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|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|
|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.