Harrington Kendra L, Haskvitz Esther M
Walter Reed Army Medical Center, Department of Obstetrics & Gynecology, Division of Female Pelvic Medicine & Reconstructive Surgery, Washington, DC 20307, USA.
Phys Ther. 2006 Nov;86(11):1511-9. doi: 10.2522/ptj.20050347.
Constipation is a prevalent condition in the United States, with typical treatment consisting of diet modification, stool softeners, and laxatives. These interventions, however, are not always effective. The purpose of this case report is to describe the use of abdominal massage in physical therapist management for a patient with constipation.
An 85-year-old woman with constipation was referred for physical therapy following unsuccessful treatment with stool softeners. The patient was instructed in bowel management as well as a daily, 10-minute home abdominal massage program.
Upon re-examination, the patient reported a return of normal bowel frequency and function without the need to strain or use digital evacuation.
Physical therapy incorporating abdominal massage appeared to be helpful in resolving this patient's constipation. Unlike medical management of constipation, no known side effects have been identified with abdominal massage.
便秘在美国是一种普遍存在的病症，其典型治疗方法包括饮食调整、大便软化剂和泻药。然而，这些干预措施并非总是有效。本病例报告的目的是描述腹部按摩在物理治疗师对一名便秘患者的管理中的应用。
一名85岁便秘女性在使用大便软化剂治疗失败后被转介接受物理治疗。患者接受了肠道管理指导以及每日10分钟的家庭腹部按摩计划。
复查时，患者报告排便频率和功能恢复正常，无需用力或使用手指辅助排便。
结合腹部按摩的物理治疗似乎有助于解决该患者的便秘问题。与便秘的药物治疗不同，腹部按摩未发现已知的副作用。
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