Ignite Creation Date:
2024-05-06 @ 7:06 PM
Last Modification Date:
2024-10-26 @ 3:00 PM
Study NCT ID:
NCT05899062
Status:
ENROLLING_BY_INVITATION
Last Update Posted:
2023-06-12
First Post:
2023-06-02
Brief Title:
Telerehabilitation-based Exercise Training in Constipated Patients
Sponsor:
Pamukkale University
Organization:
Pamukkale University
Study Overview
Official Title:
Investigation of the Effect of Telerehabilitation-based Exercise Training on Constipation Symptoms and Quality of Life
Status:
ENROLLING_BY_INVITATION
Status Verified Date:
2023-06
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
It has been determined that three out of every four people in the society do not have sufficient physical activity level and 54 of individuals between the ages of 15-19 and over 55 are sedentary As a result of this the probability of encountering the problem of constipation may increase There are many methods in the treatment of constipation When examined in terms of exercise interventions it was found that 150 minutes of moderate-intensity exercise per week was effective in reducing the symptoms of constipation while aerobic exercise performed less than 140 minutesweek did not improve the symptoms of constipation It has been reported that individuals who received defecation training were particularly successful in the management of constipation symptoms
In our study it is aimed to examine the effectiveness of exercise interventions for constipation In addition to the best of our knowledge no study has been conducted on the effectiveness of a telerehabilitation-based education and exercise program in patients with constipation It is thought that the management of patients with constipation with telerehabilitation will ease the burden on the health system while it will save the patient cost and time and will facilitate the access to treatment for patients living in geographically disadvantaged areas In addition it is important for patients to participate in distance rehabilitation studies in their professional and social lives as it is an innovative treatment approach It is thought that the exercises for constipation applied in addition to the training program may be a more effective method in improving the quality of life and colonic motility of the patients
In our study it is aimed to examine the effectiveness of exercise interventions for constipation In addition to the best of our knowledge no study has been conducted on the effectiveness of a telerehabilitation-based education and exercise program in patients with constipation It is thought that the management of patients with constipation with telerehabilitation will ease the burden on the health system while it will save the patient cost and time and will facilitate the access to treatment for patients living in geographically disadvantaged areas In addition it is important for patients to participate in distance rehabilitation studies in their professional and social lives as it is an innovative treatment approach It is thought that the exercises for constipation applied in addition to the training program may be a more effective method in improving the quality of life and colonic motility of the patients
Detailed Description:
Constipation is the problem of insufficient defecation caused by individual factors and is defined as less than three defecations per week according to health professionals In chronic constipation decreased frequency of defecation hard stool feeling of incomplete excretion of feces and straining are seen From a biopsychosocial point of view it negatively affects the health-related quality of life of the individual and is a health problem seen at a high rate in the society Lembo and Camilleri 2003 Talley 2004 This situation is seen as a result of aging and affects women 2-3 times more than men Huang et al 2017 The incidence of constipation is seen at a rate of 22-40 in our country in other nations is seen at a rate varies between 2 and 34 Kasap and Bor 2006 Uysal et al 2010 Its etiology is multifactorial It may occur as a result of metabolic disorders drugs used stress perianal dysfunctions and other reasons Heidelbaugh et al 2021
While pharmacological treatment agents such as laxatives chlorine channel activators and osmotic agents are used in the treatment of chronic constipation lifestyle recommendations including diet probiotics and physical activity are also used In some chronic cases surgical methods are preferred Leung et al 2011 Some of the physiotherapy interventions used in the management of constipation are Biofeedback tens interference flow and exercise LaCross et al 2022 It is reported that especially exercise is effective in reducing the symptoms of constipation Gao et al 2019
In a study examining the effects of exercise and patient education on constipation it was reported that regular walking for 20-30 minutes a day for 12 weeks could improve constipation symptoms Yi et al 2014 It has been found that 150 minutes of moderate-intensity exercise per week is effective in reducing constipation symptoms while aerobic exercise performed less than 140 minutesweek does not reduce symptoms of constipation De Schryver et al 2005 It is also reported that individuals who receive defecation training are successful in managing their constipation symptoms Ruitong Gao et al 2019 Therefore it is thought that lifestyle education and exercise may be effective in the management of constipation symptoms
It has been specified that three out of every four people in the society do not have sufficient physical activity level and especially 54 of individuals between the ages of 15-19 and over 55 are sedentary This sedentary lifestyle and decreased physical activity may cause constipation by negatively affecting the colonic transit time Active Living Association 2010 De Schryver et al 2005 It has been reported that the exercise and nutrition program reduces the use of laxatives while eliminating the symptoms of constipation in patients Ceren Orhan et al 2015 Similarly daily moderate-intensity exercise was found to reduce constipation symptoms by 44 in women Dukas et al 2033
