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dc.contributor.authorRice, Amanda D
dc.contributor.authorPatterson, Kimberley
dc.contributor.authorReed, Evette D
dc.contributor.authorWurn, Belinda F
dc.contributor.authorRobles, Kristen
dc.contributor.authorKlingenberg, Bernhard
dc.contributor.authorWeinstock, Leonard B
dc.contributor.authorPratt, Janey SA
dc.contributor.authorIII, C Richard King
dc.contributor.authorWurn, Lawrence J
dc.date.accessioned2018-08-02T22:44:47Z
dc.date.available2018-08-02T22:44:47Z
dc.date.issued2018-05-21
dc.identifier.citationRice AD, Patterson K, Reed ED, Wurn BF, Robles K, Klingenberg B, Weinstock LB, Pratt JS, King CR, Wurn LJ. Decreasing recurrent bowel obstructions, improving quality of life with physiotherapy: Controlled study. World J Gastroenterol 2018; 24(19): 2108-2119en_US
dc.identifier.issn1007-9327
dc.identifier.pmid29785079
dc.identifier.doi10.3748/wjg.v24.i19.2108
dc.identifier.urihttp://hdl.handle.net/10150/628338
dc.description.abstractAIM To compare (1) quality of life and (2) rate of recurrent small bowel obstructions (SBO) for patients treated with novel manual physiotherapy vs no treatment. METHODS One hundred and three subjects (age 19-89) with a history of recurrent adhesive SBO were treated with a manual physiotherapy called the Clear Passage Approach (CPA) which focused on decreasing adhesive crosslinking in abdominopelvic viscera. Pre- and post-therapy data measured recurring obstructions and quality of life, using a validated test sent 90 d after therapy. Results were compared to 136 untreated control subjects who underwent the same measurements for subjects who did not receive any therapy, which is the normal course for patients with recurring SBO. Comparison of the groups allowed us to assess changes when the physiotherapy was added as an adjunct treatment for patients with recurring SBO. RESULTS Despite histories of more prior hospitalizations, obstructions, surgeries, and years impacted by bowel issues, the 103 CPA-treated subjects reported a significantly lower rate of repeat SBO than 136 untreated controls (total obstructions P = 0.0003; partial obstructions P = 0.0076). Subjects treated with the therapy demonstrated significant improvements in five of six total domains in the validated Small Bowel Obstruction Questionnaire (SBO-Q). Domains of diet, pain, gastrointestinal symptoms, quality of life (QOL) and pain severity when compared to post CPA treatment were significantly improved (P < 0.0001). The medication domain was not changed in the CPA treated group (P = 0.176). CONCLUSION CPA physical therapy was effective for patients with adhesive SBO with significantly lower recurrence rate, improvement in reported symptoms and overall quality of life of subjects.en_US
dc.language.isoenen_US
dc.publisherBAISHIDENG PUBLISHING GROUP INCen_US
dc.relation.urlhttp://www.wjgnet.com/1007-9327/full/v24/i19/2108.htmen_US
dc.rightsCopyright © The Author(s) 2018. Published by Baishideng Publishing Group Inc. Articles published by this Open-Access journal are distributed under the terms of the Creative Commons Attribution Noncommercial License.en_US
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/
dc.subjectClear passage approachen_US
dc.subjectManual therapyen_US
dc.subjectPhysical therapyen_US
dc.subjectSmall bowel obstructionsen_US
dc.subjectAdhesionsen_US
dc.subjectPhysiotherapyen_US
dc.subjectAlternative therapyen_US
dc.titleDecreasing recurrent bowel obstructions, improving quality of life with physiotherapy: Controlled studyen_US
dc.typeArticleen_US
dc.contributor.departmentUniv Arizona, Coll Med Phoenix, Dept Internal Meden_US
dc.identifier.journalWORLD JOURNAL OF GASTROENTEROLOGYen_US
dc.description.collectioninformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.en_US
dc.eprint.versionFinal published versionen_US
dc.source.journaltitleWorld Journal of Gastroenterology
dc.source.volume24
dc.source.issue19
dc.source.beginpage2108
dc.source.endpage2119
refterms.dateFOA2018-08-02T22:44:47Z


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Copyright © The Author(s) 2018. Published by Baishideng Publishing Group Inc. Articles published by this Open-Access journal are distributed under the terms of the Creative Commons Attribution Noncommercial License.
Except where otherwise noted, this item's license is described as Copyright © The Author(s) 2018. Published by Baishideng Publishing Group Inc. Articles published by this Open-Access journal are distributed under the terms of the Creative Commons Attribution Noncommercial License.