The Relationship Between Functional Constipation and Sacroiliac Joint Dysfunction

Abant Izzet Baysal University

Status: Enrolling

Conditions: Constipation - Functional; Sacroiliac Joint Somatic Dysfunction

Study type: Observational

Funder types: Other

Identifiers

NCT05432453

AIBU-FTR-BI-2

Details and patient eligibility

About

The purpose of this study; to compare individuals with and without chronic constipation in terms of sacroiliac joint dysfunction and to examine the relationship between chronic constipation and sacroiliac joint.

Full description

Constipation is a heterogeneous, polysymptomatic and multifactorial disease. Many symptoms are used to define the term constipation, such as hard stool, excessive straining, few bowel movements, use of digital maneuvers during defecation, abdominal bloating, and a feeling of inadequate evacuation.

Chronic constipation is seen in approximately 14% of the world. It is seen on average 2 times more in women.

Visceral and somatic neural control of defecation is provided by the Sacral 2-4 segments of the spinal cord. It is in neural relationship with the sacroiliac joint and pelvic floor muscles, which also provide innervation from the same segments. These visceral and somatic structures can affect each other through viscerosomatic and somatovisceral reflexes. This means that an afferent input from the rectum can reflect on and around the sacroiliac joint.

Based on this connection, we think that primary chronic constipation without an organic cause may be associated with sacroiliac joint dysfunction. In the literature review, no study examining this relationship was found.

This study is planned to evaluate individuals with and without chronic constipation in terms of sacroiliac joint dysfunction and to examine the relationship between chronic constipation and sacroiliac joint.

Enrollment: 128 estimated patients

Sex: Female

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria (for functional constipation group):

• Voluntary participation in the research
• Fulfill the diagnostic criteria for functional constipation (Rome IV)
• Being women
• Not using laxatives for at least the last 4 weeks

Inclusion Criteria (for control group):

• Voluntary participation in the research
• Being women
• Not having functional constipation

Exclusion Criteria:

• Having cooperation problems
• Being pregnant
• Being breast-feeding
• Taking medication for depression, hypertension, sleep disorders, and pain
• Having parkinson, stroke, spinal cord injury, multiple sclerosis, hypothyroidism, Diabetes Mellitus, cerebral Palsy, thyroid problems, cancer, presence of tumor, presence of hernia, endometriosis, neuropathy, myopathy, scleroderma, inflammatory bowel diseases (Crohn, gastrointestinal tuberculosis, celiac, colon diverticulum, colonoscopy), cognitive impairment
• Having neurological or metabolic or malignant disorders
• Having a history of open abdominal surgery
• Having a history of pelvic and abdominal radiotherapy

Trial design

128 participants in 2 patient groups

Women with constipation

Description:

Bowel functional markers (defecation frequency, defecation time, and stool density) and constipation-related quality of life of women with constipation will be evaluated with the Constipation Severity Scale, Constipation Quality of Life Scale, 7-day bowel diary, and Bristol Stool Scale. Sacroiliac joint dysfunctions of women with constipation will be evaluated by standing forward bending test, sitting forward bending test, compression test, posterior friction test and Patrick-Faber test.

Women without constipation (Control)

Description:

Bowel functional markers (defecation frequency, defecation time, and stool density) and constipation-related quality of life of women without constipation will be evaluated with the Constipation Severity Scale, Constipation Quality of Life Scale, 7-day bowel diary, and Bristol Stool Scale. Sacroiliac joint dysfunctions of women without constipation will be evaluated by standing forward bending test, sitting forward bending test, compression test, posterior friction test and Patrick-Faber test.