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Decreasing recurrent bowel obstructions, improving quality of life with physiotherapy: Controlled study.
Amanda D Rice1, Kimberley Patterson2, Evette D Reed2
1Department of Internal Medicine, College of Medicine-Phoenix, University of Arizona, Phoenix, AZ 85004, United States.
World Journal of Gastroenterology
|May 23, 2018
Summary
Manual physiotherapy, the Clear Passage Approach (CPA), significantly reduced recurrent small bowel obstructions (SBO) and improved quality of life in patients. This treatment offers a promising non-surgical option for managing adhesive SBO symptoms.
Area of Science:
- Gastroenterology
- Physical Therapy
- Surgical Complications
Background:
- Adhesive small bowel obstruction (SBO) is a common surgical complication.
- Recurrent SBO significantly impacts patient quality of life.
- Current management often involves conservative measures or further surgery.
Purpose of the Study:
- To compare the efficacy of the Clear Passage Approach (CPA) manual physiotherapy versus no treatment.
- To evaluate the impact of CPA on the rate of recurrent SBO.
- To assess changes in quality of life for patients with adhesive SBO.
Main Methods:
- A prospective study comparing 103 patients treated with CPA to 136 untreated controls.
- Patients with a history of recurrent adhesive SBO were included.
- Quality of life and SBO recurrence rates were measured pre- and post-therapy using validated questionnaires.
Main Results:
- CPA-treated patients showed a significantly lower rate of recurrent SBO compared to controls.
- Significant improvements were reported in diet, pain, gastrointestinal symptoms, and quality of life domains (P < 0.0001).
- No significant change was observed in the medication domain of the SBO-Q.
Conclusions:
- The Clear Passage Approach (CPA) is an effective physical therapy for adhesive SBO.
- CPA significantly reduces SBO recurrence and improves patient-reported outcomes.
- Manual physiotherapy offers a viable adjunct treatment for adhesive SBO.
Keywords:
AdhesionsAlternative therapyClear passage approachManual therapyPhysical therapyPhysiotherapySmall bowel obstructionsMore Related Videos
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