J Neurogastroenterol Motil  https://doi.org/10.5056/jnm23131
Effectiveness of Abdominal Massage Versus Kinesio Taping in Women With Chronic Constipation: A Randomized Controlled Trial
Yasemin Karaaslan,1,* Aysenur Karakus,2 Deniz Ogutmen Koc,3 Amine Bayrakli,4 and Seyda Toprak Celenay5
1Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hatay Mustafa Kemal University, Hatay, Turkey; 2Department of Occupational Therapy, Faculty of Health Sciences, Çankırı Karatekin University, Cankırı, Turkey; 3Department of Gastroenterology, University of Health Sciences, Gaziosmanpasa Training and Research Hospital, Istanbul, Turkey; 4Department of Biostatistics and Medical Informatics, Karadeniz Technical University, Trabzon, Turkey; and 5Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ankara Yildirim Beyazit University, Ankara, Turkey
Correspondence to: Yasemin Karaaslan, MD
Department of Physiotherapy and Rehabilitation, Health Sciences Faculty, Hatay Mustafa Kemal University Hatay, Turkey
Tel: +90 3262213317, E-mail: ptyasemindeveci@gmail.com
Received: August 18, 2023; Revised: October 5, 2023; Accepted: November 27, 2023; Published online: June 3, 2024
© The Korean Society of Neurogastroenterology and Motility. All rights reserved.

Abstract
Background/Aims
Chronic constipation is an important public health problem and significantly affects women's lives. It is important to investigate non-pharmacological applications that can be used in the treatment of chronic constipation. The aim is to assess how abdominal massage and kinesio taping impact constipation severity, quality of life (QOL), and perception of subjective improvement in women with chronic constipation.
Methods
Following Rome IV diagnostic criteria, women with constipation were randomly sorted into three distinct groups for study: massage group (lifestyle recommendations+abdominal massage, n:22), taping group (lifestyle recommendations+kinesio taping, n:22), and control group (lifestyle recommendations, n:22). Constipation Severity Instrument (CSI) (for constipation severity), 7 days bowel diary (for bowel function), Patient Assessment of Constipation QOL (PAC-QOL) questionnaire (for QOL), 4-item Likert-type scale (for perception of subjective improvement) was used.
Results
The group x time interaction effect was significant in all CSI, bowel diary and PAC-QQL parameters, except for incomplete evacuation and PAC-QOL-worries/concerns, and a large effect size was found (Partial η2 > 0.14). Improvement scores of all parameters (except CSI-obstructive defecation, incomplete evacuation, PAC-QOL-worries/concerns) were similar in the massage and taping groups and were better than the control group. Noteworthy perceptions of subjective improvement and normalization of stool type predominantly manifested in the massage group (p<0.05).
Conslusion
Abdominal massage and kinesio taping are recommended as initial conservative interventions for managing chronic constipation within the therapeutic spectrum.
Keywords: Constipation; Life style; Massage: Quality of life; Randomized controlled trial


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