Chronic Constipation | Perineal Self-Acupressure
Chronic Constipation research study
What is the primary objective of this study?
The primary aim of this study is to test a non-medicinal technique for chronic constipation. The core of the technique is to have subjects repeatedly press on and massage their perineum before defecation to fragment and soften the stool before it passes the lower rectum and anus. The technique will be evaluated as a complementary treatment to standard treatment of constipation (patient educational materials about treatments such as stool softeners, laxatives fiber supplements, and increased exercise). Although this technique has been studied for other conditions (for example in pregnant women to prevent birthing-related injuries), and it is recommended anecdotally by some physicians, this would be the first time it will be studied for chronic constipation in a randomized, controlled clinical trial. $50 dollars in compensation is provided for about an hour of participant's time.
Who is eligible to participate?
Inclusion Criteria: - Must have experienced the following symptoms for at least three months: - Straining during at least 25 percent of defecations - Lumpy or hard stools in at least 25 percent of defecations - Sensation of incomplete evacuation for at least 25 percent of defecations - Sensation of anorectal obstruction/blockage for at least 25 percent of defecations - Manual maneuvers to facilitate at least 25 percent of defecations (eg, digital evacuation, support of the pelvic floor) - Fewer than three defecations per week - Must have experienced one or more of those symptoms at least six months ago. Exclusion Criteria: - Younger than 18 years old. - Pregnant women. - Significant weight loss (more than 10% of usual body weight in the preceding 6 months). - History of blood mixed in stool.
Which medical condition, disease, disorder, syndrome, illness, or injury is researched?
Interventions can include giving participants drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available or noninvasive approaches such as surveys, education, and interviews.
Behavioral:Perineal Self-AcupressureThe core of the technique is to have subjects repeatedly press on and massage their perineum before defecation to fragment and soften the stool before it passes the lower rectum and anus.
Behavioral:Educational ControlEducation on conventional treatment options for chronic constipation.
Research studies and clinical trials typically have two or more research arms. An arm is a group of people who receive the same treatment in the study.
Perineal Self-AcupressureParticipants in this group (intervention group) will receive education in perineal self-acupressure in addition to education in conventional treatment options for constipation.
Educational ControlParticipants in this group (the control group) will receive education in conventional treatment options for chronic constipation.
Start Date: June 2013
Primary Outcome: Patient Assessment of Constipation Quality of Life Questionnaire
Secondary Outcome: Modified Bowel Function Index and Hemorrhoid Questionnaire
Study sponsors, principal investigator, and references
Principal Investigator: Ryan B Abbott, MD, JD, MTOM
Lead Sponsor: University of California, Los Angeles
Collaborator: Yale University
Abbott R, Ayres I, Hui E, Hui KK. Effect of perineal self-acupressure on constipation: a randomized controlled trial. J Gen Intern Med. 2015 Apr;30(4):434-9. doi: 10.1007/s11606-014-3084-6. Epub 2014 Nov 18.