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Objective: To explore the effect of high- frequency abdominal deep vibration therapy in the rehabilitation of neurogenic bowel dysfunction(NBD)in patients with cervical and thoracic spinal cord injury. Method: A total of 59 hospitalized patients with NBD after cervical and thoracic spinal cord injury were selected and divided into control group(n=30)and the intervention group(n=29)by a randomized controlled trial design. The control group received the standard NBD rehabilitation nursing combined with manual abdominal massage therapy, while the intervention group received standard care supplemented with high-frequency abdominal deep vibration therapy. The study period was 4 weeks. The outcomes were assessed using the International Spinal Cord Injury Bowel Function Date Set (version 2.0), Bristol stool classification, quality of life brief questionnaire (QOL-BRE) and bowel-related complications (medication dependence, abdominal pain/bloating, fecal incontinence, and incomplete bowel obstruction) before and after the intervention. Result: After intervention, the international spinal cord injury bowel function scores in the intervention group were better than that of the control group(P<0.01). The proportion of patients achieving ideal stool consistency (Type IV, banana- shaped stool) was higher in the intervention group(62% ) compared to the control group (26.7% ) (P<0.01). The quality of life score of the intervention group was significantly higher than that of the control group after intervention(P<0.05); The bowel-related complications (medication dependence 6%, abdominal pain/ bloating 0%, fecal leakage 0%, intestinal obstruction 0%) in the intervention group were lower than those in the control group(medication dependence 50%, abdominal pain/bloating 30%, fecal leakage 27%, intestinal obstruction 17%)(P<0.05). Conclusion: High-frequency abdominal deep vibration therapy is effective in promoting the recovery of bowel function, reducing medication dependence, lowering the incidence of bowel-related complications, and improving quality of life in patients with NBD after cervical and thoracic spinal cord injury. [ABSTRACT FROM AUTHOR]

Background: Ventilator‐associated pneumonia (VAP) is one of the common complications in patients in the intensive care unit. Abdominal massage may prevent the development of VAP by reducing residual gastric volume in enterally fed patients. Aim: The purpose of this study is to review the literature on randomized controlled and quasi‐experimental studies evaluating the effectiveness of abdominal massage in preventing VAP. Methods: The PRISMA‐P (Preferred Reporting Items for Systematic Review and Meta‐Analysis Protocols) criteria were taken as the basis for creating the protocol of the systematic review and writing the article. The systematic review was performed using the Google Scholar, PubMed, Web of Science, Scopus, CINAHL and Cochrane Library databases from December 2023 to January 2024. Studies were selected by determining inclusion and exclusion criteria according to the PICOS method. The studies were evaluated using the Joanna Briggs Institute (JBI) tool for quality assessment. Results: Three randomized controlled and one quasi‐experimental study with a total of 225 participants met the inclusion criteria. The four studies conducted on patients in the intensive care unit showed that abdominal massage reduced VAP. The studies reported no adverse effects of abdominal massage. Conclusion: Promising evidence was found for the effect of abdominal massage in preventing VAP. However, scientific studies with larger samples, of higher quality, and using randomized controls and blinding methods are needed to evaluate the unknown dimensions of abdominal massage and determine its beneficial effects on patients. Relevance to Clinical Practice: Several non‐pharmacological methods may decrease VAP incidence and mortality. Abdominal massage may decrease VAP incidence and mortality. [ABSTRACT FROM AUTHOR]

Objective: To observe the effects of Yimufutu acupuncture therapy combined with abdominal massage on gastrointestinal hormones and intestinal microflora in patients with functional dyspepsia (FD) of liver depression and spleen deficiency type. Methods: 120 FD patients with liver depression and spleen deficiency type admitted to Jiangmen Maternal and Child Health Hospital from August 2020 to December 2022 were divided into control group (60 cases, combine with abdominal massage on the basis of western medicine treatment) and observation group (60 cases, treated with Yimufutu acupuncture therapy on the basis of control group) according to the random number table method. The curative effect, traditional chinese medicine syndrome score, gastrointestinal hormones and intestinal microflora were compared between two groups. Results: Compared with control group, the total clinical effective rate in observation group was higher (P＜0.05). Compared with control group, 2 courses after treatment, the main symptoms, secondary symptoms and total scores in observation group were lower (P＜0.05). 2 courses after treatment, somatostatin and gastrin in observation group were lower than those in control group, and motilin was higher than that in control group (P＜0.05). 2 courses after treatment, the levels of bifidobacterium and lactobacillus in observation group were higher than those in control group, and the levels of yeast,enterobacter and enterococcus were lower than those in control group (P＜0.05). Conclusion: Yimufutu acupuncture therapy combined with abdominal massage in the treatment of FD patients with liver depression and spleen deficiency type, which can regulate gastrointestinal hormones and intestinal microbiota, and improve clinical symptoms. [ABSTRACT FROM AUTHOR]

Aim: Abdominal massage facilitates gastric and colonic motility, reduces intra‐abdominal distension and increases circulation. In‐bed range of motion (ROM) exercise has effects on muscle strength, cardiac parameters and excretion. The aim of this study was to assess the effects of abdominal massage and in‐bed ROM exercise on gastrointestinal complications and patient comfort in intensive care patients receiving enteral nutrition. Methods: This randomized controlled trial was conducted in the internal intensive care units of two tertiary public hospitals. The sample consisted of 130 patients randomly assigned to three groups (abdominal massage = 44, in‐bed ROM exercise = 43, control = 43). The individuals received abdominal massage and in‐bed ROM exercises every morning before enteral feeding for 3 days. We assessed gastrointestinal complications and comfort levels of the patients 24 h after each intervention. Results: While the differences in abdominal distention, defecation status, constipation, and gastric residual volume complications were significant (p <.05), there was no significant difference in diarrhea and vomiting (p >.05). Comfort level showed a statistically significant change in the experimental groups in the in‐group comparison (p <.05). Conclusion: Abdominal massage and in‐bed ROM exercise reduce abdominal distention, constipation and gastric residual volume. Abdominal massage affects the frequency of defecation; and, both interventions increase the comfort while reducing the pain level over time. [ABSTRACT FROM AUTHOR]

Background: Constipation is among the most frequently reported health problems in old-age people, with significant negative impacts on their health, and quality of life. Aim of study: The aim was to evaluate the effectiveness of an abdominal massage learning package in relieving constipation among older adults. Setting: conducted in outpatient clinic beni-suef university hospitals & two Geriatric Social Clubs in Beni-Suef city. Subjects: on 100 older adults suffering from constipation in the setting. Method: A quasi-experimental study Tools: A structured interview questionnaire sheet was used to collect pre-post data concerning knowledge about constipation and reported practices of abdominal massage. The training program was implemented and its effectiveness after three months. Results: The sample had equal gender distribution. Satisfactory knowledge significantly improved from 53% to 98%, and adequate practice from 30% to 65% post-intervention (p<0.001). The problem of constipation showed significant improvement with 74% reporting relief at the postintervention phase (p<0.001). The predictors of the relief of constipation were the practice score and the knowledge of the benefits of abdominal massage, Odds Ratios 1.66 and 1.58, respectively. Conclusion: Training older adults in abdominal massage technique is effective in relieving their constipation. Recommendations: The technique should be used in geriatric care in various community and healthcare settings. Further research is proposed to assess its effect on older adults' quality of life. [ABSTRACT FROM AUTHOR]

