关键词: abdominal massage cerebral palsy constipation osteopathic manipulative treatment physiotherapy

来  源:   DOI:10.1002/jgh3.13102   PDF(Pubmed)

Abstract:
UNASSIGNED: The aim of this study is to compare the effects of osteopathic manipulative therapy home program (OMT-H) versus abdominal massage home program (AMHP) in treating constipation in children with cerebral palsy (CP).
UNASSIGNED: Twenty-nine children with CP with a mean age of 12.2 ± 3.76 years, who were constipated and were not on medication, were divided into three randomized groups: (i) control group (n = 10), (ii) AMHP (n = 10), and (iii) OMT-H (n = 9). In AMHP and OMT-H groups, treatment was applied as 20-min sessions every other day for 10 sessions for 3 weeks. Modified Constipation Assessment Scale (MCAS), Rome III criteria, and the Bristol Stool Form Scale (BSFS) were used for evaluation before treatment and once a week during treatment.
UNASSIGNED: While there was no change in constipation symptoms in the control group, there was an improvement in constipation symptoms after treatment in the AMHP and OMT-H groups (AMHP, P = 0.003; OMT-H, P = 0.000014). While the treatment showed to be effective from the first week in the OMT-H group, the change in BSFS (P = 0.026) and MCAS sub-parameters was found to be superior.
UNASSIGNED: AMHP and OMT-H are effective and beneficial in treating constipation. In children with CP, OMT-H was found to be quicker and more successful compared with AMHP. The OMT-H can be effectively used in clinical practice in relieving constipation in CP.
摘要:
本研究的目的是比较整骨手法治疗家庭计划(OMT-H)与腹部按摩家庭计划(AMHP)治疗脑瘫(CP)儿童便秘的效果。
29名患有CP的儿童,平均年龄为12.2±3.76岁,患有便秘并且没有服用药物的人,分为三个随机组:(i)对照组(n=10),(ii)AMHP(n=10),和(iii)OMT-H(n=9)。在AMHP和OMT-H组中,每隔一天以20分钟的疗程进行治疗,共10个疗程,共3周。改良便秘评估量表(MCAS),罗马III标准,治疗前和治疗期间每周一次使用布里斯托尔粪便量表(BSFS)进行评估。
对照组便秘症状无变化,AMHP和OMT-H组治疗后便秘症状有所改善(AMHP,P=0.003;OMT-H,P=0.000014)。虽然OMT-H组从第一周开始治疗有效,发现BSFS(P=0.026)和MCAS子参数的变化更优.
AMHP和OMT-H对治疗便秘有效且有益。在患有CP的儿童中,与AMHP相比,OMT-H被发现更快,更成功。OMT-H可有效用于临床缓解CP型便秘。
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