Kinesio Taping for Neurogenic Bowel Dysfunction in Spinal Cord Injury
Effectiveness of Kinesio Taping on Neurogenic Bowel Dysfunction in Individuals With Spinal Cord Injury: A Randomized Controlled Trial
Neurogenic bowel dysfunction is a common complication of spinal cord injury and may cause constipation, difficulty with defecation, prolonged bowel care, incomplete evacuation, fecal incontinence, and reduced quality of life. This randomized controlled trial aims to evaluate the effectiveness of Kinesio Taping added to a routine bowel management program in adults with spinal cord injury and upper motor neuron-type neurogenic bowel dysfunction.
Thirty participants will be randomly assigned to one of two parallel groups. The control group will receive a routine bowel management program, while the intervention group will receive Kinesio Taping in addition to the routine bowel management program. Kinesio Taping will be applied to the lower abdominal and lumbosacral regions three times per week for 4 weeks.
The primary outcome will be defecation frequency recorded using a 7-day bowel diary. Secondary outcomes will include stool consistency, defecation duration, perceived constipation severity, neurogenic bowel dysfunction severity, and health-related quality of life. Assessments will be performed before and after the 4-week intervention.
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Non applicabile
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Meltem Gunes Akıncı, MD
- Numero di telefono: +902582966000
- Email: meltem_aytekin@hotmail.com
Luoghi di studio
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Denizli
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Denizli, Denizli, Turchia (Türkiye), 20160
- Pamukkale University Hospital
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Contatto:
- Meltem Gunes Akıncı, MD
- Numero di telefono: +902586000
- Email: meltem_aytekin@hotmail.com
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-
Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
Inclusion Criteria:
- Adults aged 18 years or older with traumatic or nontraumatic spinal cord injury
- Neurological level of injury at T12 or above
- Upper motor neuron-type neurogenic bowel dysfunction
- Duration of spinal cord injury longer than 6 months
- Ability and willingness to provide written informed consent
Exclusion Criteria:
- Age younger than 18 years
- Neurological level of injury below T12
- Gastrointestinal disease diagnosed before the spinal cord injury, including irritable bowel syndrome or inflammatory bowel disease
- History of conservative treatment for neurogenic bowel dysfunction within the previous 6 months
- Colostomy or history of bowel surgery
- Neurological disease other than spinal cord injury that may cause gastrointestinal or anal sphincter dysfunction
- Cognitive impairment that may interfere with participation in the study
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Separare
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
|---|---|
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Comparatore attivo: Routine Bowel Management Program
Participants in this arm will receive an individualized routine bowel management program based on their clinical condition for 4 weeks.
The program may include scheduled bowel care, dietary and fluid recommendations, appropriate positioning, physical activity, abdominal massage, rectal evacuation techniques, suppositories, enemas, and oral or rectal laxatives when clinically indicated.
Participants will be instructed not to change their usual dietary habits during the study period.
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Participants will receive an individualized routine bowel management program based on their clinical condition for 4 weeks.
The program may include scheduled bowel care, dietary and fluid recommendations, appropriate positioning, physical activity, abdominal massage, rectal evacuation techniques, suppositories, enemas, and oral or rectal laxatives when clinically indicated.
Participants will be instructed not to change their usual dietary habits during the study period.
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Sperimentale: Kinesio Taping Plus Routine Bowel Management Program
Participants in this arm will receive Kinesio Taping in addition to the routine bowel management program for 4 weeks.
Kinesio Taping will be applied to the lower abdominal and lumbosacral regions three times per week by the same experienced physician.
The tape will remain in place for 2 days and will be removed before the next treatment session.
A star-shaped correction technique will be applied to the lumbosacral region with 25%-50% tension, and an I-shaped correction technique will be applied to the lower abdominal region between the right and left anterior superior iliac spines.
No tension will be applied to the ends of the tape
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Participants will receive an individualized routine bowel management program based on their clinical condition for 4 weeks.
The program may include scheduled bowel care, dietary and fluid recommendations, appropriate positioning, physical activity, abdominal massage, rectal evacuation techniques, suppositories, enemas, and oral or rectal laxatives when clinically indicated.
Participants will be instructed not to change their usual dietary habits during the study period.
Kinesio Taping will be applied to the lower abdominal and lumbosacral regions three times per week for 4 weeks.
The tape will remain in place for 2 days and will be removed before the next treatment session.
A star-shaped correction technique will be applied to the lumbosacral region with 25%-50% tension.
An I-shaped correction technique will be applied to the lower abdominal region between the right and left anterior superior iliac spines.
No tension will be applied to the ends of the tape.
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Change in Defecation Frequency
Lasso di tempo: Baseline and at the end of the 4-week intervention
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Defecation frequency will be recorded using a 7-day bowel diary and expressed as the total number of defecations during a 7-day period.
