• Journal of Korean Traditional Oncology
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• v.25 no.2
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• pp.37-49
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• 2020

Objective: Constipation is the most common adverse effect of opioid analgesic therapy in cancer patients. This can be associated with physical and emotional distress to cancer patients. The purpose of this study is to review the standard and alternative interventions of the management for opioid-induced constipation (OIC). Methods: The studies were searched from databases, including Pubmed, Google scholar, KISS, NDSL, and OASIS. The main search terms included such as constipation, opioid, opioid-induced constipation, cancer, management, herb, and acupuncture. Results: The prevention and usual care of constipation is a key tool for the management of OIC. Also, prophylactic laxatives starting concurrently with opiates helped to prevent developing constipation. Peripherally acting μ-opioid receptor antagonists (PAMORAs) significantly reduced OIC and well-tolerated. In addition, acupuncture, herb medicines, and interferential current or transcutaneous electrical nerve stimulation to acupoints had effectiveness in reducing constipation. Conclusion: Preliminary data indicate that PAMORAs and Traditional Korean Medicine may be considered as the management of unresolved OIC. However, due to the limited articles, more systematic and rigorous clinical trials are needed.

• The Journal of Korean Obstetrics and Gynecology
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• v.36 no.3
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• pp.46-61
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• 2023

Objectives: The purpose of this systemic review is to overview and evaluate the efficacy of acupuncture in female patients with chronic constipation. Methods: We conducted a comprehensive search of the literature to identify randomized controlled trials that investigated the effects of acupuncture on female patients with chronic constipation. Key words searched included "Female Constipation", "Women Constipation", "Acupuncture" in database KISS, DBPIA, RISS, Cochrane Central, Scopus, Pubmed, CNKI. Results: Nine randomized controlled trials met our inclusion criteria and were included in this systematic review. Our analysis found that acupuncture was associated with significant improvements in spontaneous bowel movements, complete spontaneous bowel movements, stool consistency, and quality of life in female patients with chronic constipation. Acupuncture was generally well-tolerated, with few adverse effects reported. Conclusions: Our findings suggest that acupuncture treatment would be effective way to treat chronic constipation of female patients.

• Journal of International Academy of Physical Therapy Research
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• v.1 no.1
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• pp.45-51
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• 2010

2 week study was conducted to investigate the effects of Interferential Current(IC) and Kaltenborn-Evjenth Orthopedic Manual Therapy(KEOMT) on functional constipation. Interventions were applied to spinal segments between $T_9-L_2$ which provides innervations to the gastrointestinal tract. Subjects(n=24) were randomly allocated to two treatment groups: the IC group or the KEOMT group. Results for the IC therapy demonstrated significant decrease with the colonic transit time(CTT) as well as scores on the constipation assessment scale(CAS). The frequency of defecations per week had increased significantly(p<0.05). The KEOMT displayed decreased CTT in the left colon region. The scores on the CAS were reduced and frequency of defecations per week had increased significantly (p<0.05). This study not only showed that both modes of therapy improved symptoms of constipation, but also optimized gastrointesti. nal content movement, eventuating in a more normalized CTT. In conclusion, both the IC therapy and the Kaltenborn-Evjenth Orthopedic Manual Therapy have shown to be effective interventions for improving functional constipation.

• The Journal of Internal Korean Medicine
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• v.21 no.2
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• pp.329-336
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• 2000

During 9 months the clinical study on the 45 cases constipation patients caused by C.V.A, who were treated with Bo-Riu Enema, was done in the Department of Oriental Internal Medicine II, Oriental Medicine Hospital, Taejon University. The result of this study is compared with glycerin-enema treated group. The results were as follows ; 1. The incidence rate of constipation caused by C.V.A is higher in old aged group. 2. The incidence rate of constipation caused by C.V.A is higher in Tae-Um-In(太陰人). 3. The improvement rate of constipation caused by C.V.A is higher in Bo-Riu Enema treated group than in glycerin-enema. 4. The admission period is shorter in Bo-Riu Enema treated group than in glycerin-enema. 5. In case of paralytic ileus, the improvement rate of constipation caused by C.V.A is higher in Bo-Riu Enema treated group than in glycerin-enema.

• Journal of Korean Physical Therapy Science
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• v.20 no.1
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• pp.37-42
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• 2013

Background : The purpose of this study is to find out the impact of kinesio-taping method for female university students, who are vulnerable to constipation, on the activation of intestine. Methods : This study has been conducted for a total of three weeks including the pre-inspection, and it explained the purpose of the study upon selecting the adequate subjects who met the criteria for constipation among the female students. And It chose the nine students, who agreed to the experiment, as the subjects. It verified the frequency and time of excretion before experiment and the constipation ejaculation measure, and compared pre-arbitration with post-arbitration as for the time and frequency of excrement, the point of constipation ejaculation measure, etc. after two weeks since the application of tape. Result : The frequency of excrement after arbitration increased compared with pre-arbitration as result of the application of kinesio-taping method, and the time, which was taken for excrement, decreased. It was also shown that the point decreased in the point comparison for constipation ejaculation measure; thus, it obtained the result that showed the improvement of the level of constipation and all were statistically significant(p<.05). Conclusion : It is believed that kinesio-taping method has a positive impact on the activation of intestine of female university students.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.23
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• pp.10241-10244
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• 2015

