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Randomized Controlled Trial
. 2024 Jun 1;40(1):147.
doi: 10.1007/s00383-024-05733-w.

Effectiveness of physiotherapy in children with functional constipation

Varsha Garag  1 , Sanjay Parmar  2 , B Akshay Kalavant  3 , Dipti Sambhajirao Kadam  1
Affiliations
Randomized Controlled Trial

Effectiveness of physiotherapy in children with functional constipation

Varsha Garag et al. Pediatr Surg Int. .

Abstract

Purpose: The objective was to compare the immediate effects of pharmacological versus physiotherapy intervention versus a combination of physiotherapy and pharmacological treatment, as well as the quality of life and the recurrence of symptoms in children with functional constipation after 3 months.

Methods: A total of 69 children with functional constipation between the ages of 5 and 14 years of either gender were assessed and randomly assigned to one of three groups: Group A, B, and C. Visual Analogue Scale, Bristol Stool Form Scale, frequency of defecation, PedsQL GI symptom scale, and PedsQL Generic Core Scale were used as outcome measures. Pharmacology was used to treat Group A, physiotherapy was used to treat Group B, and a combination of both was used to treat Group C.

Results: The study revealed statistically significant results on Visual Analogue Scale, Bristol Stool Form Scale, and frequency of defecation in all groups. However, no significant changes were observed on the PedsQL GI symptom scale and the Generic Core scale in Group A, whereas significant changes were observed in Groups B and C.

Conclusion: In this study, we found that there were significant differences in the short- and long-term effects across all groups. More changes occurred in Group C than in Groups A and B.

Keywords: Acute effects; Children; Constipation; Functional constipation; Quality of life; Stool form.

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