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R
E S E A R C H
Reflexology Eases
Encopresis and Chronic Constipation
After six weeks of reflexology
sessions, children with chronic constipation and encopresis, or
fecal incontinence, experienced a significant decrease in soiling
and a significant increase in bowel movements, according to a recent
study.
"Reflexology
in the management of encopresis and chronic constipation" was
conducted by Eileen Bishop, Evelyn McKinnon, Evelyn Weir and Denise
Brown of Ayrshire and Arran Acute Hospitals Trust in the United
Kingdom.
Fifty children
between the ages of 3 and 14 with a diagnosis of encopresis/chronic
constipation participated in the study. They were given 30 minutes
of reflexology to their feet once a week for six weeks.
With the
help of their parents, the children completed questionnaires on
bowel movements and soiling patterns before, during and after the
six sessions of reflexology. The questionnaires were designed to
record the number of bowel movements and the incidents of soiling
in each seven-day period before, during and after the reflexology
treatment.
Before the
start of reflexology, 78 percent of the participants reported soiling
at least daily. Sixteen percent reported soiling one-to-three times
a week, and six percent reported no soiling in seven days.
After the reflexology sessions, 20 percent
of the group reported soiling at least once a day, 30 percent reported
soiling one-to-three times a week, and 48 percent reported no soiling
in seven days.
"The
results show that soiling episodes reduced significantly,"
state the study’s authors. "This may result in more socially
acceptable behavior."
As for bowel
movements, the group, before starting reflexology, reported 36 percent
with no bowel movement in a period of seven days, 46 percent with
one-to-four bowel movements per week, and 18 percent having daily
bowel movements.
After the
reflexology sessions, two percent had no bowel movement in one week,
72 percent had one-to-four bowel movements per week, and 24 percent
reported daily bowel movements.
"The
frequency of bowel motions has also significantly increased, with
72 percent now passing motions regularly," state the study’s
authors.
It was noted
that none of the children required an enema during the study, and
many parents said their childs appetite increased and sleep
pattern improved.
"Administering
reflexology to the children has been achieved with ease and there
have been no adverse reactions observed or reported," state
the study’s authors. "Reflexology for childhood encopresis
and chronic constipation is now an established service with five
pediatricians and two staff grade doctors referring children of
all ages for treatment."
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Source: Ayrshire and Arran Acute Hospitals Trust, United
Kingdom. Authors: Eileen Bishop, Evelyn McKinnon, Evelyn Weir and
Denise Brown. Originally published in Paediatric
Nursing, April 2003, Vol. 15, pp. 20-21.
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