10/10/2020
🔈 ABDOMINAL MASSAGE TO RELIEF CONSTIPATION
Massage has been used for constipation since the nineteenth century: how effective is it?
According to some research done by Doreen McClurg from University of Ulster, Belfast, Abdominal massage can relieve constipation of various physiological causes by stimulating peristalsis, decreasing colonic transit time and increasing the frequency of bowel movements.
It reduces feelings of discomfort and pain, and induces a feeling of relaxation. It has also been found to improve patients’ quality of life, and no adverse side-effects have been reported.
The researcher suggests abdominal massage may be of benefit to people with constipation, including those with comorbidities such as multiple sclerosis.
The main drawback is the amount of time required to perform the massage, and the repeated nature of the intervention. However, abdominal massage is not a difficult technique to teach to patients and carers, and could undertaken by them if appropriate.
MASSAGE TECHNIQUE
Stroking: start at the small of the back and follow the dermatome of the vagus nerve, over the iliac crests, and down both sides of the pelvis towards the groin. Repeat it several times;
Effleurage: Strokes should follow the direction of the ascending colon across the transverse colon and down the descending colon. This should be repeated several times with increased pressure to stimulate the austral and segmental contractions of the large intestine. The aim is to propel the faecal matter along the gut;
Palmar kneading: This is the heart of the massage and tracks down the descending colon, up the ascending colon, and down the descending colon once again. Kneading helps to propel the faecal matter along the gut to load the re**um. Finger kneading may be required to break up faecal mass. This part of the massage may be uncomfortable because of the deep compression required.
Vibration: Over the abdominal wall to relieve flatulence. This should conclude the massage session.