Higher values indicate more frequent bowel movements.
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Baseline and at the end of the 4-week intervention
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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Change in Bristol Stool Form Scale Score
Lasso di tempo: Baseline and at the end of the 4-week intervention
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Stool consistency will be assessed using the 7-point Bristol Stool Form Scale.
Type 1 indicates separate hard lumps, while Type 7 indicates entirely liquid stool.
Types 3 to 5 generally represent softer or more desirable stool consistency.
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Baseline and at the end of the 4-week intervention
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Change in Perceived Constipation Severity
Lasso di tempo: Baseline and at the end of the 4-week intervention
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Participants will rate the overall severity of constipation on a 10-cm Visual Analog Scale ranging from 0 to 10.
A score of 0 indicates no constipation, while a score of 10 indicates very severe constipation.
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Baseline and at the end of the 4-week intervention
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Change in Neurogenic Bowel Dysfunction Score
Lasso di tempo: Baseline and at the end of the 4-week intervention
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Neurogenic bowel dysfunction severity will be assessed using the 10-item Neurogenic Bowel Dysfunction Score.
The total score ranges from 0 to 47, with higher scores indicating more severe neurogenic bowel dysfunction.
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Baseline and at the end of the 4-week intervention
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Change in Short Form-36 Health Survey Scores
Lasso di tempo: Baseline and at the end of the 4-week intervention
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Health-related quality of life will be assessed using the 36-item Short Form Health Survey.
The instrument includes eight subscales, each scored from 0 to 100.
Higher scores indicate better perceived health status.
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Baseline and at the end of the 4-week intervention
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Change in Defecation Duration
Lasso di tempo: Baseline and at the end of the 4-week intervention
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Defecation duration will be recorded in minutes using a 7-day bowel diary.
Participants will record the time required to complete each bowel evacuation.
A shorter duration indicates less time spent on bowel care.
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Baseline and at the end of the 4-week intervention
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Change in the Feeling of Complete Evacuation
Lasso di tempo: Baseline and at the end of the 4-week intervention
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The feeling of complete bowel evacuation will be recorded in the 7-day bowel diary after each defecation.
The outcome will be expressed as the number or proportion of defecations associated with a feeling of complete evacuation during the 7-day assessment period.
Higher values indicate more frequent complete evacuation.
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Baseline and at the end of the 4-week intervention
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Change in Straining During Defecation
Lasso di tempo: Baseline and at the end of the 4-week intervention
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Straining during defecation will be recorded in the 7-day bowel diary.
The outcome will be expressed as the number or proportion of defecations accompanied by straining during the 7-day assessment period.
Lower values indicate less frequent straining.
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Baseline and at the end of the 4-week intervention
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Change in Painful Defecation
Lasso di tempo: Baseline and at the end of the 4-week intervention
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Painful defecation will be recorded in the 7-day bowel diary.
The outcome will be expressed as the number or proportion of defecations associated with pain during the 7-day assessment period.
Lower values indicate less frequent painful defecation.
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Baseline and at the end of the 4-week intervention
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Collaboratori e investigatori
Sponsor
Sponsor
Pubblicazioni e link utili
Pubblicazioni generali
- Dandinoglu T, Kaya E. Kinesio Taping in spinal cord injury rehabilitation: A scoping review. J Spinal Cord Med. 2026 Feb 12:1-9. doi: 10.1080/10790268.2026.2626116. Online ahead of print.
- Karaaslan Y, Karakus A, Koc DO, Bayrakli A, Celenay ST. Effectiveness of Abdominal Massage Versus Kinesio Taping in Women With Chronic Constipation: A Randomized Controlled Trial. J Neurogastroenterol Motil. 2024 Oct 30;30(4):501-511. doi: 10.5056/jnm23131. Epub 2024 Jun 3.
- Orhan C, Kaya Kara O, Kaya S, Akbayrak T, Kerem Gunel M, Baltaci G. The effects of connective tissue manipulation and Kinesio Taping on chronic constipation in children with cerebral palsy: a randomized controlled trial. Disabil Rehabil. 2018 Jan;40(1):10-20. doi: 10.1080/09638288.2016.1236412. Epub 2016 Oct 28.
Studiare le date dei record
Studia le date principali
Inizio studio (Stimato)
Inizio studio
Completamento primario (Stimato)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
- Malattie del sistema nervoso centrale
- Malattie del sistema nervoso
- Ferite e lesioni
- Segni e sintomi, Digestivo
- Malattie intestinali
- Malattie dell'apparato digerente
- Malattie gastrointestinali
- Malattie del colon
- Malattie del colon, funzionali
- Trauma, sistema nervoso
- Malattie del midollo spinale
- Condizioni patologiche, segni e sintomi
- Segni e sintomi
- Stipsi
- Lesioni del midollo spinale
- Intestino neurogeno
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- E-60116787-020-887485
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