Lack of exercise may predispose the individual to neurological diseases or musculoskeletal disorders As a result symptoms of abdominopelvic dyssynergia and constipation occur over time In the treatment it is aimed to optimize the motor coordination of the abdominal and anal muscles Wilson 2020 Grimes 2022 Physiotherapists are effective in organizing the muscles and directing the internal pressure with the help of exercise methods in these dysfunctions Thus colonic transition is facilitated while the rectum contracts the anal sphincters can relax in time De Schryver et al 2005
In addition the use of exercise programs that provide vibration in the abdominal region can cause contractions in the abdominal musclesIt is thought that this may be effective in reducing the symptoms of constipation by inducing colonic movements Peters HP and De Vries 2001
Physiotherapy and rehabilitation interventions especially exercise therapy are recommended in the treatment of constipation However individuals who live in remote or rural areas or cannot allocate time for such treatments due to factors such as working conditions workplace permission problems time and distance may find it difficult to access treatment A possible solution in this context is to provide remote rehabilitation services with the help of telerehabilitation technology Russell 2009 Telerehabilitation is the provision of remote rehabilitation service with the help of digital technology Through such services education can be provided to the patients and family members In addition telerehabilitation may include patient evaluation diagnosis treatment and follow-up of the prognosis Thanks to tele-rehabilitation patients living in geographically disadvantaged areas have the opportunity to access rehabilitation As a result the burden on the health system is reduced and time and transportation costs are saved for the patientIt may also provide additional benefits related to rehabilitation in patients own occupational and social environments Russell et al 2011 As far as investigators know there is no study on telerehabilitation enforcement in the management of constipation in the literature
While pharmacological treatment agents such as laxatives chlorine channel activators and osmotic agents are used in the treatment of chronic constipation lifestyle recommendations including diet probiotics and physical activity are also used In some chronic cases surgical methods are preferred Leung et al 2011 Some of the physiotherapy interventions used in the management of constipation are Biofeedback tens interference flow and exercise LaCross et al 2022 It is reported that especially exercise is effective in reducing the symptoms of constipation Gao et al 2019
In a study examining the effects of exercise and patient education on constipation it was reported that regular walking for 20-30 minutes a day for 12 weeks could improve constipation symptoms Yi et al 2014 It has been found that 150 minutes of moderate-intensity exercise per week is effective in reducing constipation symptoms while aerobic exercise performed less than 140 minutesweek does not reduce symptoms of constipation De Schryver et al 2005 It is also reported that individuals who receive defecation training are successful in managing their constipation symptoms Ruitong Gao et al 2019 Therefore it is thought that lifestyle education and exercise may be effective in the management of constipation symptoms
It has been specified that three out of every four people in the society do not have sufficient physical activity level and especially 54 of individuals between the ages of 15-19 and over 55 are sedentary This sedentary lifestyle and decreased physical activity may cause constipation by negatively affecting the colonic transit time Active Living Association 2010 De Schryver et al 2005 It has been reported that the exercise and nutrition program reduces the use of laxatives while eliminating the symptoms of constipation in patients Ceren Orhan et al 2015 Similarly daily moderate-intensity exercise was found to reduce constipation symptoms by 44 in women Dukas et al 2033
Lack of exercise may predispose the individual to neurological diseases or musculoskeletal disorders As a result symptoms of abdominopelvic dyssynergia and constipation occur over time In the treatment it is aimed to optimize the motor coordination of the abdominal and anal muscles Wilson 2020 Grimes 2022 Physiotherapists are effective in organizing the muscles and directing the internal pressure with the help of exercise methods in these dysfunctions Thus colonic transition is facilitated while the rectum contracts the anal sphincters can relax in time De Schryver et al 2005
In addition the use of exercise programs that provide vibration in the abdominal region can cause contractions in the abdominal musclesIt is thought that this may be effective in reducing the symptoms of constipation by inducing colonic movements Peters HP and De Vries 2001
Physiotherapy and rehabilitation interventions especially exercise therapy are recommended in the treatment of constipation However individuals who live in remote or rural areas or cannot allocate time for such treatments due to factors such as working conditions workplace permission problems time and distance may find it difficult to access treatment A possible solution in this context is to provide remote rehabilitation services with the help of telerehabilitation technology Russell 2009 Telerehabilitation is the provision of remote rehabilitation service with the help of digital technology Through such services education can be provided to the patients and family members In addition telerehabilitation may include patient evaluation diagnosis treatment and follow-up of the prognosis Thanks to tele-rehabilitation patients living in geographically disadvantaged areas have the opportunity to access rehabilitation As a result the burden on the health system is reduced and time and transportation costs are saved for the patientIt may also provide additional benefits related to rehabilitation in patients own occupational and social environments Russell et al 2011 As far as investigators know there is no study on telerehabilitation enforcement in the management of constipation in the literature
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None