Objective To investigate the mechanism of abdominal massage for treating chronic fatigue syndrome (CFS). Methods Thirty clean-grade female Sprague-Dawley rats were randomly divided into the normal control, model control, and abdominal massage groups (n = 10 rats per group). The CFS rat model was established through cold water swimming combined with the chronic restraint method in the model control and abdominal massage groups. The rats in the abdominal massage group were treated with the core techniques of Jingu zang-fu massage, namely layer press " Guanyuan" (CV4) for 8 min and Tuanmo " Zhongwan" (CV12) for 12 min as the primary intervention techniques, once a day for 14 consecutive days. The rats in the two control groups did not receive intervention; however, they were bound to the experimental bench when the experimental group was massaged. After the intervention, the indexes of the main organs of the hypothalamic-pituitary-adrenal (HPA) axis and hippocampal cell apoptosis in each group were measured. The morphology of hippocampal cells in each group was observed using Nissl staining of hippocampal tissue and transmission electron microscopy of hippocampal neurons. Results The index of each organ in the model control group was upregulated (P<0.01) compared to that of the normal control group. In contrast, the index of each organ in the abdominal massage group was downregulated (P<0.01) compared with that of the model control group. Compared to the normal control group, the index of each organ in the abdominal massage group was upregulated; however, the difference was not significant. Compared to the normal control group, the cell nuclei in the model control group were significantly consolidated, the nuclear membrane structure was ruptured, and the margins were irregular. Most of the cell morphology in the abdominal massage group was normal compared with that of the model control group, and a small number of nuclear membrane structures were unclear. Compared to the normal control group, the hippocampal neuronal cell in the other two groups was significantly damaged, and the hippocampal neuronal cell in the abdominal massage group was in good condition compared to the model control group. The degree of neuronal apoptosis in the model control group was significantly higher than that in the normal control group (P<0.01). The degree of neuronal apoptosis in the abdominal massage group decreased compared to that of the model control group (P <0.01), which was slightly higher than that in the normal control group but not significant. Conclusion Cold water swimming combined with chronic restraint can simulate CFS in rats, and abdominal massage can reduce the organ index of the hypothalamus, pituitary gland, and adrenal gland, increase hippocampal cell activity, reduce hippocampal tissue damage, inhibit hippocampal cell apoptosis, and maintain the normal physiological function of hippocampal neurons. [ABSTRACT FROM AUTHOR]

Background: The incidence of neonatal hyperbilirubinemia in Europe and the United States is estimated to be 3.2 and 4.4 per 10,000 live births, respectively. Abdominal massage for hyperbilirubinemia is considered a safe complementary treatment for infants that may increase number of defecations and decrease bilirubin levels. Purpose: This study was designed as a randomized controlled trial to determine the effect of abdominal massage on bilirubin levels in term infants receiving phototherapy. Methods: The sample consisted of 43 term newborns (intervention group: 23; control group: 20) who received phototherapy in a university hospital between June 2019 and February 2021. Information and observation forms were used for data collection. The intervention group received 6 abdominal massages over 2 days, performed 3 times a day, 6 hours apart, and lasting 5 minutes each. Results: Transcutaneous bilirubin levels and heart rate were significantly lower in the intervention group than in the control group at 48 hours (P = .015 and P = .033, respectively). Number of defecations was higher in the intervention group at 24 hours (P = .007) but there was no significant difference at 48 hours. The decrease in serum bilirubin between 24 and 48 hours was significantly greater in the intervention group (P = .005). Implication for Practice and Research: Abdominal massage was effective in reducing bilirubin levels and may increase the number of defecations. Providing massage training to the parents of infants who are discharged early could be a protective approach to prevent the rise in bilirubin levels. [ABSTRACT FROM AUTHOR]

Background and Aim: The aim of this study is to compare the effects of osteopathic manipulative therapy home program (OMT‐H) versus abdominal massage home program (AMHP) in treating constipation in children with cerebral palsy (CP). Methods: Twenty‐nine children with CP with a mean age of 12.2 ± 3.76 years, who were constipated and were not on medication, were divided into three randomized groups: (i) control group (n = 10), (ii) AMHP (n = 10), and (iii) OMT‐H (n = 9). In AMHP and OMT‐H groups, treatment was applied as 20‐min sessions every other day for 10 sessions for 3 weeks. Modified Constipation Assessment Scale (MCAS), Rome III criteria, and the Bristol Stool Form Scale (BSFS) were used for evaluation before treatment and once a week during treatment. Results: While there was no change in constipation symptoms in the control group, there was an improvement in constipation symptoms after treatment in the AMHP and OMT‐H groups (AMHP, P = 0.003; OMT‐H, P = 0.000014). While the treatment showed to be effective from the first week in the OMT‐H group, the change in BSFS (P = 0.026) and MCAS sub‐parameters was found to be superior. Conclusion: AMHP and OMT‐H are effective and beneficial in treating constipation. In children with CP, OMT‐H was found to be quicker and more successful compared with AMHP. The OMT‐H can be effectively used in clinical practice in relieving constipation in CP. [ABSTRACT FROM AUTHOR]

This paper analyzed the potential causes of post-stroke constipation, reviewed studies on abdominal massage combined with acupoint finger pressure therapy in the treatment of post-stroke constipation, and provided reference for clinical practice of post-stroke nursing. (本文对脑卒中后便秘的原因进行分析总结, 对腹部推拿及手指点穴方法进行综述, 旨在为脑卒中后便秘临床护理实践提供参考。)

The Relationship of Constipation and Abdominal Massage: Current Literature Data

Objective To observe the effect of abdominal massage combined with moxibustion in the treatment of Qi-deficiency type chronic functional constipation in elderly people. Methods Totally 100 elderly patients with chronic functional constipation of Qi-deficiency type were randomly divvied into the control group and observation group, with 50 cases in each group. The control group received routine treatment and abdominal massage, and the observation group received abdominal massage combined with moxibustion. The defecation condtion, Tradition Chinese Medicine syndrome score and clinical curative effect were compared between two groups. Results The Patient Assessment of Constipation Symptoms(PAC-SYM) score was decreased in both two groups after intervention (P＜0. 05), and PAC-SYM score in the observation group was lower than that in the control group (P＜0. 05). The Tradition Chinese Medicine syndrome score was decreased in both two groups after intervention (P＜0. 05), and Tradition Chinese Medicine syndrome score in the observation group was lower than that in the control group (P＜0. 05). The total effective rate was 94. 00%(47/50) in the observaiton group, which was higher than 76. 00%(38/50) in the control group (P＜0. 05). Conclusion The abdominal massage combined with moxibustion is effective to relieve the clinical symptoms of Qi-deficiency type chronic functional constipation in elderly people. (目的 观察腹部推拿联合艾灸治疗气虚型老年慢性功能性便秘的效果。方法 选取2022年4月—2023年12月在医院住院治疗的气虚型老年慢性功能性便秘患者100例为研究对象, 采用随机数字表法分为对照组和观察组, 各50例。对照组给予常规治疗和腹部推拿, 观察组在对照组基础上联合艾灸治疗。治疗7 d后比较两组患者排便情况、中医证候积分及临床疗效。结果 治疗后两组便秘患者症状自评量表(PAC-SYM)评分均较治疗前降低(P＜0. 05), 且观察组治疗后评分低于对照组(P＜0. 05)。治疗后两组排便无力、腹中隐痛、食欲不振、乏力懒言等中医证候积分均较治疗前降低(P＜0. 05), 且观察组治疗后评分低于对照组(P＜0. 05)。观察组总有效率为94. 00%(47/50), 高于对照组的76. 00%(38/50), 差异有统计学意义(P＜0. 05)。结论 腹部推拿联合艾灸治疗可有效缓解气虚型老年慢性功能性便秘患者的临床症状。)

