The effects of osteopathic treatment on constipation in children with cerebral palsy: a pilot study

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dc.authorid0000-0001-8784-6604en_US
dc.authorid0000-0003-3797-8857
dc.contributor.authorTarsuslu, Tülay
dc.contributor.authorBol, Hüseyin
dc.contributor.authorŞimşek, İbrahim Engin
dc.contributor.authorToylan, İmran Erkanat
dc.contributor.authorÇam, Sabahat
dc.date.accessioned2021-06-23T19:26:06Z
dc.date.available2021-06-23T19:26:06Z
dc.date.issued2009
dc.departmentBAİBÜ, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümüen_US
dc.description.abstractObjective: This pilot study was designed to investigate the effectiveness of osteopathic treatment in children with cerebral palsy and chronic constipation. Methods: This study included 13 children with cerebral palsy diagnosed as having chronic constipation by a gastroenterologist. The subjects were separated into 2 groups. Group 1 was treated with osteopathic methods and group 2 underwent both medical and exactly the same osteopathic treatments of group 1. Osteopathic treatments included fascial release, iliopsoas muscle release, sphincter release, and bowel mobilizations. Gross Motor Functional Classification System, Functional Independence Measure for Children, and Modified Ashworth Scale were used to determine the level of disability, functional independence, and muscle tonus, respectively. In addition, Constipation Assessment Scale was administered to the subjects to determine the severity of constipation. The satisfaction from the treatment was measured using a Visual Analogue Scale at 3 and 6 months. Results: Most of the children included in this study were determined as level IV or V according to Gross Motor Functional Classification System. The satisfaction of the subjects or the families with the treatments was not different when the groups were compared (P > .05). Constipation Assessment Scale scores decreased significantly in both groups (P < .05). Pretreatment (initial evaluation) and posttreatment (follow-ups at 3 and 6 months) results revealed no difference between the groups in either aspects (P > .05). However, both groups showed significant improvements compared with baseline evaluations (P < .05). Conclusion: Osteopathic methods were as effective as osteopathic methods in addition to medical care for both treatment groups. The results of this study suggest that osteopathic methods may be helpful as an alternative treatment in constipation. Additional advanced studies should be conducted. (J Manipulative Physiol Ther 2009;32:648-653)en_US
dc.identifier.doi10.1016/j.jmpt.2009.08.016
dc.identifier.endpage653en_US
dc.identifier.issn0161-4754
dc.identifier.issue8en_US
dc.identifier.pmid19836601en_US
dc.identifier.scopus2-s2.0-70349845715en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage648en_US
dc.identifier.urihttps://doi.org/10.1016/j.jmpt.2009.08.016
dc.identifier.urihttps://hdl.handle.net/20.500.12491/6418
dc.identifier.volume32en_US
dc.identifier.wosWOS:000271069200007en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorTarsuslu, Tülay
dc.institutionauthorŞimşek, İbrahim Engin
dc.language.isoenen_US
dc.publisherMosby-Elsevieren_US
dc.relation.ispartofJournal Of Manipulative And Physiological Therapeuticsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectOsteopathic Medicineen_US
dc.subjectConstipationen_US
dc.subjectCerebral Palsyen_US
dc.subjectAbdominal Painen_US
dc.titleThe effects of osteopathic treatment on constipation in children with cerebral palsy: a pilot studyen_US
dc.typeArticleen_US

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