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Osteopathic Visceral Manipulation on Functional Constipation in Obese Adults

M

MTI University

Status

Completed

Conditions

Constipation - Functional

Treatments

Other: visceral manipulation

Study type

Interventional

Funder types

Other

Identifiers

NCT06925802
IRB # 22 /3 / 2024-2025

Details and patient eligibility

About

Functional constipation in obese adults is a prevalent gastrointestinal issue characterized by infrequent bowel movements, difficulty during defecation, or a sensation of incomplete evacuation. Obesity is a significant risk factor for functional constipation due to several physiological and lifestyle-related factors. Excess body weight, particularly in the abdominal region, may exert pressure on the colon, leading to disrupted bowel function. Additionally, dietary habits common among obese individuals, such as low fiber intake and inadequate hydration, can worsen constipation. Sedentary lifestyles further contribute to reduced gastrointestinal motility. Addressing functional constipation in obese adults requires a multifaceted approach, including dietary modifications to increase fiber and fluid intake, regular physical activity, and, in some cases, medical interventions to alleviate symptoms and improve quality of life.

Full description

Visceral manipulation is a gentle manual therapy that focuses on the internal organs, particularly those within the gastrointestinal tract, to enhance their function and alleviate symptoms associated with various disorders. Practitioners of visceral manipulation use their hands to apply specific, subtle forces to the affected areas, aiming to improve the mobility and motility of the organs. This technique is based on the premise that the body's organs are interconnected by fascia and ligaments, and any restriction or imbalance in these connections can lead to dysfunction and disease. By restoring the natural movement of these organs, visceral manipulation is believed to improve blood circulation, enhance digestive function, and reduce pain and discomfort associated with gastrointestinal disorders.

Enrollment

110 patients

Sex

All

Ages

18 to 30 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • patients diagnosed with functional constipation according to Rome IV criteria
  • Body mass index (BMI) ≥ 30 kg/m²
  • Ability to provide informed consent

Exclusion criteria

  • patients with organic gastrointestinal diseases, Pregnancy or lactation
  • Participation in another clinical trial within the last 30 days, Endocrine and metabolic disorders (eg, hypothyroidism, hypercalcemia, diabetes mellitus, diabetes insipidus)
  • Neurologic and psychiatric disorders (spina bifida, cerebral palsy, anorexia nervosa, known autism spectrum disorders)
  • Secondary constipation to drug consumption, History of abdominal surgery

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Triple Blind

110 participants in 2 patient groups

osteopathic visceral manipulation
Experimental group
Description:
Group A received osteopathic visceral manipulation with standard care
Treatment:
Other: visceral manipulation
control
No Intervention group
Description:
Group B received standard care only

Trial contacts and locations

1

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Central trial contact

Ahmed m Elfahl, phd

Data sourced from clinicaltrials.gov

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