Functional gastrointestinal disorders encompass a range of conditions resulting from complicated gut-brain interactions, which can negatively impact sufferers' lives. They are prevalent in clinical practice and the community, with a lifetime prevalence of almost 40 % worldwide. The challenge in diagnosing these disorders lies in the non-specificity of symptoms and the absence of reliable biomarkers. The existing literature suggests a multidisciplinary approach, including cognitive-behavioral therapy, dietary changes, psychotropic drug therapy, and improving gastrointestinal motility. Manual therapy applied to the abdomen and adjacent areas can potentially enhance gastrointestinal motility. This review aims to examine the types of manual interventions, their mechanisms, efficiency, and safety in managing functional disorders of the digestive system. We searched PubMed and Google Scholar in English from May 2022 to February 2023 with no date restriction. We prioritized systematic reviews, meta-analyses, and clinical trials and did not exclude any data sources. s: Initial evidence suggests that manual interventions on the abdomen and adjacent areas are effective in managing functional gastrointestinal disorders, with no reported adverse events and relatively low costs. However, further studies with rigorous scientific methodology are needed to understand better the unknown dimensions influencing the outcomes observed with abdominal massage and its positive impact on patients. Manual abdominal techniques are a promising therapy option for functional gastrointestinal disorders, and their efficacy, safety, and cost-effectiveness should be further explored. [ABSTRACT FROM AUTHOR]

Abstract Background and Aim The aim of this study is to compare the effects of osteopathic manipulative therapy home program (OMT‐H) versus abdominal massage home program (AMHP) in treating constipation in children with cerebral palsy (CP). Methods Twenty‐nine children with CP with a mean age of 12.2 ± 3.76 years, who were constipated and were not on medication, were divided into three randomized groups: (i) control group (n = 10), (ii) AMHP (n = 10), and (iii) OMT‐H (n = 9). In AMHP and OMT‐H groups, treatment was applied as 20‐min sessions every other day for 10 sessions for 3 weeks. Modified Constipation Assessment Scale (MCAS), Rome III criteria, and the Bristol Stool Form Scale (BSFS) were used for evaluation before treatment and once a week during treatment. Results While there was no change in constipation symptoms in the control group, there was an improvement in constipation symptoms after treatment in the AMHP and OMT‐H groups (AMHP, P = 0.003; OMT‐H, P = 0.000014). While the treatment showed to be effective from the first week in the OMT‐H group, the change in BSFS (P = 0.026) and MCAS sub‐parameters was found to be superior. Conclusion AMHP and OMT‐H are effective and beneficial in treating constipation. In children with CP, OMT‐H was found to be quicker and more successful compared with AMHP. The OMT‐H can be effectively used in clinical practice in relieving constipation in CP.

Jie Zhang,1 Tieshan Wang,2 Yinghui Shi,1 Yansong Liu,1 Tao Lu1 1School of Life Science, Beijing University of Chinese Medicine, Beijing, People’s Republic of China; 2Beijing Research Institute of Chinese Medicine, Beijing University of Chinese Medicine, Beijing, People’s Republic of ChinaCorrespondence: Tao Lu, School of Life Science, Beijing University of Chinese Medicine, 11 Beisanhuandong Road, Chaoyang District, Beijing, 100029, People’s Republic of China, Tel +8610 6428 6705, Fax +86 10 6428 6821, Email taolu@bucm.edu.cnPurpose: With the increase in prevalence and decrease in age of the obese population, safer weight loss methods have attracted growing attention. While abdominal massage (AM) has been clinically proven for weight loss, the mechanism thereof has yet to be elucidated. We aimed to investigate the effect of AM on abdominal fat in obese mice fed a high-fat diet and explore the possible mechanisms involved.Materials and Methods: Male C57BL/6J mice were fed a high-fat diet for 16 weeks and then treated with AM for 5 weeks; mice fed a standard diet were used as normal controls. Blood and adipose tissue, including inguinal white adipose tissue (WAT) and epididymal WAT, were collected from the mice after the intervention. We explored the mechanism of weight reduction through inguinal WAT transcriptome sequencing, quantitative real-time polymerase chain reaction (PCR) validation, and Western blot.Results: The results revealed that AM decreased fat mass, weight, glucose, and serum lipid levels. Meanwhile, AM enhanced the expression of the peroxisome proliferator-activated receptor gamma (PPARγ) and other downstream genes (Fabp4, Acox3, Pck1, and Aqp7) in inguinal WAT. In addition, AM increased the expression of PPARγ protein.Conclusion: AM may promote fatty acid oxidation, lipid metabolism, and glucose homeostasis by activating the PPARγ signaling pathway in inguinal WAT, thereby exhibiting therapeutic efficacy against obesity, even in the presence of a persistent high-fat diet.Keywords: abdominal massage, inguinal white adipose tissue, high-fat diet, transcriptome sequencing, PPAR&#x03B3

This meta-analysis was conducted to analyze the effect of abdominal massage on gastrointestinal functions in the elderly. This literature search was conducted using the ClinicalKey, Scopus, PubMed, Web of Science, and Google Scholar databases to cover studies up to June 2022. The abdominal massage group had a large effect on reducing constipation severity and abdomen circumference. The abdominal massage had no effect on stool classification. The results indicated that abdominal massage for older people appears to be effective in reducing the severity of constipation and decreasing the abdominal circumference. These results can determine that abdominal massage can be used to reduce the severity of constipation and abdominal circumference. [ABSTRACT FROM AUTHOR]

• Abdominal massage was effective in reducing pain and abdominal circumference. • Abdominal massage was effective in increasing comfort in patients. • Abdominal massage and position change can be used as an alternative for relieving bloating after colonoscopy. Pain, abdominal distention, and anxiety are major risk factors encountered after colonoscopy. Complementary and alternative treatments, such as abdominal massage and position change, are used to reduce the associated risk factors. To determine the effect of position change and abdominal massage on anxiety, pain, and distension after colonoscopy. A randomized three-group experimental trial. This study was conducted with 123 patients who underwent colonoscopy at the endoscopy unit of a hospital located in western Turkey. Three groups were formed: two interventional (abdominal massage and position change) and one control, each including 41 patients. Data were gathered using a personal information form, pre- and post-colonoscopy measurement form, the Visual Analog Scale (VAS), and the Spielberger State-Trait Anxiety Inventory. Pain and comfort levels, abdominal circumference values, and vital signs of the patients were measured at four evaluation times. In the abdominal massage group, the VAS pain scores and abdominal circumference measurements decreased the most and the VAS comfort scores increased the most 15 min after the patients were taken to the recovery room (p <0.05). Furthermore, bowel sounds were heard, and bloating was relieved in all patients in both intervention groups 15 min after they were taken to the recovery room. Abdominal massage and position change can be considered effective interventions for relieving bloating and facilitating flatulence after colonoscopy. Moreover, abdominal massage can be a powerful method for reducing pain and abdominal circumference and increasing patient comfort. [ABSTRACT FROM AUTHOR]

Chronic constipation, with a worldwide prevalence of 10-15%, is one of the most common gastrointestinal diagnoses in clinical practice and the most common reason for referrals to gastroenterologists and surgeons in Turkey. Although constipation is more common in women and the elderly, it can affect anyone regardless of race, age, or gender. It can cause significant health burden by negatively affecting the quality of life. Primary treatment is lifestyle changes, especially fiber dietary supplementation and exercise. Laxatives are used as the gold standard pharmacological treatment of chronic constipation. One of the effective nursing interventions used to treat chronic constipation is abdominal massage. The aim of this review is to briefly summarize the literature on the definition, classification, epidemiology, clinical symptoms and management of constipation. The relationship between constipation and abdominal massage was discussed in depth. [ABSTRACT FROM AUTHOR]

