Evaluating the Efficacy of Massage Intervention for the Treatment of Poststroke Constipation: A Meta‐Analysis

Wang, Qiushuang; Liu, Ya; Zou, Xiang-Ni; Ma, Yanling; Liu, Genli

doi:10.1155/2020/8934751

Cited by 9 publications

(7 citation statements)

References 19 publications

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“…Finally, suboptimal treatment approaches may have been used, although it was not within the scope of this study to address the issue of optimal treatment measurements and comparing the effects for different therapeutic regimes might be valuable; an individual patient may receive treatments besides pharmacological therapy or enema, such as diet, lifestyle interventions, and surgery. In a most recent meta-analysis, Wang et al [22] suggest that massage can effectively reduce constipation incidence and severity after stroke. Further studies are needed to address the above limitations in the future.…”

Section: Discussion/conclusionmentioning

confidence: 99%

Using Electronic Medical Records of Nursing Care to Characterize Constipation in Patients with Intracerebral Hemorrhage

Chen

Zhao

et al. 2021

Cerebrovasc Dis

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Introduction: Constipation is one of the common poststroke complications that directly affect the patients’ quality of life in patients with intracerebral hemorrhage (ICH), which has not been paid enough attention. Objective: This study investigates constipation’s clinical characteristics and its risk factors in ICH patients driven by the electronic medical records of nursing care. Methods: This retrospective chart review investigated patients with acute spontaneous ICH admitted at a tertiary care center from October 2010 to December 2018. Poststroke constipation was defined as a first stool passage occurring after 3 days postadmission and the use of enemas or laxatives after ICH. The associations between constipation present and potential factors were evaluated. Results: Of 1,748 patients, 408 (70.3% men, mean age 58 ± 14 years) patients with poststroke constipation were identified. After adjusting for potential confounding variables, the risk factors independently associated with poststroke constipation are admission Glasgow Coma Scale score (odds ratio [OR] 0.62, 95% confidence interval [CI] 0.44–0.88; p = 0.007), use of mechanical ventilation (OR 3.74, 95% CI 2.37–5.89, p < 0.001), enteral nutrition (OR 2.82, 95% CI 1.85–4.30, p < 0.001), hematoma evacuation (OR 2.10, 95% CI 1.40–3.16; p < 0.001), opioid analgesics (OR 1.86, 95% CI 1.32–2.62; p < 0.001), sedation (OR 1.83, 95% CI 1.20–2.77; p = 0.005), and vasopressors (OR 1.81, 95% CI 1.26–2.61; p = 0.001) in order. Similar associations were observed in the prespecified length of the stay subgroup. Patients with constipation were associated with a longer hospital stay length (2.24 days, 95% CI 1.43–3.05, p < 0.001) but not with in-hospital mortality (OR 1.05, 95% CI 0.58–1.90, p = 0.871). Conclusions: Our findings suggested that risk factors influence the absence of constipation after ICH with the synergy of different weights. The occurrence of constipation likely affects a longer length of stay, but not in-hospital mortality. Future prospective investigations are warranted to validate our findings and identify the optimal management of constipation that may improve the quality of life in patients with ICH.

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Section: Discussion/conclusionmentioning

confidence: 99%

Using Electronic Medical Records of Nursing Care to Characterize Constipation in Patients with Intracerebral Hemorrhage

Chen

Zhao

et al. 2021

Cerebrovasc Dis

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“…Post-stroke constipation can be caused by a number of factors, including decreased mobility, altered defecation posture due to postural abnormalities brought on by the stroke, negative pharmacological reactions, and psychological shifts. Constipation is far more common in stroke patients than among healthy people [6] .…”

Section: Introductionmentioning

confidence: 99%

“…Massage works by employing several techniques to set in motion the connective tissue and the superficial and deep muscle layers. Massage has been demonstrated in scientific studies to provide a number of health benefits, including the alleviation of stress and anxiety, the reduction of pain, improved circulation, lowered stress levels, and the elimination of bloating and constipation [6] . The bowels can be retrained to function normally with regular abdominal massage.…”

Section: Introductionmentioning

confidence: 99%

Effect of abdominal massage technique on constipation for post stroke patients: As a preventive measure

Mohamed¹,

Ali²,

El-Deen³

et al. 2023

Int. J. Adv. Res. Med. Surg. Nurs.