Objective: To investigate the efficacy and side effects of Bifidobacterium tetragenous viable bacteria tablets in treating cancer patients with functional constipation during chemotherapy. Methods: A consecutive cohort of 100 cancer patients with functional constipation were divided into two equal groups: patients in the experimental group were given Bifidobacterium tetragenous viable bacteria tablets combined with chemotherapy, while patients in the control group received chemotherapy alone. After 4 weeks, the efficacy and side effects in treating functional constipation were evaluated. Results: Constipation in 48 patients in experimental group was controlled (9 returned to normal), with a total response rate of 96%, and 1 patient reported diarrhea (2%). In contrast only 16 patients in the control group demonstrated improvement and 34 were still constipated after chemotherapy, with a response rate of 32%. The difference in response rate was statistically significant (P<0.05). Conclusion: This study suggested that Bifidobacterium tetragenous viable bacteria tablets are effective and safe in treating cancer patients with functional constipation during chemotherapy.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.20 no.4
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• pp.333-344
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• 2013

Purpose: The purpose of this study was to investigate prevalence and factors influencing constipation in school age children in order to help prevent and manage this problem. Methods: The participants were 618 elementary school students (4th, 5th, and 6th grade) selected from five elementary schools. Data were gathered using questionnaires and analyzed using $x^2$ test, independent t-test and binary logistic regression with the PASW 18.0 program. Results: The prevalence of constipation was 15.2% for these school age children. Factors influencing constipation in this population were high stress (OR: 5.77), daily intake of meat (OR: 5.42), more than 3 hours using the internet (OR: 4.50), more than 3 hours of private academy classes (OR: 2.83), obesity (OR: 2.34), and negative perceptions of school toilet environment (OR: 2.26). Conclusion: Psychological factors and physical activities have an important effect on constipation in school age children. Thus, there is a need to educate both children and their parents on prevention of constipation by decreasing stress, decreasing meat intake, increasing active movement and increasing positive perception of school toilet environment.

• Journal of Korean Academy of Nursing
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• v.41 no.1
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• pp.26-35
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• 2011

Purpose: This study was done to compare the effects of abdominal aroma massage and meridian massage on constipation and stress in college women with functional constipation. Methods: The participants were 38 college women, 18 were in the aroma group and 20 in the meridian group. The aroma massage was given using aroma oil which was a mixture of lemon, lavender, rosemary, and cyprus. The meridian massage was given at 9 accupoints which influence intestinal functions. The treatment was given 5 days a week for 4 weeks. A constipation severity score, weekly defecation frequency, and a stress response score were measured before and every week of 4 weeks of the experiment. Results: While there was no significant difference between two groups, there was a significant difference within the groups in the constipation severity (aroma group: 1st week, meridian group: except 4th week), defecation frequency (aroma group: 3rd week, meridian group: 2nd and 3rd week), and stress (aroma group: all weeks, meridian group: except 4th week) after different duration of experiment. Conclusion: Based on these results, both abdominal massages relieved constipation and stress. Resorting to either types of massage will contribute to the reduction of use of stool softeners, suppositories, or enemas.

• Journal of Korean Academy of Rural Health Nursing
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• v.6 no.2
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• pp.78-86
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• 2011

Purpose: The purpose of this study was to identify the effects of abdominal aroma massage on constipation in college women with functional constipation. Methods: The participants were 24 college women residing in a dormitory of D college located in Gangwon Province. Thirteen were selected for the abdominal aroma massage group (experimental) and 11 for the simple abdominal massage group (control). The experimental treatment was abdominal aroma massage given 5 days a week for 2 weeks. The aroma massage was given using aroma oil mixed with lemon, lavender, rosemary, and cyprus with carrier oil. Weekly defecation frequency, length of time for defecation, and constipation assessment score were measured before the treatment and at 1 week, and 2 weeks after the treatment. Effects of the treatment were tested using repeated measures ANOVA with the SPSS program. Results: There was no significant difference between the two groups, but there was a significant difference within the experimental group in length of time for defecation (1st and 2nd week) and in constipation assessment score (2nd week). Conclusion: Results of this study indicate that abdominal aroma massage is useful in relieving constipation and can contribute to the reduction of use of stool softeners, suppositories, or enemas. after different duration of experiment.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.13 no.2
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• pp.23-34
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• 2018

Objectives : This review aims to evaluate the effects and the safety of Chuna manual therapy(CMT) for pediatric functional constipation. Methods : We searched 10 electronic databases(Pubmed, EMBASE, Cochrane Library, CAJ, Oasis, RISS, KISS, NDSL, KMBASE, KISTI) and related 2 journals until October 2018. We included randomized controlled trials(RCTs) of testing CMT for pediatric functional constipation. The methodological quality of RCTs related assessed by the Cochrane risk of bias tool. Results : 16 RCTs were eligible in our inclusion criteria. The meta-analysis of 11 studies showed positive for use CMT for pediatric functional constipation. CMT significantly improved total efficancy rate compared with medications (P < 0.00001). Conclusions : There is evidence of CMT for pediatric functional constipation with meta-analysis. However, our systematic review has limited evidence to support CMT for pediatric functional constipation. because the quality of relevant trials is relatively poor. Further well-designed RCTs should be encouraged. the quality of relevant trials is relatively poor.