Abstract Aim This study aimed to evaluate the effect of abdominal massage (AM) on feeding intolerance (FI) in patients receiving enteral nutrition (EN). Design A systematic review and meta‐analysis. Methods We searched seven electronic databases to September 2021. STATA and RevMan were used to analyse the data. Results Eleven studies were included. The results revealed that AM could significantly reduce gastric residual volume and abdominal circumference difference, and reduce the incidence of gastric retention, vomiting, abdominal distention (all p

Objective To investigate the effect of abdominal massage on relieving constipation in elderly patients with diabetes, and summarize comprehensive nursing measures during the treatment. Methods Totally 80 elderly diabetic patients with constipation were randomly divided into the control group and observation group, with 40 cases in each group. All patients were given glucose-lowering Therapy and routine care, and Traditional Chinese Medicine abdominal massage was carried in the observation group. The constipation index, Patient Assessment of Constipation Quality of Life scale(PAC-QoL) and patient satisfaction were measured and compared between two groups. Results The constipation index score decreased in both two group after intervention, and constipation index score in the observation group was lower than that in the control group (P＜0. 01). The PAC-QoL score decreased in both two group after intervention, and PAC-QoL score in the observation group was lower than that in the control group (P＜0. 01). The satisfaction rate in the observation group was higher than that in the control group(P＜0. 05). Conclusion Based on the comprehensive nursing interventions, the abdominal massage is effective to relieve constipation symptoms and improve the quality of life in elderly patients with diabetes. (目的 探讨中医腹部推拿治疗糖尿病便秘的效果, 总结治疗期间综合护理干预措施。方法 选择2021年6月—2022年6月医院收治的糖尿病便秘患者80例, 随机分为对照组和观察组, 各40例。两组均接受常规降糖治疗, 对照组治疗期间接受常规护理, 观察组在对照组基础增加中医腹部推拿治疗。 采用便秘指数评价患者症状改善情况, 采用便秘患者生活质量问卷(PAC-QoL)评价患者生活质量, 采用自制量表评价患者满意度。结果 干预后, 两组便秘指数评分较干预前下降, 且观察组便秘指数评分低于对照组, 差异有统计学意义(P＜0. 01)。干预后, 两组PAC-QoL量表分较干预前下降, 且观察组PAC-QoL量表评分低于对照组, 差异有统计学意义(P＜0. 01)。观察组满意度高于对照组, 差异有统计学意义(P＜0. 05)。结论 在综合护理干预的基础上, 中医腹部推拿够迅速改善糖尿病便秘患者的便秘症状, 改善生活质量, 提升护理满意度。)

Background: Abdominal massage (AM) in pregnancy is a common practice in the Niger Delta region of Nigeria. AM may cause events such as subchorionic haematoma (SAH) and increase the risk of miscarriages and adverse maternal and perinatal outcomes. Objective: To determine the relationship between AM and SCH in the Niger Delta region of Nigeria. Methods: A cross-sectional study was conducted from January to June 2022 at the Obstetrics and Radiology Units of four health facilities in Bayelsa State, Nigeria. Consenting eligible pregnant women presenting to the antenatal clinic during the first trimester were consecutively included. An obstetric ultrasound scan was performed transabdominal. Results: Of the 403 women recruited, 241 (59.8%) were aged (20 – 29 years). The mean age was 28.02 ± 5.99 years. The mean body mass index was 23.82±4.60 kg/m2. While 170 (42.2%) had undergone AM in the first trimester of the index pregnancy, 126 (31.3%) had vaginal bleeding, and SCH occurred in 109 (27.0%) women. Women who had AM had 210 (CI: 58 – 878) times the odds of having SCH and 3.3 (CI: 2.14 – 5.15) times the odds of vaginal bleeding than women who did not have AM. Only 2 (1.8%) women with SCH did not have AM. Conclusion: There exists a strong association between the occurrence of SCH among pregnant women who have had AM. More health education is needed for women in the Niger Delta region and Nigeria to eradicate the archaic practice and improve pregnancy outcomes.

Background: Constipation is a very frequent condition. Pharmacological treatment leads to the onset of complications in the long term. Aim: To study the effects of abdominal massage and bowel training combined with polyethene glycol compared with laxative alone. Researchers studied the frequency of evacuations, use of laxatives, appetite, and food intake of older persons. In addition, feasibility in the daily routine of nursing care was studied. Methods: A pilot, randomised controlled trial was conducted. Older people living in a facility for self-sufficient residents were enrolled and randomised to the intervention or control group. The massage was administered for 4 weeks. The stool type according to the Bristol Stool Form Scale and secondary outcomes were collected at baseline, before any massage session and at the end of the intervention. Findings: 32 participants were enrolled. Significant improvements were found in the number of evacuations, need for enemas, Bristol scores, appetite and food intake. Conclusion: Significant improvements were found in all major outcomes. [ABSTRACT FROM AUTHOR]

Abdominal massage is a prevalent non pharmacological intervention for reliving high gastric residual volume, abdominal distension and other some gastro intestinal functioning. It helps to boost the nutritional transition through the gastro intestinal tract, induces peristaltic movement, and consequently lowers the intra abdominal pressure. Moreover, it has been shown to be safe, effective, no pharmacological and non-invasive methods with no side effects. The aim of the study was to determine the effectiveness of abdominal massage on gastric residual volume, abdominal distension and gastro intestinal functioning among patients with nasogastric tube feeding admitted in Intensive Care Units. Subjects: patients who are admitted in the ICU and have nasogastric tube for feeding during the period of data collection. They are divided randomly (cover slip method) in to two groups of 15 in each group (one experimental group and one control group). Setting: The study was conducted in the ICU's of selected hospital. Results: gastric residual volume, abdominal distension and gastro intestinal functioning were analysed for 2 groups and statistical significant improvement were found among the study group than their control group. The frequency of vomiting episode was significantly reduced among study groups than the control group. Conclusion: Abdominal massage should be considered as part of routine nursing care performed for all patients with nasogastric tube feeding for decreasing the gastric residual volume, abdominal distension and alleviating vomiting. [ABSTRACT FROM AUTHOR]

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Aim: This study aimed to evaluate the effect of abdominal massage (AM) on feeding intolerance (FI) in patients receiving enteral nutrition (EN). Design: A systematic review and meta‐analysis. Methods: We searched seven electronic databases to September 2021. STATA and RevMan were used to analyse the data. Results: Eleven studies were included. The results revealed that AM could significantly reduce gastric residual volume and abdominal circumference difference, and reduce the incidence of gastric retention, vomiting, abdominal distention (all p < 0.001), diarrhoea (p = 0.02) and constipation (p = 0.002) in the experimental group. One study reported the incidence of aspiration in the control group was higher, but this was not statistically significant (p = 0.07). The meta‐regression analysis showed there was a statistically significant correlation between intervention personnel and gastric residual volume (p = 0.035). Conclusion: AM could reduce the amount and incidence of gastric retention and the changes in abdominal circumference, and significantly reduce the incidence of gastrointestinal symptoms, without increasing the incidence of aspiration for EN patients. No Patient or Public Contribution. [ABSTRACT FROM AUTHOR]

Background: Constipation is a digestive disorder with a high global prevalence, with approximately 20–25% of the population suffering from constipation, and the majority of constipated patients experience functional constipation (FC). Although abdominal massage is an effective intervention, there is a lack of analysis of the efficacy of abdominal massage in the treatment of functional constipation. Objective: To evaluate the clinical efficacy of abdominal massage in the treatment of functional constipation. Methods: A computerized retrieval of randomized controlled trials on abdominal massage for functional constipation was conducted on China National Knowledge Infrastructure (CNKI), Wanfang, VIP Chinese Science and Technology Periodical Database, Chinese BioMedical Literature Database, Cochrane Database, PubMed, Embase, and Web of Science until October 1, 2022. Meta-analysis was performed using RevMan 5.3 software after the initial screening and re-screening of the literature. Results: A total of 13 papers involving 830 patients were included. The results of the meta-analysis showed that abdominal massage had better efficacy in the treatment of functional constipation. Constipated patients in the treatment group showed greater improvement in the frequency of defecation, difficulty in defecation, stool properties, and PAC-QOL scores than those in the control group. The SMD/MD values and 95% CI of each score were: SMD = 1.05, 95%CI (0.63,1.46); SMD = −1.51, 95%CI (−2.35,-0.68); SMD = 0.95, 95%CI (0.31,1.59); MD = −13.24, 95%CI (−25.83, −0.65). Conclusion: Abdominal massage can increase the frequency of defecation, reduce the symptoms of difficulty in defecation, improve stool properties, and positively affect the quality of life of patients with constipation. Hence, abdominal massage therapy shows definite therapeutic efficacy for functional constipation, providing a more specific plan for clinical treatment.

