Effectiveness and safety of digital rectal stimulation and abdominal massage for neurogenic bowel dysfunction in stroke patients: a randomized controlled trial protocol

Author:

Ma Sumin1,Fan Xiaoyan2,Li Chengjuan1,Man Yanli3,Qu Dandan4,He Ying2

Affiliation:

1. University of South China School of Nursing

2. First Hospital of Changsha

3. University of South China

4. Changsha Central Hospital

Abstract

Abstract Background Neurogenic bowel dysfunction (NBD) is a prevalent complication among stroke patients, significantly affecting their quality of life, hospitalization duration, medical expenses, and even mortality. Although current guidelines suggest a conservative approach to managing bowel dysfunction, incorporating techniques such as digital rectal stimulation (DRS) and abdominal massage, the availability of other interventions remains limited in healthcare facilities. Therefore, it’s crucial to develop accessible and targeted rehabilitation programs that can improve both bowel function and quality of life for stroke patients. The aim of this study is to evaluate the effectiveness of a 6-week rehabilitation program for stroke patients with NBD. Methods This study employs a prospective randomized controlled parallel-group clinical trial design. The control group will receive standard care, while the intervention group will undergo a program that combines DRS and abdominal massage in addition to standard care. The duration of the intervention for both groups will be a period of 6 weeks. To assess the efficacy of the intervention, participants from both groups will be evaluated at four time points: baseline, week 2, week 6, and week 12. The primary outcome will be the Wexner score. Additionally, secondary outcomes will be assessed, including the Bristol score, Patient Assessment of Constipation-Quality of Life (PAC-QoL), and Fecal Incontinence-Quality of Life (FI-QoL). Discussion This study aims to evaluate the safety and efficacy of a bowel rehabilitation program for stroke patients with NBD. Results will provide valuable information for developing optimal treatment strategies. Trial registration ChiCTR2300071709. Registered on 23 May 2023

Publisher

Research Square Platform LLC

Reference28 articles.

1. Treatments in neurogenic bowel dysfunctions: evidence reviews and clinical recommendations in adults;Musco S;Eur J Phys Rehabil Med,2020

2. Management of faecal incontinence and constipation in adults with central neurological diseases;Coggrave M;Cochrane Database Syst Rev,2014

3. Poststroke Constipation Is Associated With Impaired Rectal Sensation;Cheng J;Am J Gastroenterol,2020

4. Drossman DA. Rome ⅳ: Functional Gastrointestinal Disorders2016.

5. Fan WB. Investigation of physical and mental status and quality of life of patients with functional constipation in anorectal department and clinical research on optimal treatment plan [PhD]. Chengdu University of Traditional Chinese Medicine; 2020.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3