Semiha Yenişehir, İlkim Çıtak Karakaya, Süleyman Polater, Aysun Yakut, Mehmet Gürhan Karakaya
{"title":"功能性便秘患者的结缔组织操作和干扰电流：一项随机对照试验。","authors":"Semiha Yenişehir, İlkim Çıtak Karakaya, Süleyman Polater, Aysun Yakut, Mehmet Gürhan Karakaya","doi":"10.1080/09593985.2025.2566937","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Functional constipation (FC) is a common condition that includes difficult, irregular bowel movements, abdominal pain, and bloating.</p><p><strong>Purpose: </strong>To investigate the comparative effectiveness of connective tissue manipulation (CTM) and interferential currents (IFCs) over behavioral education and therapy (BET) on FC.</p><p><strong>Methods: </strong>Fifty-four patients with FC were randomly assigned into four groups. The control group received only BET, the intervention groups received CTM, IFC<sub>0-100</sub>, or IFC<sub>100</sub> additional to the BET, 3 days/week for 4 weeks. CTM was initially applied to the lumbosacral area; in subsequent sessions, the lower thoracic, scapular, interscapular, and cervical regions were also included, respectively. Bowel function (7-day-bowel diary), constipation severity (Constipation Severity Instrument), and QoL (Patient Assessment of Constipation Quality of Life) were assessed at baseline, after interventions, and at the end of the 1-month follow-up. Treatment satisfaction was assessed with visual analog scales.</p><p><strong>Results: </strong>The defecation frequency increased and the defecation duration per attempt decreased in all groups (<i>p</i> < .05). In the CTM, IFC<sub>0-100</sub> and IFC<sub>100</sub> groups, defecation frequency increased more than in the control group (u = 23.500, u = 26.500, u = 15.500, respectively), (<i>p</i> < .001). The constipation severity decreased (<i>p</i> < .05), and this effect was maintained in all groups at the follow-up period (<i>p</i> > .05). QoL improved in all groups after the interventions, and was higher in the IFC<sub>0-100</sub> [95% CI=(-15.91-(-2.09)], and IFC<sub>100</sub> [95% CI=(-13.99-(-0.17)], (<i>p</i> < .05) groups than control group at follow-up, with no significant difference between control and CTM groups (<i>p</i> > .05). Treatment satisfaction was significantly higher in CTM [95% CI=(-1.3557-(-0.3443)], IFC<sub>0-100</sub> [95% CI=(-1.6911-(-0.6605)], and IFC<sub>100</sub> [95% CI=(-1.5450-(-0.5144)] groups than control group.</p><p><strong>Conclusion: </strong>Additional CTM or IFCs to BET provide significant and long-lasting (at least 1 month) contributions to the bowel functions, QoL, and increase treatment satisfaction in patients with FC.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-14"},"PeriodicalIF":1.5000,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Connective tissue manipulation and interferential currents in patients with functional constipation: A randomized controlled trial.\",\"authors\":\"Semiha Yenişehir, İlkim Çıtak Karakaya, Süleyman Polater, Aysun Yakut, Mehmet Gürhan Karakaya\",\"doi\":\"10.1080/09593985.2025.2566937\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Functional constipation (FC) is a common condition that includes difficult, irregular bowel movements, abdominal pain, and bloating.</p><p><strong>Purpose: </strong>To investigate the comparative effectiveness of connective tissue manipulation (CTM) and interferential currents (IFCs) over behavioral education and therapy (BET) on FC.</p><p><strong>Methods: </strong>Fifty-four patients with FC were randomly assigned into four groups. The control group received only BET, the intervention groups received CTM, IFC<sub>0-100</sub>, or IFC<sub>100</sub> additional to the BET, 3 days/week for 4 weeks. CTM was initially applied to the lumbosacral area; in subsequent sessions, the lower thoracic, scapular, interscapular, and cervical regions were also included, respectively. Bowel function (7-day-bowel diary), constipation severity (Constipation Severity Instrument), and QoL (Patient Assessment of Constipation Quality of Life) were assessed at baseline, after interventions, and at the end of the 1-month follow-up. Treatment satisfaction was assessed with visual analog scales.