Background and Aims: Infantile colic is one of the most common disorders in the first months of infants' lives. This condition hurts parents' moods. This study was carried out to investigate the effect of the topical use of olive oil on infantile colic symptoms. Methods: The study was carried out on 80 infants 1–3 months old, randomly allocated into two groups, receiving abdominal massage with olive oil thrice a day in the intervention group (n = 40) and the same procedure with liquid paraffin in the placebo group (n = 40), for 14 successive days. During this period, the parents recorded the episodes of colic, duration of colic, crying intensity, and episodes of defecation. These variables were assessed and compared at the beginning and on the 7th and 14th days. Results: The mean crying duration changed from 4.05 ± 2.44 to 1.41 ± 1.03 h/day (65% decrease) in the olive oil group and from 3.85 ± 1.37 to 1.60 ± 1.32 h/day (58% decrease) in the paraffin group (p = 0.38). The episodes of crying were reduced from 5.79 ± 4.56 to 2.51 ± 4.93 episodes/day (↓57%) in the olive group and from 6.01 ± 3.40 to 3.01 ± 2.40 episodes/day (↓50%) in the paraffin oil group (p = 0.14). Furthermore, the intensity of crying was decreased from 9.04 ± 1.54 to 4.48 ± 2.17 (p < 0.001) in the olive oil group and from 9.0 ± 1.20 to 4.77 ± 1.68 (p < 0.001) in the paraffin oil group. On the 14th day, the crying intensity showed no significant difference between the two groups. Conclusion: Abdominal massage with olive oil has the same effect as massage with paraffin oil in reducing the symptoms of infantile colic. [ABSTRACT FROM AUTHOR]

Purpose: The present research was conducted to reveal the impact of abdominal massage on enteral nutrition–induced ventilator-associated pneumonia and the gastrointestinal system in mechanically ventilated patients. Materials and Methods: The present research is a prospective, randomized, controlled clinical trial. This study was completed with 63 patients (31 in the experimental group and 32 in the control group). Data collection was performed using a patient information form, a patient follow-up form, and the Bristol Stool Scale. After patients were under mechanical ventilation for 48 hours, the data collection tools were filled out twice a day for 3 days by visiting the mechanical ventilation patients. The experimental group received 15 minutes of abdominal massage twice a day before nursing care was delivered in the morning and the evening. Results: According to the intergroup evaluations, the experimental group had lower gastric residual volume and abdominal distension, types of stool closer to normal, and higher defecation frequency. Differences between the groups were statistically significant (P <.05). In accordance with the intragroup evaluations, the experimental group had lower gastric residual volume, abdominal distension, and ventilator-associated pneumonia. The difference between the groups was revealed to be statistically significant (P <.05). Conclusion: Abdominal massage reduces ventilator-associated pneumonia development to a statistically significant degree. Furthermore, it decreases gastric residual volume and abdominal distension, causes stools to be closer to the normal/ideal stool, increases defecation frequency, and regulates bowel movements and excretion (P <.05). [ABSTRACT FROM AUTHOR]

Chronic constipation is a common distressing symptom. Abdominal massage is a safe, noninvasive, and comfortable intervention. However, it is rarely used in formal clinical practice as its' effectiveness for chronic constipation remains unclear. This systematic review aimed to investigate the effectiveness of abdominal massage on defecation frequency, stool consistency, colonic transit time, constipation symptoms, quality of life, laxative use, and adverse events in adults. Additionally, we aimed to compare the effectiveness of abdominal massage in chronic constipation with different etiologies and types of abdominal massage techniques. Data from eight English and Chinese electronic databases until May 15, 2024, including randomized controlled trials (RCT) and quasi-experimental studies, were used. The risk of bias was assessed using the Cochrane risk-of-bias tool. Results were synthesized using a random-effect model. This study was registered on the 7th of January 2023 to the International Prospective Register of Systematic Reviews (PROSPERO, CRD42023385243). A total of 23 studies with 1431 participants were eligible for the meta-analysis. Abdominal massage statistically significantly increased weekly defecation frequency (MD = 1.59; 95 % CI 1.06, 2.11; df = 10; I2 = 82 %), decreased gut transit time (MD = − 21.53 h; 95 % CI − 35.94, − 7.12; df = 3; I2 = 65 %), and decreased constipation symptoms (SMD = − 1.06; 95 % CI − 1.33, − 0.80; df = 18; I2 = 79 %) as compared to the control group; however, it did not reduce laxative use (OR: 0.43, 95 % CI 0.14, 1.34, p = 0.15; I2 = 74 %). In subgroup analysis, the effectiveness of defecation frequency appeared to be greater for functional constipation (SMD = 1.23; 95 % CI 0.87, 1.60; df = 6; I2 = 86 %) as compared to opioid-induced constipation (SMD = 1.06; 95 % CI 0.61, 1.50; df = 5; I2 = 5 %) or neurogenic bowel dysfunction (SMD = 0.68; 95 % CI 0.26, 1.10; df = 4; I2 = 51 %). There were statistically significant differences in defecation frequency between the functional constipation and neurogenic bowel dysfunction groups (p = 0.075). Acupressure and aromatherapy massage had a greater effect on defecation frequency (SMD = 1.63; 95 % CI 1.06, 2.21; df = 3; I2 = 86 %) than circular massage (SMD = 0.90; 95 % CI 0.57, 1.22; df = 10; I2 = 68 %) or electric device massages (SMD = 0.83; 95 % CI 0.15, 1.51; df = 1; I2 = 82 %); however, high heterogeneity and a limited number of articles were encountered. No adverse reactions were observed in the non-neurogenic bowel dysfunction group. This study reveals the efficacy of abdominal massage in alleviating symptoms of chronic constipation, as well as the differences in the effectiveness of different constipation types and massage techniques. Patients, caregivers, and health professionals can select abdominal massage techniques based on their effectiveness in specific type of constipation or troublesome symptoms. Tweetable abstract: Abdominal massage is effective for chronic constipation, increasing defecation frequency and improving symptoms. Users can tailor massage technique to specific constipation type for optimal results. #ConstipationRelief #GutHealth. [ABSTRACT FROM AUTHOR]

Abstract Aim To assess the effect of abdominal massage pre‐gavage feeding on tolerated feeding for low birth weight (LBW) infants. Methods An experimental research design at a government hospital at Egypt. Purposive sample composed of LBW infants was randomly divided into study and control groups each with 60 LBW infants. Results A total of 55% of the participants in the study group grew sleepy, whereas only 15% of the studied participants in the control group grew sleepy. The abdominal circumference after feeding in the study group was 23.18 ± 2.99 cm, whereas that in the control group was 24.79 ± 2.99 cm. The gastric residual volume in the study group was 0.8 ± 0.10 ml, whereas that in the control group was 3.86 ± 1.03 ml. Conclusion Finally, abdominal massage had a positive impact on the postfeeding state of alertness and feeding tolerance.

