The Somatic Connection  |   October 2015
Bodywork Shown to Reduce the Symptoms of Chronic Constipation and Improve Quality of Life
Author Notes
  • University of California, San Diego School of Medicine 
Article Information
The Somatic Connection   |   October 2015
Bodywork Shown to Reduce the Symptoms of Chronic Constipation and Improve Quality of Life
The Journal of the American Osteopathic Association, October 2015, Vol. 115, 630-631. doi:10.7556/jaoa.2015.130
The Journal of the American Osteopathic Association, October 2015, Vol. 115, 630-631. doi:10.7556/jaoa.2015.130
Gürsen C, Kerem Günel M, Kaya S, Kav T, Akbayrak T. Effects of connective tissue manipulation on symptoms and quality of life in patients with chronic constipation: a randomized controlled trial [published online June 20, 2015]. J Manipulative Physiol Ther. 2015;38(5):335-343. doi:10.1016/j.jmpt.2015.06.003. 
Turkish physical therapy researchers used a bodywork modality called connective tissue manipulation (CTM) in a randomized controlled trial on patients with chronic constipation. Researchers used Rome III criteria for chronic constipation to identify 50 patients and randomly assign them to the intervention group (n=25) or to the control group (n=25). Patients in the intervention group received CTM and lifestyle advice (eg, increase fiber and water intake, increase exercise, take as necessary laxative and stool softeners), and patients in the control group received lifestyle advice. The Rome III criteria include at least 2 of 6 symptoms, such as having 3 or fewer bowel movements per week, straining during at least 25% of bowel movements, passing lumpy and hard stool in at least 25% of bowel movements, and experiencing incomplete evacuation at least 25% of the time. 
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