Managing a Patient's Constipation With Physical Therapy

  • Kendra L Harrington
    KL Harrington, PT, DPT, BCIA-PMDB, is Pelvic Floor Physical Therapist, Walter Reed Army Medical Center, Department of Obstetrics & Gynecology, Division of Female Pelvic Medicine & Reconstructive Surgery, Washington, DC 20307 (USA)
  • Esther M Haskvitz
    EM Haskvitz, PT, PhD, ATC, is Associate Professor and tDPT Program Director, Physical Therapy Department, The Sage Colleges, Troy, NY

Description

<jats:title>Abstract</jats:title> <jats:p>Background and Purpose. Constipation is a prevalent condition in the United States, with typical treatment consisting of diet modification, stool softeners, and laxatives. These interventions, however, are not always effective. The purpose of this case report is to describe the use of abdominal massage in physical therapist management for a patient with constipation. Case Description. An 85-year-old woman with constipation was referred for physical therapy following unsuccessful treatment with stool softeners. The patient was instructed in bowel management as well as a daily, 10-minute home abdominal massage program. Outcomes. Upon re-examination, the patient reported a return of normal bowel frequency and function without the need to strain or use digital evacuation. Discussion. Physical therapy incorporating abdominal massage appeared to be helpful in resolving this patient's constipation. Unlike medical management of constipation, no known side effects have been identified with abdominal massage. [Harrington KL, Haskvitz EM. Managing a patient's constipation with physical therapy. Phys Ther. 2006;86:1511–1519.]</jats:p>

Journal

  • Physical Therapy

    Physical Therapy 86 (11), 1511-1519, 2006-11-01

    Oxford University Press (OUP)

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