Table of Contents Author Guidelines Submit a Manuscript
BioMed Research International
Volume 2016 (2016), Article ID 7610387, 8 pages
http://dx.doi.org/10.1155/2016/7610387
Clinical Study

Treating Small Bowel Obstruction with a Manual Physical Therapy: A Prospective Efficacy Study

1Clear Passage Physical Therapy, 4421 NW 39th Avenue, Gainesville, FL 32606, USA
2Department of Mathematics and Statistics, Williams College, Williamstown, MA 01267, USA

Received 20 November 2015; Accepted 21 January 2016

Academic Editor: Luca Elli

Copyright © 2016 Amanda D. Rice et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Small bowel obstructions (SBOs) caused by adhesions are a common, often life-threatening postsurgical complication with few treatment options available for patients. This study examines the efficacy of a manual physical therapy treatment regimen on the pain and quality of life of subjects with a history of bowel obstructions due to adhesions in a prospective, controlled survey based study. Changes in six domains of quality of life were measured via ratings reported before and after treatment using the validated Small Bowel Obstruction Questionnaire (SBO-Q). Improvements in the domains for pain (), overall quality of life (), and pain severity () were significant when average scores before treatment were compared with scores after treatment. The gastrointestinal symptoms () domain was marginally significant. There was no statistically significant improvement identified in the diet or medication domains in the SBO-Q for this population. Significant improvements in range of motion in the trunk (), often limited by adhesions, were also observed for all measures. This study demonstrates in a small number of subjects that this manual physical therapy protocol is an effective treatment option for patients with adhesive small bowel obstructions as measured by subject reported symptoms and quality of life.