Does a Manual Therapy Approach Improve the Symptoms of Functional Constipation? A Systematic Review of the Literature

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aut.filerelease.date2021-05-12
aut.relation.journalInternational Journal of Osteopathic Medicineen_NZ
aut.researcherReid, Duncan
dc.contributor.authorErdrich, LMen_NZ
dc.contributor.authorReid, Den_NZ
dc.contributor.authorMason, Jen_NZ
dc.date.accessioned2020-05-12T01:42:06Z
dc.date.available2020-05-12T01:42:06Z
dc.date.copyright2020-05en_NZ
dc.date.issued2020-05en_NZ
dc.description.abstractBackground Functional constipation is highly prevalent and places a significant burden on healthcare systems around the world. Manual therapy is a commonly used intervention, however to date there has not been a systematic review that critically appraises a wide range of manual therapy disciplines. Objectives To systematically review the literature and analyse the methodological quality of all included studies, and to provide an overall level of evidence analysis. Methods A database search was completed to identify eligible studies that were published from database creation to July 2018. The relevant characteristics of each study were extracted, and each study was assessed for methodological quality with a modified version of the Downs and Black appraisal tool. Results Seven studies fulfilled the inclusion criteria and were assessed for methodological quality. One study was found to have ‘strong’ methodological quality, five were of ‘moderate’ quality, and one was of ‘low’ quality. All studies reported consistent findings regarding their individual primary outcome measures. Overall level of evidence for the use of manual therapy as an intervention for constipation was found to be ‘moderate’. Conclusions There is moderate quality evidence for the use of manual therapy as an intervention for constipation. The review identified several themes that can guide future research on this topic, including intervention type and frequency, reporting quality, mechanism of effect, and variability of outcome measures.
dc.identifier.citationInternational Journal of Osteopathic Medicine (2020), doi: https://doi.org/10.1016/j.ijosm.2020.05.003.
dc.identifier.doi10.1016/j.ijosm.2020.05.003en_NZ
dc.identifier.issn1746-0689en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/13325
dc.languageenen_NZ
dc.publisherElsevier BVen_NZ
dc.relation.urihttps://www.journalofosteopathicmedicine.com/article/S1746-0689(19)30146-4/pdf#secsectitle0010
dc.rightsCopyright © 2020 Elsevier Ltd. All rights reserved. This is the author’s version of a work that was accepted for publication in (see Citation). Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. The definitive version was published in (see Citation). The original publication is available at (see Publisher's Version).
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectConstipation; Manual therapy; Physical therapy; Massage; Systematic review
dc.titleDoes a Manual Therapy Approach Improve the Symptoms of Functional Constipation? A Systematic Review of the Literatureen_NZ
dc.typeJournal Article
pubs.elements-id374922
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Clinical Sciences
pubs.organisational-data/AUT/Health & Environmental Science/SPRINZ
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
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