Clinical Study

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

Table 2

Average scores and permutation values for each domain and question in the SBO-Q to assess changes in scores before and after CPA treatment.

Domain 
Question abbreviation (survey question)
Before treatment score 
mean (s.d.)
After treatment score 
mean (s.d.)
Score difference mean (s.d.)Number of subjects value

Diet0.8191
Liquid (I was on a totally liquid diet)3.46 (0.90)3.81 (0.40)−0.35 (0.80)261.0000
Soft (I was on a soft food diet)2.65 (1.32)3.42 (1.17)−0.77 (1.53)261.0000
Solid (I could easily ingest and digest solid food)2.48 (1.39)2.38 (1.81)0.16 (1.68)250.9031
Anything (I could eat whatever I liked, without problems)0.92 (1.52)1.85 (1.64)−0.92 (1.830)261.0000

Pain0.0087
General (I had pain)2.04 (1.73)1.12 (1.37)0.92 (1.47)260.0216
Upper GI (I had pain at or above my belly button)1.50 (1.56)0.69 (1.05)0.81 (1.50)260.0662
Lower GI (I had pain below my belly button)1.31 (1.52)0.85 (1.22)0.46 (1.24)260.3930
BM (I had pain with bowel movements)0.81 (1.06)0.50 (1.14)0.31 (1.16)260.6378
Head_Neck (I experienced head or neck pain)1.08 (1.16)0.50 (1.10)0.58 (0.86)260.0100
Migraine (I had migraine headache(s))0.15 (0.46)0.19 (0.57)−0.04 (0.53)260.9814
Coccyx (I experienced tailbone (coccyx) pain)0.54 (1.07)0.04 (0.20)0.50 (1.10)260.1605
Eating (Eating caused my abdomen to hurt)1.58 (1.50)0.77 (1.14)0.81 (1.41)260.0413
Drinking (Drinking liquids caused my abdomen to hurt)0.58 (1.14)0.31 (0.97)0.27 (0.96)260.6040
Back (I had back pain)1.69 (1.62)1.15 (1.41)0.54 (1.10)260.1263

GI symptoms0.0258
Nausea (I had nausea after eating)0.80 (1.04)0.31 (0.62)0.56 (1.04)250.0850
Vomit (I vomited after eating)0.35 (0.85)0.04 (0.20)0.31 (0.84)260.4006
GI_spasm (I experienced digestive spasm)0.92 (1.35)0.42 (0.90)0.50 (1.48)260.4650
Constipation (I had constipation)1.38 (1.30)0.85 (1.08)0.54 (1.58)260.4623
Diarrhea (I had diarrhea)1.04 (1.18)0.85 (0.97)0.19 (0.94)260.7867
BS_JLM (I eliminated blood-stained, or jelly-like mucus)0.20 (0.58)0.27 (0.67)−0.08 (0.64)250.9814
Gas_Bloat_Dist (I had gas/bloating/distension)2.04 (1.43)1.28 (1.28)0.80 (1.38)250.0497
Inc_Sounds (I had increased bowel sounds)1.69 (1.46)1.00 (1.17)0.69 (1.57)260.1802
No_BM (I was unable to have bowel movements when I wanted or needed to go)1.31 (1.41)0.77 (1.27)0.54 (1.14)260.1321
Ab_BM (My bowel movements looked abnormal)1.58 (1.68)0.96 (1.22)0.62 (1.44)260.2276
Eat_Bloat (Eating or drinking caused me to swell, bloat, or have gas)1.96 (1.48)1.24 (1.36)0.72 (1.21)250.0388

Medication0.8191
Meds (I took medications for my symptoms)1.81 (1.88)1.77 (1.75)0.04 (2.03)260.9689

Quality of life0.0016
Off_Work (I was unable to work due to my condition)1.28 (1.37)0.29 (0.62)1.04 (1.27)240.0018
Off_Social (I was unable to have a normal social life due to my condition)1.35 (1.57)0.42 (0.99)0.92 (1.35)260.0095
Off_Sex (My sex life suffered due to my condition)1.68 (1.76)0.57 (1.16)0.84 (1.30)190.0662
Off_Daily_Function (I had decreased ability to participate in normal daily activities due to my condition)1.65 (1.52)0.54 (1.14)1.12 (1.45)260.0023
Off_Eat_Out (I would be reluctant to eat at a restaurant or a friend’s house due to my condition)1.62 (1.55)0.85 (1.46)0.77 (1.53)260.1072
Massage_worry (I felt that I could decrease my own symptoms using my hands)3.31 (1.05)3.08 (1.24)0.17 (1.20)240.8785
Worry (I worried about having another bowel obstruction)2.23 (1.63)1.12 (1.28)1.12 (1.56)260.0064

Pain severity0.0006
Duration_Pain (The duration of the worst pain)4.20 (1.44)2.50 (2.14)1.76 (2.05)250.0006
Recent_Max_Pain (Maximum pain in bowels over the last 4 weeks)6.10 (3.37)4.15 (2.96)1.82 (4.19)250.2276
Recent_Min_Pain (Minimum pain in bowels over the last 4 weeks)2.12 (2.24)1.42 (1.36)0.68 (2.54)250.6378
Recent_Avg_Pain (Average pain in bowels over the last 4 weeks)3.96 (2.76)2.08 (1.90)1.84 (3.24)250.0599

One-sided multiplicity adjusted.
s.d. = standard deviation.