Spinal Stabilization Exercise Training in Women With Chronic Constipation

This study was planned to investigate the effects of spinal stabilization exercise training on constipation symptom severity, quality of life, perception of recovery, and spinal stability in women with chronic constipation.

This study was planned to investigate the effects of spinal stabilization exercise training on constipation symptom severity, quality of life, perception of recovery and spinal stability in women with chronic constipation. Individuals' physical, demographic, lifestyle, medical characteristics and medications used will be questioned and recorded. Physical activity level will be questioned with the "International Physical Activity Questionnaire-Short Form (IPAQ-SF)". In addition, constipation severity will be evaluated before and after treatment with the "Constipation Severity Scale (CSS)", functional markers of the intestine "Stool Diary and Bristol Stool Scale", the effect of constipation on the quality of life "The Patient Assessment of Constipation Quality of Life (PAC-QOL)", spinal stability "Sahrmann Test" and trunk muscle endurance "McGill Core Endurance Tests". In addition, perception of recovery will be evaluated after treatment with the "Patient Global Impression of Improvement Scale" and compliance with the recommendation will be evaluated with the "Visual Analog Scale (VAS)". The control group will be given only suggestions, while the exercise group will be given suggestions and spinal stabilization exercise training. Within the scope of the recommendation, you will first be informed about the definition of constipation, risk factors, treatment methods, and recommendations on physical activity, nutrition (fiber and fluid intake) and defecation position will be given to reduce constipation complaints. A brochure will be prepared to be distributed to individuals regarding these issues. Spinal stabilization exercise training will be applied 3 days a week for 8 weeks under the supervision of a specialist physiotherapist. Exercises consist of a 5-10 minute warm-up period, 40 minutes spinal stabilization exercise training a 5-10 minute cool-down period.

Eligibility Criteria:
Inclusion Criteria:

* Diagnosed with chronic functional constipation according to Rome 4 diagnostic criteria
* Those between the ages of 18-65
* Women who volunteer to participate in the study will be included.

Exclusion Criteria:

* Those who are pregnant or breastfeeding
* Neurological diseases (Parkinson, Multiple Sclerosis, hemiplegia, etc.)
* Undercontrolled systemic/metabolic diseases (hypothyroidism, diabetes mellitus, hypokalemia, hypercalcemia, hypomagnesemia, etc.)
* Malignant diseases
* Accompanying colon or gastrointestinal problems (gastrointestinal bleeding, acute inflammation, etc.)
* Secondary constipation presence of alarm symptoms (new onset constipation, rectal bleeding, involuntary weight loss, nausea, vomiting, fever, anemia or a family history of gastrointestinal malignancy)
* Those who received treatment (exercise, surgery, etc.) for the abdominolumbopelvic region in the last year
* Having a history of colostomy or colectomy
* Those with orthopedic limitations that would affect spinal stabilization exercise training
* Those who do not participate in the treatment program regularly.