Efeito da massagem do tecido conjuntivo na constipação intestinal
Ângela Midori Kuraoka de Oliveira
DATA DE PUBLICAÇÃO
According to Rome II Criteria, intestinal constipation is characterized by two or more of the following in a period of 12 months: straining during evacuation, lumpy or hard stools, sensation of incomplete evacuation, sensation of anorectal obstruction and/or blockade and manual maneuvers to facilitate in more than 25% of defecations, and less of 3 defecations per week. It is a problem of difficult solution and high prevalence. The objective of this research was to verify the effect of Connective Tissue Massage in chronic intestinal constipation. We have used the blind experimental method with negative control group. This study enrolled 10 volunteers from 20 to 37 years old, all females with primary intestinal constipation in accordance with the Rome II Criteria. We excluded pregnant women, patients with physical intestinal obstruction, with diabetes mellitus, gastric and/or neurologic disease. The group was dividided in two subgroups of five volunteers. A score of constipation was obtained on the first, fifth and 12th day and the evaluation of colonic transit time was done using radiopaque markers, one week before the first day and soon after treatment. The control group underwent all these procedures, but didnt received any intervention. The experimental group was treated with 10 sessions of Connective Tissue Massage. They were asked not to change their food habits nor their exercising routine. They were likewise told not to use laxatives, suppositories or enemas during the period of data acquisition. In the evaluation of the constipation score, there was a significant difference between the control and experimental group (p= 0.00011) according analysis of variance (ANOVA) for repeated measurements. The Connective Tissue Massage also increased the frequency of the evacuations in experimental group. Colonic transit time didnt change significantly (p>0.05). These results can be ascribed to stimulation of defecation reflexes, with little or no influence upon the parassympathetic nervous system. This local effect probably accounted for the lack of a significant change in total colonic transit time. The size of our sample may also have precluded the decrease in colonic transit time from reaching statistically significant levels.