Help
Subscribe


GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy

 22 October 2017

Advanced search
GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy Profile of Roy Pounder

Home

News  
Journals
Review Articles
Slide Atlas
Video Clips
Online Books
Advanced Digestive Endoscopy
Classical Cases
Conference Diary
PubMed
International GH Links
USA GH Links
National GH Links
National GI Societies
Other Useful Links




Emails on Gastroenterology and Hepatology
the National AIDS Treatment Advocacy Project
Visit the gastroenterology section of the EUMS

News

Pelvic physiotherapy vs standard care in children with functional constipation

The latest issue of Gastroenterology examines the effectiveness of pelvic physiotherapy in children with functional constipation compared with standard medical care.

News image

Functional constipation is a common childhood problem often related to pelvic floor muscle dysfunction.

Dr Marieke van Engelenburg-van Lonkhuyzen and colleagues compared the effectiveness of pelvic physiotherapy vs standard medical care in children with functional constipation.

The research team performed a multicenter randomized controlled trial of 53 children with functional constipation according to the Rome III criteria, at hospitals in The Netherlands from 2009 to 2014.

Group allocation was concealed using a central computer system.

Standard medical care consisted of education, toilet training, and laxatives, whereas pelvic physiotherapy included standard medical care plus specific physiotherapeutic interventions.

Treatment success was achieved for 89% of subjects receiving pelvic physiotherapy
Gastroenterology

The team obtained results from written reports from the subjects’ pediatricians and parents.

The researchers' primary outcome was absence of functional constipation, according to Rome III criteria, after a 6-month follow-up period.

Secondary outcomes were global perceived effect, numeric rating scales assessing quality of life, and the strengths and difficulties questionnaire.

The team noted that treatment was effective for 92% of the children receiving pelvic physiotherapy, and for 63% of the children receiving standard medical care.

Significantly more children undergoing pelvic physiotherapy stopped using laxatives.

The research team observed that treatment success was achieved for 89% of subjects receiving pelvic physiotherapy vs 33% of subjects receiving standard medical care.

Pelvic physiotherapy also produced larger adjusted mean differences, before vs after treatment, in numeric rating scales to assess quality of life, an increase of 1.8 points for parents, and 2 points for children.

The team found that results from the strengths and difficulties questionnaire did not differ significantly between groups.

Dr van Engelenburg-van Lonkhuyzen's team comments, "In a randomized controlled trial of children with functional constipation, pelvic physiotherapy was more effective than standard medical care on all outcomes measured, with the exception of findings from the strengths and difficulties questionnaire."

"Pelvic physiotherapy should be considered as a treatment option for functional constipation in children 5–16 years old."

Gastroenterol 2017: 152(1): 82–91
03 January 2017

Go to top of page Email this page Email this page to a colleague

 20 October 2017 
Hospital readmissions reduction program
 20 October 2017 
Conversion of planned colonoscopy to sigmoidoscopy
 20 October 2017 
Food elimination diets for treatment of adults with eosinophilic esophagitis
 19 October 2017 
Fecal immunochemical tests in colorectal cancer screening
 19 October 2017 
Surgical anastomosis at 1-year colorectal cancer surveillance
 19 October 2017 
Current management of chylous ascites
 18 October 2017 
Hep E seroprevalence and hemodialysis
 18 October 2017 
Prebiotic and changes in the human gut microbiota
 18 October 2017 
Predicting recurrence after curative rectal cancer surgery
 17 October 2017 
Laparoscopic surgery use in Medicare patients with colon cancer
 17 October 2017 
Medication nonadherence and health care costs
 17 October 2017 
Asthma and IBD development
 16 October 2017 
Colorectal cancer screening and postpolypectomy surveillance colonoscopy
 16 October 2017 
Continuity of care after colorectal surgery
 16 October 2017 
Breastfeeding and the risk of IBD
 13 October 2017 
Treating patients with HCV and severe renal impairment
 13 October 2017 
Blood pressure management during abdominal surgery
 13 October 2017 
Food elimination diets for eosinophilic esophagitis
 12 October 2017 
Global recurrence of H. pylori
 12 October 2017 
Colonoscopy in an organized colorectal cancer screening program 
 12 October 2017 
Predicting advanced fibrosis in chronic hepatitis B
 11 October 2017 
Fecal microbiota transplantation for ulcerative colitis
 11 October 2017 
Sexual functioning in Hep C
 11 October 2017 
Ulcerative proctitis in pediatric-onset UC
 10 October 2017 
Quality standards in upper gastrointestinal endoscopy
 10 October 2017 
Eosinophilic esophagitis and swallowed topical corticosteroids
 10 October 2017 
Follow-up of positive results on fecal blood tests
 09 October 2017 
Diverticulitis and emergency department burden
 09 October 2017 
Global recurrence rate of H. pylori
 09 October 2017 
Clostridium difficile infection after ileostomy reversal
 06 October 2017 
Predicting nontreatment for Hep C
 06 October 2017 
Cow's milk–based formula and development of celiac disease
 06 October 2017 
Propofol for outpatient colonoscopy
 05 October 2017 
Pediatric candidates on the transplant wait list
 05 October 2017 
Incidence of sepsis in the USA
 05 October 2017 
Quality of life after chemoradiation in rectal cancer
 04 October 2017 
Peptic ulcer disease diagnosed in acute upper endoscopy
 04 October 2017 
Clinical practice guidelines in colon cancer
 04 October 2017 
Rural residence and risk of IBD
 03 October 2017 
Novel candidate risk genes for IBD
 03 October 2017 
Antibody tests and detecting celiac disease
 03 October 2017 
Environmental factors and IBD
 02 October 2017 
Full publication of Gastroenerology abstracts
 02 October 2017 
Interferon-free therapy in advanced liver disease
 02 October 2017 
Burden of NAFLD with advanced fibrosis in the USA
 29 September 2017 
Inpatient Gastroenterology training experience
 29 September 2017 
Proteomic analysis of IBD
 28 September 2017 
Social networking-based discussion group by ERCP doctors
 28 September 2017 
Incidence of biopsy-verified celiac disease
 27 September 2017 
Predictors of nonadherence in IBD
 27 September 2017 
Hep C treatment in the era of direct-acting anti-viral agents
 27 September 2017 
Function of trypsin-3 in IBS
 26 September 2017 
Chronic pancreatitis and pancreatic cancer risk
 26 September 2017 
Factors associated with the risk of metachronous gastric neoplasm
 26 September 2017 
Treatment of hyperactive delirium in advanced cancer
 25 September 2017 
Lenalidomide for advanced liver cancer
 25 September 2017 
Silibinin nanoparticles inhibit HCV infection
 22 September 2017 
MRI for liver metastatic colorectal cancer
 22 September 2017 
Perforation after colonic endoscopic mucosal resection
 22 September 2017 
Medical management and colectomy rates

Blackwell Publishing


GastroHep.com is a Blackwell Publishing registered trademark
© 2017 Wiley-Blackwell and GastroHep.com and contributors
Privacy Statement
Disclaimer
About Us