HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when Rapid Responses are posted Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Harrington, K. L Articles by Haskvitz, E. M Search for Related Content PubMed PubMed Citation Articles by Harrington, K. L Articles by Haskvitz, E. M

Managing a Patient's Constipation With Physical Therapy

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)
EM Haskvitz, PT, PhD, ATC, is Associate Professor and tDPT Program Director, Physical Therapy Department, The Sage Colleges, Troy, NY

Address all correspondence to Dr Harrington at: kendra.harrington{at}na.amedd.army.mil

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.

Key Words: Constipation • Massage • Pelvic floor • Physical therapy techniques

This article has been cited by other articles:

				S. Wells, D. Amies, F. Dawes, J. Millichap, and S. Reynolds Solihull constipation pathway J Integr Care Pathw, December 1, 2007; 11(3): 120 - 125. [Abstract] [Full Text] [PDF]