Patients With Irritable Bowel Syndrome and Physiotherapy
ConditionIrritable Bowel Syndrome
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorIstanbul Saglik Bilimleri University
About this trial
The research will be planned on 72 individuals between the ages of 18-65 who were diagnosed with irritable bowel syndrome at Istanbul Medipol University Çamlıca SUAM Gastroenterology Polyclinic. Patients will be divided into 3 groups; High-intensity interval training and a disease-specific nutrition program for the first group, and a disease-specific nutrition program for the second group; Basic Body Awareness Therapy (BBAT) and a disease-specific nutrition program will be given, while the control group will be given only a disease-specific nutrition program. Evaluations will be made immediately before and after treatment. The first experimental group will be asked to walk with high-intensity interval training, which the investigators plan for 30 minutes, 4 days a week for 8 weeks. TBFT will be applied to the second experimental group every day of the week. The application will be done face to face one day a week, and the patient will be asked to do it himself on the other days, and the sessions will last approximately 30 minutes. In addition, all patients will be asked to follow the nutrition program determined by the dietician. Participants' sociodemographic information, IBS disease type and medications used will be recorded. In order to collect data for both the intervention groups and the control group immediately before and after the study; 6 Minute Walk Test (6MWT), posture analysis, muscle shortness test for large muscle groups in the lower and upper extremities, International Physical Activity Questionnaire Short Form (IPAQ-SF), Diet Compliance Questionnaire Form, Bristol Stool Scale Form, Gastrointestinal Symptom Assessment Scale (GSDS). ), Pittsburgh Sleep Quality Index (PSQI), IBS Quality of Life Scale (IBS-QOL), Morningness-Eveningness Questionnaire (SAA), Psychological Well-Being Scale (PIOS) and Body Awareness Questionnaire (VFA) will be used.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
Voluntary refusal to participate in the study
Having a psychiatric illness
Not having any orthopedic, neurological or cardiopulmonary disease that would constitute a contraindication for the protocols to be applied.
Do not pose any risk of injury while working in line with posture analysis.
Trial design
Design model
Parallel
Treatments tested in this trial
aerobic exercise and basic body awareness therapy ( exercise)
Other interventionexercise
Treatment groups
72 Participants
are divided into 3 treatment groupsGroup A: the group of aerobic exerciseExperimental treatment 1 intervention
Group B: the group of basic body awareness therapyExperimental treatment 1 intervention
Group C: the group of controlNo intervention 0 interventions
Trial outcomes
Primary outcomes
1
IBS Quality of Life Scale
It was specifically developed to evaluate the quality of life of patients diagnosed with IBS. The scale is Likert type, consisting of 34 items, 8 subgroups and 5 options (1: not at all, 2: little, 3: moderate, 4: a lot, 5: a lot). According to the options, the first statement is given 5 points and the fifth statement is given 1 point. Score calculation is made differently according to 8 subgroups in the determined direction. With this scoring system, the lowest score that can be obtained from the scale is 34 and the highest score is 170. It is thought that as the total score increases, the quality of life due to the disease also increases.
Time frame
pre-intervention and immediately after the intervention2
Gastrointestinal Symptom Assessment Scale (GSDS)
It was developed to evaluate the symptoms frequently seen in gastrointestinal system diseases. The patient is asked how he/she feels about the gastrointestinal problems he/she has encountered in the last week. On scale; abdominal pain (items 1, 4, 5), reflux (item 2, 3), indigestion (item 6, 7, 8, 9), diarrhea (item 11, 12, 14). There are five sub-dimensions consisting of items) and constipation (10th, 13th, 15th items) and consists of 15 items in total. It is in Likert type; It consists of 7 options, starting from "no discomfort" to "very severe discomfort" and the total score varies between 15 and 105. An increase in the total score indicates that the symptoms are getting worse.
Time frame
pre-intervention and immediately after the interventionSecondary outcomes
1
posture analysis, muscle shortness test for large muscle groups in the lower and upper extremities
In these tests, depending on the shortness and flexibility of the muscles; Mild, moderate and severe values will be given.
Time frame
pre-intervention and immediately after the intervention2
Bristol Stool Scale Form
It is a scale that evaluates the form of the stool with shapes and provides information about intestinal health. It is widely used in the evaluation of subtypes of IBS. The scale determines the form of the stool using 7 different stool shapes. Type 1 stool indicates constipation, and Type 7 stool indicates diarrhea. Type 3-4 stool is considered the healthiest form of the intestines.
Time frame
pre-intervention and immediately after the intervention3
6 Minute Walk Test (6MWT)
The test is performed in a closed area, under the supervision of a physiotherapist, on a 30-meter-long flat surface with markings every 3 meters. Patients are informed to wear comfortable clothes and sneakers during the test and not to eat at least two hours before the test. Patients' dyspnea and fatigue are questioned during the test, before and after 6MWT; SpO2, blood pressure, heart rate, fatigue and dyspnea are evaluated. At the end of 6 minutes, the total distance walked by the patient is calculated in meters. Since most activities of daily living are performed at a submaximal level, it has been reported that 6MWT may better reflect functional exercise capacity in terms of daily physical activities.
Time frame
pre-intervention and immediately after the intervention4
International Physical Activity Questionnaire Short Form (IPAQ-SF)
International Physical Activity Survey; It is a standard questionnaire used to determine the physical activity levels of people aged 15-65 by evaluating the last 7 days. The survey consists of 4 sections, each consisting of 7 questions regarding activities lasting at least 10 minutes. Obtained points are calculated as MET - min/week. It is classified into 3 categories: inactive, minimally active and very active.
Time frame
pre-intervention and immediately after the interventionSponsors and contacts
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Source ClinicalTrials.gov