Abstract Background and Aims Infantile colic is one of the most common disorders in the first months of infants' lives. This condition hurts parents' moods. This study was carried out to investigate the effect of the topical use of olive oil on infantile colic symptoms. Methods The study was carried out on 80 infants 1–3 months old, randomly allocated into two groups, receiving abdominal massage with olive oil thrice a day in the intervention group (n = 40) and the same procedure with liquid paraffin in the placebo group (n = 40), for 14 successive days. During this period, the parents recorded the episodes of colic, duration of colic, crying intensity, and episodes of defecation. These variables were assessed and compared at the beginning and on the 7th and 14th days. Results The mean crying duration changed from 4.05 ± 2.44 to 1.41 ± 1.03 h/day (65% decrease) in the olive oil group and from 3.85 ± 1.37 to 1.60 ± 1.32 h/day (58% decrease) in the paraffin group (p = 0.38). The episodes of crying were reduced from 5.79 ± 4.56 to 2.51 ± 4.93 episodes/day (↓57%) in the olive group and from 6.01 ± 3.40 to 3.01 ± 2.40 episodes/day (↓50%) in the paraffin oil group (p = 0.14). Furthermore, the intensity of crying was decreased from 9.04 ± 1.54 to 4.48 ± 2.17 (p

• Constipation is one of the most common problems encountered by nurses. Especially elderly individuals often face with constipation problem. • Abdominal massage, an independent nursing role, is one of several frequently used non-pharmacological methods in constipation management. • This study results indicate that abdominal massage applied with ginger and lavender oil is an effective constipation treatment for elderly individuals. Constipation, which is commonly seen in the elderly and negatively affects an individual's physical and psychological well-being, is a treatable health problem. This study was conducted as a randomized controlled experimental study to investigate the effect of abdominal massage applied with lavender and ginger oil on constipation for elderly individuals. The study examined a total of 40 elderly individuals who lived in a nursing home and suffered from constipation. Elderly individuals in the intervention group underwent 15 min of aromatherapy massage for 5 weekdays per week for 4 weeks. No intervention was conducted for individuals in the control group. While the Bristol Stool Chart and the Constipation Severity Scale scores were similar in the intervention and control groups of elderly individuals at the first follow-up (p > 0.05), in the second and fourth week after the application, scores in the Bristol Stool Chart increased significantly and scores in the Constipation Severity Scale decreased significantly in the intervention group compared to the control group (p < 0.05). It was determined that aromatherapy massage applied to elderly individuals experiencing constipation softened stool consistency, decreased constipation severity, and reduced symptoms associated with constipation. [ABSTRACT FROM AUTHOR]

Objective: To systematically review the current state and holistic application of abdominal massage (AM). Design: A systematic review of qualitative evidence was conducted. All English articles exploring the topic of AM that had been published until the end of June 2021 were retrieved. Data sources: The PubMed, Cochrane library, and Embase databases were accessed. Some original texts were obtained from Google Scholar. Data extraction and synthesis: Two authors independently evaluated all search data to identify relevant studies. Disagreements were settled by discussion with a third author. Results were independently extracted into standardized sheets and checked for accuracy. Main results: A total of 107 full-text reports were eligible for inclusion. Adult digestive disorders, pediatric disorders, gynecological disorders, obstetric disorders, metabolic disorders, psychological disorders, the side effects of AM, and animal experiments accounted for 49.53%, 14.02%, 7.48%, 7.48%, 4.67%, 4.67%, 5.61%, and 6.54% of all these papers, respectively, with most reports focusing on clinical studies. Conclusion: The variety of diseases treated with AM is gradually increasing, and the treatment programs of AM for many diseases are being gradually optimized. Different forms of AM, especially mechanical AM, have been widely studied; the side effects of AM have also been considered; and the possible mechanisms of AM therapy continue to be discovered. In general, AM is an effective and safe therapy and can be widely used in various diseases, but further studies are necessary to clarify the mechanism of AM for different diseases. In the future, AM could become an even safer, more popular, and more modern therapy.

It was the aim of this study to determine whether abdominal massage reverses high-fat diet-induced insulin resistance compared with RSV treatment. A total of sixty male Sprague-Dawley rats were randomly placed in one of four groups:the non-fat diet (NFD), the high-fat diet (HFD), the HFD with abdominal massage (HFD+ AM), and the HFD plus resveratrol (HFD+ RSV). For eight weeks, rats were fed high-fat diets to create insulin resistance, followed by six weeks of either AM or RSV. Molecular mechanisms of adipogenesis and cytokine production in rats with high-fat diets were investigated. The model rat adipose tissue showed significant improvements in obesity, glucose intolerance, and the accumulation of lipid in the body [the total cholesterol level (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C)], metabolic effects of glucose [The fasting blood glucose (FBG), Fasting insulin levels (FINS)], inflammatory status [interleukin-6 (IL-6) and tumor necrosis factor (TNF)-α, C-reactive protein (CRP)], and macrophage polarization after AM or RSV treatment. Further, AM increased SIRT1/NF-κB signaling in rat adipose tissue. Accordingly, in rat adipose tissue, our results indicate that AM regulates the secretion of proinflammatory cytokines, blood sugar levels, and related signaling pathways, contributing to improvement of IR, which may serves as a new therapeutic approach for the treatment for IR. [ABSTRACT FROM AUTHOR]

Background: There are many factors, which affect the bowel evacuation of neurosurgical intensive care unit (NICU) patients, resulting in constipation. Aim and objectives: The aim of this study was to investigate effect of abdominal massage on bowel evacuation and the risk of constipation in NICU patients. Design: A prospective, randomized‐controlled clinical trial. Methods: The sample of this study included 80 NICU patients. The patients were randomly assigned to abdominal massage and control groups. The constipation risk of all the patients was assessed with Constipation Risk Assessment Scale (CRAS). The patients in the abdominal massage group received a total of 30 minutes of massage, 15 minutes every morning and evening, until the first defecation. The bowel sounds of all patients in the abdominal massage and control groups were assessed on a daily basis. The days when bowel sounds were heard and the first defecation took place were recorded in a Bowel Evacuation Form. Results: The risk of constipation was higher in the patients in the abdominal massage (CRAS score 19.02 ± 1.81) and control groups (CRAS score 20.45 ± 2.61). The time of return of bowel sounds and the time of the first defecation were earlier in the abdominal massage group, compared to the control group (P <.05). In the control group, there was a weak correlation (P =.004) between the CRAS score and the time of return of bowel sounds, while there was a moderate correlation between the CRAS score and the time of the first defecation (P <.001). Conclusion: Our study results show that the risk of constipation is high in NICU patients, and abdominal massage is an effective nursing intervention to shorten the time of return of bowel sounds and the time of the first defecation. Relevance to clinical practice: Nurses can safely apply abdominal massage to improve bowel evacuation in NICU patients. [ABSTRACT FROM AUTHOR]

Functional diarrhea (FD) is a common type of chronic diarrhea in children. Recurrent diarrhea can negatively impact children's quality of life and raise healthcare costs significantly. However, conventional treatments are ineffective and limited. Moreover, children with chronic conditions have poor medication compliance. Therefore, non-pharmacological and complementary treatments are urgently needed. In China, abdominal massage is widely used to treat diarrhea in children. Numerous clinical studies have verified its usefulness in treating gastrointestinal disorders as well. Nevertheless, its intrinsic mechanisms are still unclear, and the impact of massage direction on treatment effects has received less attention. In our study, we found that FD was not associated with pathogen infection. A dysbiosis of the intestinal microbiota and disruption of the intestinal barrier are most likely to cause FD. Moreover, this study also substantiates that abdominal massage can mitigate functional diarrhea by altering the intestinal microbiota structure and decreasing the number of bacteria that damage intestinal mucosal barriers. The reduction of Ruminococcus_torques_group and Clostridium_innocuum_group at the genus level potentially mediated the beneficial effects of abdominal massage on alleviating diarrhea. Furthermore, massaging from two different directions, clockwise (CW) and counter-clockwise (CCW) massage, would not significantly influence the effect of the massage on intestinal microbiota or tight junction proteins. In summary, abdominal massage is an effective complementary therapy for children suffering from functional diarrhea.

