A systematic review of the effectiveness of bowel management strategies for constipation in adults with stroke

Lim, Su Fee; Childs, Charmaine

doi:10.1016/j.ijnurstu.2012.12.002

Cited by 28 publications

(16 citation statements)

References 19 publications

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“…The incidence of adverse effects associated with DKT extract, such as gastrointestinal discomfort and liver dysfunction, has been reported as 1.9% in prior studies [37], but no adverse effects were observed during the 4-week treatment period in the present study. Functional constipation has a complex pathophysiology, and intestinal function is controlled by the autonomic nervous system; consequently, therapeutic protocols are limited in poststroke patients [38, 39]. Several clinical studies of DKT therapy for constipation have been reported, but almost all of these were limited to healthy subjects or were case series.…”

Section: Discussionmentioning

confidence: 99%

Traditional Japanese Medicine Daikenchuto Improves Functional Constipation in Poststroke Patients

Numata

Takayama

Tobita

et al. 2014

Evidence-Based Complementary and Alternative Medicine

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Poststroke patients with functional constipation, assessed by the Rome III criteria, from 6 hospitals were recruited in a study on the effects of the traditional Japanese medicine Daikenchuto (DKT) on constipation. Thirty-four patients (17 men and 17 women; mean age: 78.1 ± 11.6 years) were randomly assigned to 2 groups; all patients received conventional therapy for constipation, and patients in the DKT group received 15 g/day of DKT for 4 weeks. Constipation scoring system (CSS) points and the gas volume score (GVS) (the measure of the intestinal gas volume calculated from plain abdominal radiographs) were recorded before and after a 4-week observation period. The total score on the CSS improved significantly in the DKT group compared to the control (P < 0.01). In addition, scores for some CSS subcategories (frequency of bowel movements, feeling of incomplete evacuation, and need for enema/disimpaction) significantly improved in the DKT group (P < 0.01, P = 0.049, and P = 0.03, resp.). The GVS was also significantly reduced in the DKT group compared to the control (P = 0.03). DKT in addition to conventional therapy is effective in treating functional constipation in poststroke patients. This study was a randomized controlled trial and was registered in the UMIN Clinical Trial Registry (no. UMIN000007393).

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Section: Discussionmentioning

confidence: 99%

Traditional Japanese Medicine Daikenchuto Improves Functional Constipation in Poststroke Patients

Numata

Takayama

Tobita

et al. 2014

Evidence-Based Complementary and Alternative Medicine

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“…Indeed, intestinal symptoms are very common in stroke survivors. The prevalence of functional constipation in this population ranges from 50% in the first month following a stroke to 30% after a mean of 36 weeks [4][5][6]. Moreover, this complication occurs independently of the side of the brain affected [7].…”

Section: Introductionmentioning

confidence: 94%

Visceral Mobilization and Functional Constipation in Stroke Survivors: A Randomized, Controlled, Double-Blind, Clinical Trial

Neto¹,

Borges²

2020

Cureus

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“…Constipation is one of the most common complications in patients with stroke. 3 The evidence from a previous systematic review shows that the incidence of constipation in patients with stroke is 48% (95% CI 33% to 63%). 4 The incidence of constipation in patients with haemorrhagic stroke is higher than that in patients with ischaemic type.…”

Section: Introductionmentioning

confidence: 99%

“… 4 5 The management strategies for constipation in patients with stroke remain poorly investigated. 3 …”

Section: Introductionmentioning

confidence: 99%

Acupuncture for constipation in patients with stroke: protocol of a systematic review and meta-analysis

Zhai¹,

Mu²,

Si³

et al. 2018

BMJ Open

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IntroductionConstipation is one of the most common complications in patients with stroke. Acupuncture has gained increased popularity for the management of constipation. However, there is a lack of supportive evidence on the efficacy of acupuncture for poststroke constipation. This systematic review aims to collect and critically appraise all the available evidence about the efficacy and safety of the acupuncture for constipation in poststroke patients.Methods and analysisA comprehensive search of Pubmed, Embase, Cochrane Central Register of Controlled Trials, Web of Science, four Chinese databases (National Knowledge Infrastructure (CNKI), Chinese Biomedical Literatures database (CBM), Wanfang Digital Periodicals (WANFANG) and Chinese Science and Technology Periodicals (VIP) database), one Japanese medical database (National Institute of Informatics, CiNii) and one Korean medical database (Oriental Medicine Advanced Searching Integrated System, OASIS) will be conducted to identify randomised controlled trials of acupuncture for constipation in poststroke patients. There is no restriction on language or publication status. The primary outcome measure will be frequency of bowel movement. The risk of bias will be assessed using the approach recommended by Cochrane Handbook for Systematic Reviews of Interventions. We will conduct the meta-analysis to synthesise the evidence for each outcome, if possible. The heterogeneity will be statistically assessed using a χ2 test and I2 statistic. This protocol is developed following the guideline of Preferred Reporting Items for Systematic Reviews and Meta-analyses Protocols 2015.Ethics and disseminationThe ethical approval is not required because no primary data are collected. The findings will be presented at scientific conferences or a peer-reviewed scientific journal.PROSPERO registration number CRD42017076880.

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A systematic review of the effectiveness of bowel management strategies for constipation in adults with stroke

Cited by 28 publications

References 19 publications

Traditional Japanese Medicine Daikenchuto Improves Functional Constipation in Poststroke Patients

Traditional Japanese Medicine Daikenchuto Improves Functional Constipation in Poststroke Patients

Visceral Mobilization and Functional Constipation in Stroke Survivors: A Randomized, Controlled, Double-Blind, Clinical Trial

Acupuncture for constipation in patients with stroke: protocol of a systematic review and meta-analysis

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