Use the Back button in your browser to see the other results of your search or to select another record.

Detailed Search Results

Effectiveness of structured physiotherapy in constipation in children with neurodevelopmental disorders -- a randomized trial
Joshi S, Parmar S, Kalavant A, Shah L, Parmar D
Physiotherapy Theory and Practice 2022 Jul 17:Epub ahead of print
clinical trial
7/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

INTRODUCTION: Constipation is one of the major issues faced by children with neuro-developmental disorder (NDD). The aims of the study were to: (1) examine the effectiveness of a structured physiotherapy program on constipation in children with NDD; and (2) compare if conventional physiotherapy along with structured physiotherapy intervention has any combined effect on constipation in children with NDD. METHOD: Thirty-five children with neurodevelopmental disorder were assessed and randomly allotted into two groups. Twenty-two completed the intervention for 2 weeks and were statistically analyzed at baseline and post 4 weeks at a single tertiary center. The outcome measures used were Pediatric quality of life inventory (PedsQL), Peds QL Gastrointestinal symptoms scale, Bristol stool form scale, and defecation frequency. Group A received the conventional treatment, whereas group B received structured physiotherapy along with the conventional treatment. RESULTS: Group A had no significant outcomes, whereas in group B there were statistically significant differences for all outcome measures. Comparatively, a statistically significant change was noted for PedsQL GI symptoms scale (p = 0.045) and its constipation sub-scale (p = 0.002) in group B along with change in the Bristol stool form. CONCLUSION: Combined effect of structured along with conventional physiotherapy was better in terms of form of stool, constipation, and its associated quality of life factors as compared to conventional physiotherapy alone.

Full text (sometimes free) may be available at these link(s):      help