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Electroacupuncture Combined with Chinese Medicine Ironing Therapy for Functional Constipation

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EFFECT OF VISCERAL MANIPULATION ON CHILDREN WITH REFRACTORY CHRONIC FUNCTIONAL CONSTIPATION: A RANDOMIZED CONTROLLED

Seyed Arman Zakaryaei¹, Majid Ravanbakhsh^2,3, Hazhir Javaherizadeh⁴

¹Student Research Committee, School of Rehabiliatation Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Arquivos De Gastroenterologia

|July 24, 2024

Summary

This summary is machine-generated.

Visceral manipulation (VM) offers a safe, effective complementary treatment for children with chronic functional constipation (FC) unresponsive to standard care. This approach significantly improved symptoms and reduced laxative dependence in a randomized controlled trial.

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Area of Science:

Pediatric Gastroenterology
Manual Therapy
Clinical Trial Research

Background:

Functional constipation (FC) is a prevalent global health issue affecting children.
Refractory FC cases often require alternative therapeutic strategies beyond standard medical care.

Purpose of the Study:

To assess the efficacy of visceral manipulation (VM) as an adjunct therapy for pediatric chronic functional constipation (FC).
To evaluate VM's impact on children with FC refractory to standard treatments.

Main Methods:

A randomized, single-blind controlled trial involving 52 children with refractory FC.
Participants received either standard medical care (SMC) or SMC plus VM for 4 weeks.
Outcomes included abdominal pain, defecation pain, stool consistency, frequency, and laxative dose.

Main Results:

The VM group showed significant improvements in pain, defecation, and stool consistency compared to controls.
Oral laxative dosage significantly decreased in the VM group but not in the control group.
While overall Bristol stool form scale scores didn't differ significantly between groups, normal stool consistency increased in the VM group.

Conclusions:

Visceral manipulation (VM) is a safe and effective complementary treatment for managing chronic functional constipation (FC) in children.
VM, alongside standard medical care, offers a promising therapeutic option with no reported side effects.
Further research is warranted to explore the long-term effects of VM in pediatric FC management.