</p><p><strong>Results: </strong>The defecation frequency increased and the defecation duration per attempt decreased in all groups (<i>p</i> < .05). In the CTM, IFC<sub>0-100</sub> and IFC<sub>100</sub> groups, defecation frequency increased more than in the control group (u = 23.500, u = 26.500, u = 15.500, respectively), (<i>p</i> < .001). The constipation severity decreased (<i>p</i> < .05), and this effect was maintained in all groups at the follow-up period (<i>p</i> > .05). QoL improved in all groups after the interventions, and was higher in the IFC<sub>0-100</sub> [95% CI=(-15.91-(-2.09)], and IFC<sub>100</sub> [95% CI=(-13.99-(-0.17)], (<i>p</i> < .05) groups than control group at follow-up, with no significant difference between control and CTM groups (<i>p</i> > .05). Treatment satisfaction was significantly higher in CTM [95% CI=(-1.3557-(-0.3443)], IFC<sub>0-100</sub> [95% CI=(-1.6911-(-0.6605)], and IFC<sub>100</sub> [95% CI=(-1.5450-(-0.5144)] groups than control group.</p><p><strong>Conclusion: </strong>Additional CTM or IFCs to BET provide significant and long-lasting (at least 1 month) contributions to the bowel functions, QoL, and increase treatment satisfaction in patients with FC.</p>\",\"PeriodicalId\":48699,\"journal\":{\"name\":\"Physiotherapy Theory and Practice\",\"volume\":\" \",\"pages\":\"1-14\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-09-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Physiotherapy Theory and Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/09593985.2025.2566937\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physiotherapy Theory and Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/09593985.2025.2566937","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
摘要
背景：功能性便秘（FC）是一种常见的情况，包括排便困难、不规则、腹痛和腹胀。目的：探讨结缔组织操作（CTM）和干扰电流（IFCs）在行为教育和治疗（BET）中对FC的比较效果。方法：将54例FC患者随机分为4组。对照组仅给予BET治疗，干预组在BET基础上给予CTM、IFC0-100或IFC100治疗，每周3天，连续4周。CTM最初应用于腰骶区；在随后的治疗中，下胸椎、肩胛骨、肩胛骨间和颈椎也分别被纳入。在基线、干预后和1个月随访结束时评估肠道功能（7天肠道日记）、便秘严重程度（便秘严重程度仪）和QoL（患者便秘生活质量评估）。采用视觉模拟量表评估治疗满意度。结果：各组患者排便次数增加，单次排便时间缩短（p 0 ~ 100组和IFC100组），排便次数增加明显高于对照组（u = 23.500, u = 26.500, u = 15.500）， （p p p >.05）。干预后各组患者的生活质量均有改善，IFC100组[95% CI=(-15.91-(-2.09)]、IFC100组[95% CI=(-13.99-(-0.17)]、（p p >.05）的生活质量更高。CTM组[95% CI=(-1.3557-(-0.3443))]、IFC0-100组[95% CI=(-1.6911-(-0.6605)]、IFC100组[95% CI=(-1.5450-(-0.5144)]治疗满意度显著高于对照组。结论：额外的CTM或IFCs对FC患者的肠道功能、生活质量和治疗满意度有显著和持久（至少1个月）的贡献。
Connective tissue manipulation and interferential currents in patients with functional constipation: A randomized controlled trial.
Background: Functional constipation (FC) is a common condition that includes difficult, irregular bowel movements, abdominal pain, and bloating.
Purpose: To investigate the comparative effectiveness of connective tissue manipulation (CTM) and interferential currents (IFCs) over behavioral education and therapy (BET) on FC.
Methods: Fifty-four patients with FC were randomly assigned into four groups. The control group received only BET, the intervention groups received CTM, IFC0-100, or IFC100 additional to the BET, 3 days/week for 4 weeks. CTM was initially applied to the lumbosacral area; in subsequent sessions, the lower thoracic, scapular, interscapular, and cervical regions were also included, respectively. Bowel function (7-day-bowel diary), constipation severity (Constipation Severity Instrument), and QoL (Patient Assessment of Constipation Quality of Life) were assessed at baseline, after interventions, and at the end of the 1-month follow-up. Treatment satisfaction was assessed with visual analog scales.
Results: The defecation frequency increased and the defecation duration per attempt decreased in all groups (p < .05). In the CTM, IFC0-100 and IFC100 groups, defecation frequency increased more than in the control group (u = 23.500, u = 26.500, u = 15.500, respectively), (p < .001). The constipation severity decreased (p < .05), and this effect was maintained in all groups at the follow-up period (p > .05). QoL improved in all groups after the interventions, and was higher in the IFC0-100 [95% CI=(-15.91-(-2.09)], and IFC100 [95% CI=(-13.99-(-0.17)], (p < .05) groups than control group at follow-up, with no significant difference between control and CTM groups (p > .05). Treatment satisfaction was significantly higher in CTM [95% CI=(-1.3557-(-0.3443)], IFC0-100 [95% CI=(-1.6911-(-0.6605)], and IFC100 [95% CI=(-1.5450-(-0.5144)] groups than control group.
Conclusion: Additional CTM or IFCs to BET provide significant and long-lasting (at least 1 month) contributions to the bowel functions, QoL, and increase treatment satisfaction in patients with FC.
期刊介绍：
The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
