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Trunk strength and mobility changes in children with slow transit constipation.

Janet W Chase¹, Barry C Stillman, Susan M Gibb

¹Murdoch Children's Research Institute, The University of Melbourne, Melbourne, Australia. janchase@vicnet.net.au

Journal of Gastroenterology and Hepatology

|August 19, 2009

Summary

Children with slow transit constipation (STC) exhibit poorer trunk control and posture compared to healthy peers. These findings suggest incorporating trunk muscle training and posture correction into clinical management for STC.

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Area of Science:

Pediatrics
Gastroenterology
Musculoskeletal Health

Background:

Slow transit constipation (STC) in children lacks research on trunk musculoskeletal factors.
Defecation difficulties in pediatric STC may be linked to trunk impairments.

Purpose of the Study:

To investigate trunk musculoskeletal characteristics in children with STC.
To compare trunk control, posture, and muscle strength between children with STC and controls.

Main Methods:

Computer-analyzed photographs and clinical tests assessed 41 children with STC and 41 controls.
Evaluated Marfanoid features, sitting posture, spinal mobility, and trunk muscle strength (abdominal bulging, trunk extension).
Questionnaires assessed general exercise and sedentary activity levels.

Main Results:

Children with STC demonstrated more slumped relaxed sitting posture (P < 0.001).
STC subjects showed reduced ability in abdominal bulging (P < 0.03) and active trunk extension (P = 0.02).
All participants improved sitting posture during abdominal bulging (P < 0.03).

Conclusions:

Children with STC present with diminished trunk control and altered posture.
Clinical interventions for STC should consider trunk muscle training and postural correction.
No significant difference in exercise levels was found between STC children and controls.