases I and II were 3.79 +/- 2.15 (2.75-4.55) and 4.61 +/- 2.17 (3.67-5.54) bowel movements per week, respectively (P = 0.006). Mean total colonic transit time decreased from 90.60 +/- 32.67 (75.87-110.47) hrs in phase I to 72 +/- 34.10 (58.49-94.40) hrs in phase II (P = 0.035). CONCLUSIONS:Abdominal massage has positive effects on some clinical aspects of neurogenic bowel dysfunction in patients with spinal cord injury.

journal_name

Am J Phys Med Rehabil

authors

Ayaş S,Leblebici B,Sözay S,Bayramoğlu M,Niron EA

doi

10.1097/01.phm.0000247649.00219.c0

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

951-5

issue

12

eissn

0894-9115

issn

1537-7385

pii

00002060-200612000-00004

journal_volume

85

pub_type

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