This study was a randomized controlled trial aimed to compare the effects of acupressure and abdominal massage on constipation development for patients with TKA. The patients were randomly assigned to each group: control group (n = 31), acupressure group (n = 30), and abdominal massage group (n = 30). The finding showed that the severity of constipation and straining stool consistency of the groups in which acupressure and abdominal massage was applied are significantly better than the control group (p < .05). When the first defecation times of the groups are analyzed, it is seen that the patients to whom acupressure and abdominal massage are applied defecate significantly earlier than the control group (p < .05). It has been concluded that safe non-invasive acupressure and abdominal massage that can be easily applied by health professions, healthy individuals, and patients is effective on patients with total knee arthroplasty for the prevention of constipation. [ABSTRACT FROM AUTHOR]

Preterm infants often suffer from nutritional problems because of gastrointestinal problems. Massage could make the infants feel more peace and comfort, but limited studies have focused on the effects of massage on the gastric function. This study aimed to investigate the effects of abdominal massage on the gastric function of preterm infants. A randomized controlled trial compared gastric function of preterm infants with and without massage therapy. The preterm infants were randomly allocated to control and massage groups. The massage group received the abdominal massage before feeding, twice a day, for 15 min, over 5 days. Furthermore, the gastric function was compared between the control and experimental groups. The data were analyzed using SPSS software (Version 15.0). The average weight in both groups had no significant (p>0.05) changes before and after the study, and both groups showed a negative trend in the weight gain. The abdominal circumference, the frequency of vomiting episodes, the residual volume, and defecation frequency were significantly (p<0.05) different between the two groups after the intervention. The abdominal massage could be an effective nonmedicinal method to reduce the gastrointestinal problems in the preterm infants. The abdominal massage could be offered to the preterm infants as an inexpensive, available, and feasible method to alleviate gastrointestinal problems as well as improve the gastric function. [ABSTRACT FROM AUTHOR]

Aim: To assess the effect of abdominal massage pre‐gavage feeding on tolerated feeding for low birth weight (LBW) infants. Methods: An experimental research design at a government hospital at Egypt. Purposive sample composed of LBW infants was randomly divided into study and control groups each with 60 LBW infants. Results: A total of 55% of the participants in the study group grew sleepy, whereas only 15% of the studied participants in the control group grew sleepy. The abdominal circumference after feeding in the study group was 23.18 ± 2.99 cm, whereas that in the control group was 24.79 ± 2.99 cm. The gastric residual volume in the study group was 0.8 ± 0.10 ml, whereas that in the control group was 3.86 ± 1.03 ml. Conclusion: Finally, abdominal massage had a positive impact on the postfeeding state of alertness and feeding tolerance. [ABSTRACT FROM AUTHOR]

This study aimed to assess the effectiveness of abdominal massage in the management of constipation. We conducted this systematic review by scanning Pubmed, CINAHL, EBSCOhost, ScienceDirect, Ovi, ProQuest, Web of Science and ULAKBIM National Databases without any time restriction. To search the literature, we used the following keywords: “constipation”, “constipation management” and “abdominal massage”. We included into the systematic review randomised controlled trials on constipation management whose full texts were available both in English and Turkish, while studies without the full text and/or ongoing studies were excluded. A total of 31 articles were found; however, only 9 of these studies met the inclusion criteria. The effects of abdominal massage on constipation management have been assessed in different randomised controlled trials, with the participation of cancer, parkinson, multiple sclerosis and orthopedics and traumatology patients. The abdominal massage was applied to the patients in the supine position and in the direction of the colon, with different techniques of circular movements (kneading, vibration, effleurage, superficial or deep stroking techniques) for different periods (10-40 minutes) and at different frequencies (1 to 2 times in a day or week). In six trials, abdominal massage and laxatives were applied to the experimental group, whereas the standard clinical protocol (laxative and/or change in the lifestyle) was applied to the control group. In a study, massage based on the tensegrity principle (balance the tension of muscles, fasciae and ligaments that are structurally associated) was applied to the control group. In another study, the classical abdominal massage was applied to one group, the aroma massage was applied to the second group and only laxatives were administered to the third group. To assess constipation, the Gastrointestinal Symptom Rating scale, Constipation Severity index, Bristol Visual Stool scale, Constipation Quality of Life Questionnaire and Neurogenic Bowel Dysfunction or bowel diary were used in these studies. Our results showed that abdominal massages were effective in reducing constipation-related symptoms, increasing the frequency of defaecation and enhancing the quality of life of patients.

Background: Adult critically ill patients are prone to complications when receiving enteral nutrition, including feeding intolerance. Although abdominal massage is an effective intervention, its effects on enteral nutrition complications in adult critically ill patients are controversial. Objective: To summarize and evaluate the effect of abdominal massage on enteral nutrition complications in adult critically ill patients. Methods: We searched databases (e.g., PubMed, the Cochrane Library, Embase, and Web of Science) from inception until November 2020 for relevant studies published in English. The methodological quality of selected studies was assessed with the Cochrane Risk of Bias 2.0 tool. And we used of PRISMA 2020 guidelines. The meta-analysis results were reported as mean difference (MD) and events, and the heterogeneity of the studies was evaluated using I2. Results: Seven studies including 472 participants (aged≥18 years) met the inclusion criteria. The mean gastric residual volume (GRV) (MD=−42.41, 95% confidence interval [CI]: −71.43, −13.39; P = 0.004) and incidence of abdominal distension (odds ratio [OR]=0.08, 95%CI: 0.03, 0.19; P

Aims: This study aimed to effect of abdominal massage on chronic constipation and constipation quality of life in elderly. Methods: This randomized controlled study was conducted with 60 elderly. The subjects were randomized to either the intervention (massage) (n=30) or the control group (n=30). In the intervention group, 10 minutes of abdominal massage was applied for 4 weeks. The effect of abdominal massage on constipation was measured by comparing the averages of the scores obtained before (1st week) and after (5th week) its application. Results: The constipation symptoms (stool consistency, abdominal bloating, stool volume and number of defecation) were significantly between in the 1st and 5th weeks in the massage group (p<0.05). The constipation quality of life scores was decreased significantly in the 5th week in the intervention group (p<0.05). Conclusion: Abdominal massage was found to be effective in some constipation symptoms and constipation quality of life. [ABSTRACT FROM AUTHOR]