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Background: Constipation is a prevalent complication for stroke patients, but massage therapy for the abdominal area has been demonstrated to enhance digestive functioning overall, making it both a relief and a preventative precaution. Objective: The purpose of this study was to assess the effect of abdominal massage technique as a preventive measure against constipation in post-stroke patients. Methods: This is a quasi-experimental research design of 60 adult post-stroke patients who were purposively selected and classified into two equal groups of 30 each (Study and control group). The study was conducted at the stroke department of Minia University Hospital in Minia governorate. Data was collected using three tools: a structured interview assessment sheet for socio-demographic and medical data, a tool of two parts for assessing constipation, and the abdominal massage technique. Results:The study group demonstrated a statistically significant difference in the prevention of constipation occurrence compared to the control group on the third day. Conclusion:The study findings indicate that abdominal massage can significantly reduce the incidence of constipation in post-stroke patients. Recommendation: The application of abdominal massage is an effective and safe intervention for the prevention of constipation, and it is recommended that an in-service educational training program about abdominal massage be implemented.

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“…According to research, therapeutic massage can effectively improve mood, create a feeling of pleasure, and reduce the occurrence of major adverse events and injuries [ 12 ] in cancer patients [ 13 ], in para-athletes [ 14 ], in some neurological conditions such as Parkinson’s disease [ 15 ], in dementia sufferers [ 16 ] and in post-stroke constipation [ 17 ]. However, the scientific evidence that supports the effectiveness of therapeutic massage in stroke survivors is limited.…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Massage Therapy for Improving Sequelae in Post-Stroke Survivors. A Systematic Review and Meta-Analysis

Cabanas-Valdés

Sanz

Serra-Llobet

et al. 2021

IJERPH

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Objective: To assess the effect of therapeutic massage for improving sequelae in stroke survivors. Methods: A systematic review of the nine medical databases from January 1961 to December 2020 was carried out. The bibliography was screened to identify randomized controlled clinical trials (RCTs). Two reviewers independently screened references, selected relevant studies, extracted data and assessed the risk of bias using the PEDro scale. The primary outcome was upper and lower limb motor function and spasticity. Results: A total of 3196 studies were identified and 18 RCT were finally included (1989 individuals). A meta-analysis of RCTs in the comparison of Chinese massage (Tuina) plus conventional physiotherapy versus conventional physiotherapy was performed. The mean difference (MD) in the subacute stage on upper limb motor-function using the Fugl Meyer Assessment was 2.75; (95% confidence interval (CI) from 0.97 to 4.53, p = 0.002, I2 = 36%). The MD on upper limb spasticity using modified Ashworth scale was −0.15; (95% CI from −0.24 to −0.06, p < 0.02, I2 = 0%).The MD on lower limb spasticity was −0.59; (95% CI from −0.78 to −0.40, p < 0.001, I2 = 0%) in the endpoint. Conclusions: Therapeutic massage, especially Tuina, in addition to conventional therapy is effective for improving motor function and for reducing spasticity in stroke survivors.

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Evaluating the Efficacy of Massage Intervention for the Treatment of Poststroke Constipation: A Meta‐Analysis

Cited by 9 publications

References 19 publications

Using Electronic Medical Records of Nursing Care to Characterize Constipation in Patients with Intracerebral Hemorrhage

Using Electronic Medical Records of Nursing Care to Characterize Constipation in Patients with Intracerebral Hemorrhage

Effect of abdominal massage technique on constipation for post stroke patients: As a preventive measure

The Effectiveness of Massage Therapy for Improving Sequelae in Post-Stroke Survivors. A Systematic Review and Meta-Analysis

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