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

• Journal of International Academy of Physical Therapy Research
• /
• v.9 no.2
• /
• pp.1490-1493
• /
• 2018

The purpose of this study was to investigate the effects of the Silver Spike Point (SSP) on functional constipation. The subjects were 14 female students who attended a university located in Gyeonggi province and consent to participate in this study. The inclusion criteria were the fulfillment of two or more diagnostic criteria of Rome III or scoring four or more points in Constipation Assessment Scale (CAS). The CAS score was significantly decreased in the experimental group (from $14.29{\pm}1.38$ to $6.86{\pm}2.91$) (p<.05), however, there was no significant change in the control group (from $14.29{\pm}1.49$ to $14.14{\pm}1.21$). The present study suggests that SSP intervention is effective in mitigating constipation.

• Journal of East-West Nursing Research
• /
• v.13 no.2
• /
• pp.147-159
• /
• 2007

Purpose: This study was to examine the effects of the meridian massage on constipation and stress in the patients with stroke. Methods: The subjects of this study were 31 patients with stroke who were hospitalized at the K oriental medical center. They were determined by Rome II criteria and the Constipation Assessment Scale (CAS). The experimental group were treated meditation massage for 10minutes daily for 2 weeks. To evaluate the effect of meridian massage, the degree of constipation was measured using the frequency of defecation per week and the scores of CAS, and the degree of stress was measured using the Stress Scale. The collected data were analyzed by with the SPSS 12.0 for windows program. Results: The experimental group had significantly more increase of defecation frequency than the control group. The experimental group had significantly more decrease of CAS score than the control group. 3) In the score of stress, there was no significant difference between the experimental and the control group. Conclusion: The result of this study shows that meridian massage is an effective nursing intervention for the management of constipation of patients with stroke.

• Journal of Korean Medicine for Obesity Research
• /
• v.5 no.1
• /
• pp.31-45
• /
• 2005

Background and Objectives : Constipation is a common digestive disorder and enema is one of the external intervention for constipation. Coffee enema was originated by Dr. Gerson for the purpose of colon cleansing and detoxification. However there has been no study about the effect of coffee enema on constipation. Therefore, this study was planned to evaluate the effect of coffee enema on constipation in the terms of constipation degree and satisfaction questionnaire. Methods : 42 patients were treated of the coffee enema 2 times a week. The constipation score(Constipation Assessment Scale) and frequency of defecation were checked 3 times (before treatment, 1 week and 1 month later). The satisfaction score was also checked 1 week and 1 month later. The interval differences of constipation score between pre- and post-treatment according to body mass index were also analyzed. Results and Conclusions : The constipation scores, frequency of defecation scores checked 1 week and 1 month later were significantly(p<0.01) improved as compared with those before the treatment. The satisfaction scores were close to 'moderately satisfied' 1 week and 1 month later. The scores of 6 parameters in constipation assessment scale, frequency of defecation scores and satisfaction scores were maintained until 1 month later. There was no significant difference in the change of constipation scores between normal BMI and overweight group. 4.2% of the patients reported adverse effects, which were nausea, abdominal distension each.

• Journal of Korean Academy of Nursing
• /
• v.35 no.1
• /
• pp.56-64
• /
• 2005

Purpose: The purpose of this study was to verify the effect of aromatherapy massage on constipation in the elderly. Method: This study for 10 day, employed a randomized control group pretest-posttest design. The experimental group received abdominal massage using essential oils with Rosemary, Lemon, and Peppermint, and the control group received a placebo massage. To evaluate the effect of aromatherapy, the degree of constipation was measured using the CAS (constipation assessment scale) and the number of bowel movements per week. Data was analyzed by repeated measures of ANOVA using the SPSS program. Result: The score of CAS of the experimental group was significantly lower than that of the control group. In addition the average number of bowel movements in the experimental group was higher than that of the control group. The effect of aromatherapy lasted 2 weeks after treatment, while the placebo effect lasted 7~10 days after treatment. Conclusion: The finding of this study showed that aromatherapy helps relieve constipation in the elderly.

• Journal of Korean Academy of Nursing
• /
• v.35 no.1
• /
• pp.135-142
• /
• 2005

Purpose: This study was aimed at developing an efficient nursing method for the management of constipation by comparing the effects of abdominal meridian massage on the symptoms of constipation. Method: The subjects were determined by the Rome II criteria and the Constipation Assessment Scale from Aug 30 through Sep 26, 2002. They were randomly divided into two groups: one experimental group of 16, another control group of 15. Abdominal meridian massage was given to the experimental group and no massage was given to the control group. The frequency of defecation and severity of constipation by CAS were measured. The data was analyzed with the t-test, $x^2$-test, and repeated measures ANOVA. Results: There was a significant improvement in frequency of defecation, and severity of constipation in the experimental group compared to the control group. Conclusion: Abdominal meridian massage can be considered an effective nursing method for the management of constipation among CVA patients.

• Journal of Korean Clinical Nursing Research
• /
• v.24 no.1
• /
• pp.85-93
• /
• 2018

Purpose: This study aim to determine the effect of chewing gum on the reduction of postoperative ileus and recovery after surgery. Methods: The study was conducted as a randomized controlled trial among 82 patients who underwent spine surgery between May 2015 and October 2015. Patients in experimental group chewed sugarless gum 3 times daily for 30 minutes each time until POD 5. Abdominal discomfort, the first defecation, and CAS score (Constipation Assessment Scale) were monitored. Results: After the experiment, abdominal discomfort was significantly decreased in the experimental group compared to that of the control group (F=2.46, p=.044). However, the first defecation occurred on postoperative hour 69.6 in the chewing gum group and on hour 60.2 in the control group (t=-1.63, p=.107). CAS was significantly decreased in the experimental group compared to that of the control group (F=3.51, p=.012). Conclusion: Chewing gum is expected to help patient recover after surgery as safe nurse intervention which can reduce abdominal discomfort and constipation during early postoperative days after spine surgery.

• Korean Journal of Adult Nursing
• /
• v.28 no.6
• /
• pp.637-645
• /
• 2016

Purpose: The purpose of this study was to identify the occurrences and the factors contributing to constipation in the post surgical period following major orthopedic surgery. Methods: The sample included 133 patients who had surgery of the hip, knee, or spine. Patients were excluded from the study if there was a history of bowel surgery or constipation from chart review. Data were collected using questionnaires such as Korean version of Modified Barthel index (K-MBI), Hospital Anxiety and Depression Scale, and Constipation Assessment Scale (CAS) before surgery and on the third postoperative day. Results: Reports of constipation occurred in 77 instances (57.9%). The first reported defecation was within $4.0{\pm}2.2days$ following surgery. Mean days of first defecation of constipation group vs. non-constipation group was $5.5{\pm}1.7days$ vs. $2.1{\pm}1.0days$. There were statistically significant differences between patients who reported than those who did not in terms of age, length of NPO period, postoperative ADL, and the reported incidents of preoperative and postoperative depressive symptoms. Postoperative ADL, age, and NPO period were significant influencing factors of constipation and explained 52.4% of the variance. Conclusion: Constipation is a very common symptom for patients undergoing orthopedic surgery. These results indicate a need for improving patient's ADL after surgery to prevent constipation.