Abdominal massage (AM), a traditional Chinese medicine-based treatment method, has received considerable attention in the recent years. The aim of the present study was to investigate the effect of AM on high-fat diet (HFD)-induced insulin resistance (IR) in comparison with resveratrol (RSV) treatment. Forty-eight male Sprague-Dawley rats were randomly divided into the following four groups: standard chow diet (control group), high-fat diet (model group), HFD + abdominal massage (AM group), and HFD + resveratrol (RSV group). A rat model of IR was established by feeding HFD to rats for 8 weeks followed by treatment with AM or RSV for 4 weeks. The underlying HFD-induced IR molecular mechanisms were studied in rat serum and skeletal muscles. RSV and AM significantly improved glucose intolerance, hyperglycemia, obesity, and significantly reduced lipid accumulation [triglyceride (TC), total cholesterol (TG), low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C)], adipocytokine [free fatty acids (FFA), adiponectin (ADPN)] and serum pro-inflammatory cytokines (IL-6 and TNF-α) secretion. In addition, AM activated the AMPK/SIRT1 signaling pathway in rat skeletal muscle. In conclusion, our results showed that AM could improve IR by regulating the secretion of adipocytokines, pro-inflammatory cytokines as well as related signaling pathways in the skeletal muscle of rats, which might provide insights into development of new treatment methods for the clinical treatment of IR. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background and Aim: Manual abdominal massage has been shown to effectively treat slow-transit constipation, but it is labor-intensive. To offer an alternative treatment option for constipation, the Bamk-001 automatic abdominal massage device was developed. The aim of this study was to assess the effect of the Bamk-001 device on symptom profiles and colon transit time (CTT) in patients with chronic constipation. Methods: Thirty-seven patients with chronic functional constipation diagnosed using the Rome IV criteria were enrolled prospectively from December 2018 to February 2019. All patients received device-assisted automatic abdominal massage for 15 min twice daily, once in the morning before breakfast and once at night, for 14 days. CTT was measured before and at the end of the study period. Slow-transit constipation and very-slow-transit constipation were defined as CTT ≥ 48 h and ≥ 72 h, respectively. Patients' symptom profiles regarding overall defecation satisfaction and device-related adverse events were analyzed. Results: Among the 37 patients, the mean age was 40.1 ± 11.8, and 5.4% (n = 2) were men. The Bamk-001 device significantly improved CTT from 54.0 (33.6–75.6) to 28.8 (18.0–52.8) h (p = 0.001) in patients with chronic constipation. In subgroup analysis, CTT improved significantly from 54.0 (33.6–75.6) to 28.8 (18.0–52.8) h (p = 0.003) and from 88.2 (74.4–124.8) to 45.6 (27.3–74.1) h (p = 0.005) in the slow-transit and very-slow-transit constipation groups, respectively (p = 0.001). Moreover, all patient symptoms were alleviated after treatment. No serious adverse events were reported. Conclusion: The Bamk-001 automatic abdominal massage device showed significant care efficacy, including the improvement in CTT and symptom profiles in patients with slow-transit constipation. The use of an automatic abdominal massage device as an adjunct in the management of constipation is a potentially beneficial intervention for patients with slow-transit constipation. [ABSTRACT FROM AUTHOR]

Abstract Background Abdominal massage for the resolution of constipation has been reported to be safe and recommended in some studies. It is conventionally performed for the elderly suffering from intractable constipation. Meantime, isolated mesenteric injury after blunt abdominal trauma is uncommon. Here, we report a case of isolated mesenteric injury following self-abdominal massage for constipation. Case presentation A 68-year-old man consulted a local hospital due to a sudden abdominal pain. He had a history of prostate cancer treated with radiation therapy 3 years ago, and he had been suffering from chronic constipation for many years. A plain computed tomography (CT) revealed a fist-sized homogeneous mass-like lesion located in the left upper abdomen and a moderate amount of ascites. With the initial diagnosis of a malignant tumor accompanied by peritonitis carcinomatosa, he was hospitalized for further examinations. On the next day, his hemoglobin concentration dropped from 11.6 to 6.6 g/dl, and diagnostic paracentesis showed bloody ascites. He was urgently transferred to our tertiary emergency center. An enhanced CT demonstrated a non-enhanced, homogeneous, 8.5 cm in diameter, mass lesion located to the posterior of the stomach with massive bloody ascites. He underwent an emergency exploratory laparotomy, and it showed a 5 cm of laceration in the transverse mesocolon adjacent to Treitz’s ligament and approximately 1.5 l of intraabdominal hemorrhage. Hemostasis of the bleeding from the laceration was achieved by suture ligations, but the gap of the laceration could not be closed by suturing because the tissue was too fragile. Blood transfusion with 4 units of packed red blood cells and 10 units of fresh frozen plasma was performed during operation. He was discharged without any significant complications except for postoperative paralytic ileus. Later on, it turned out that he had a habit of massaging his abdomen for the resolution of intractable constipation and did it hard 1 day before the onset. Conclusions This is the first report of life-threatening mesenteric injury caused by self-abdominal massage to resolve constipation, though other etiologies such as rupture of small aneurysms could not perfectly be excluded. Abdominal massage is reported to be effective and safe for the resolution of constipation; however, this case demonstrated it could be detrimental.

To evaluate the effects of abdominal massage on gastrointestinal function in the intensive care unit (ICU) patients.

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Background: Constipation among patients with heart failure can have a serious effect because Valsalva maneuver during defecation process could increase heart workload and aggravate patient's condition. Therefore, appropriate treatment is needed to overcome the problem. One of the nurse's independent actions in constipation management is abdominal massage. Objective: to relieve constipation among patients with heart failure Methodology: This case study was conducted in a regional hospital located at the Eastern part of Indonesia during December 2017. Abdominal massage was given daily 2 hours after lunch was given as intervention. Five heart failure patients with constipation and hospitalized in cardiac ward were participated in this study. Constipation degree was measured by Constipation Assessment Scale (CAS) and feces consistency was determined by Bristol Stool Chart (BSC). Patients in this study were selected sequentially during December 2017. Results: Constipation degree were decrease and feces consistency changed after intervention. Abdominal massage performed by directly pressing the abdominal wall in a sequence can increase gastrocolic reflex and contraction of the intestine and rectum. Conclusions: Abdominal massage is effective in relieving constipation among heart failure patients. Therefore, we propose abdominal massage is integrated as regular nursing intervention given to heart failure patients with constipation. [ABSTRACT FROM AUTHOR]

Introduction: Constipation and distension are dominant gastrointestinal problems after stroke in the elderly. Always they are treated by the use of laxatives and fibers. Abdominal massage along with a healthy lifestyle can be a solution. Purpose: This study aimed to investigate the effect of abdominal massage and lifestyle training on constipation and distention of the elderly with stroke. Method: This study was a randomized clinical trial that was conducted on elderly patients with stroke at Qaem hospital of Mashhad, Iran. 68 patients were randomly allocated into control (n = 34) and intervention (n = 34) groups in 2017−2018. Finally 29 elderly in the intervention and 34 in the control group completed the study. Intervention included the abdominal massage by using ''I LOV U'' method along with lifestyle education. Each abdominal massage lasted for 15 min, twice daily for ten days that was performed at first session by the researcher and then continued by the key care giver. Data were collected by the demographic form, constipation assessment score (CAS), distension measurement tool (meter), and food tolerance evaluation checklist. Results: The results indicated that both groups were homogeneous in demographic variables (P > 0.05). The repeated ANOVA showed a more significant decrease in abdominal circumference of the intervention group during the 10- days study (P = 0.029).The Friedman test showed a significant difference in frequency of defecation in two groups in 10- day study (P < 0.0001). Therefore the CAS Score was significantly decreased in intervention group more than the control group (0.30 < 0.98 < 1.59, P = 0.001, EF = 0.44). The food tolerance frequencies through Gavage (P = 0.20), and also orally (P < 0.001) were significantly improved in the intervention group. Conclusion: According to results, the abdominal massage along with lifestyle training could improve constipation and distension and also increase food intake tolerance in the elderly patients with stroke.