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270496

Effect of Visceral Mobilization on Abdomino-Phrenic Dyssynergia in Irritable Bowel Syndrome Patients

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Last updated: 24 Dec 2024

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Abstract

Background: Irritable Bowel Syndrome (IBS) is among the highest debilitating, commonly diagnosed gastrointestinal disorder. Considering its chronic nature, it would be more beneficial to resort to a treatment option that doesn't have a long-term drug effect. Objective: This research assessed the impact of visceral mobilization on abdomino-phrenic dyssynergia in IBS patients. Patient and Methods: 60 female IBS patients (constipation subtype), equally split into two groups, were recruited from Boulak Al Dakror General Hospital outpatient clinics. Subjective distention feeling and girth measurement were assessed for all participants, as well as psychiatric assessment was done by two scales; Beck Depression Inventory and Spielberger State-Trait Anxiety Inventory. Both groups followed a low fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP) diet with their prescribed medications. Group A received visceral mobilization, while group B received medical care only. Results: Post 6 weeks of intervention, the study group had a significant lowering in median subjective distension feeling score by (1.50 (1.00-2.00)) contrasted to the control group (3.00 (2.00-4.00)) (P<0.001). The mean girth measurement was significantly decreased by 8.00±3.22 cm in the study group contrasted to 2.60±0.93 in the control group (P< 0.001). The study group had a significant reduction in depression score by 14.80±8.11 points compared to the control group by 2.97±3.66 points (p < 0.001). Furthermore, the study group showed a significantly lower mean trait anxiety score by 22.57±10.67 points than the control group by 3.83±2.44 points (P<0.05). Conclusion: Visceral mobilization effectively normalizes mechanical, vascular, and neurological bowels dysfunctions in IBS patients.  

DOI

10.21608/ejhm.2022.270496

Keywords

Visceral mobilization, Irritable bowel syndrome, Abdomino-phrenic dyssynergia

Authors

First Name

Eman Essam EL-Din

Last Name

Hammam

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Email

eman.essam49@gmail.com

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Orcid

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First Name

Akram Abdelaziz

Last Name

Sayed

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Fatma

Last Name

Abdelkader

MiddleName

-

Affiliation

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Email

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City

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Orcid

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First Name

Alaa Mohamed

Last Name

El-Moatasem

MiddleName

-

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Volume

89

Article Issue

2

Related Issue

37472

Issue Date

2022-10-01

Receive Date

2022-11-19

Publish Date

2022-10-01

Page Start

6,568

Page End

6,573

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_270496.html

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https://ejhm.journals.ekb.eg/service?article_code=270496

Order

77

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Effect of Visceral Mobilization on Abdomino-Phrenic Dyssynergia in Irritable Bowel Syndrome Patients

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Article

Created At

22 Jan 2023