Evidence map›Paper›PMID 29785079›Full record

Observational studyWorld journal of gastroenterology2018

Decreasing recurrent bowel obstructions, improving quality of life with physiotherapy: Controlled study.

Amanda D Rice, Kimberley Patterson, Evette D Reed, Belinda F Wurn, Kristen Robles, Bernhard Klingenberg, Leonard B Weinstock, Janey Sa Pratt, C Richard King, Lawrence J Wurn

Open access · hybridAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in World journal of gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 42% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Amanda D RiceDepartment of Internal Medicine, College of Medicine-Phoenix, University of Arizona, Phoenix, AZ 85004, United States.
Kimberley PattersonClear Passage Therapies, Gainesville, FL 32606, United States.
Evette D ReedClear Passage Therapies, Gainesville, FL 32606, United States.
Belinda F WurnClear Passage Therapies, Gainesville, FL 32606, United States.
Kristen RoblesClear Passage Therapies, Gainesville, FL 32606, United States.
Bernhard KlingenbergDepartment of Mathematics and Statistics, Williams College, Williamstown, MA 01267, United States.
Leonard B WeinstockClinical Medicine and Surgery, Washington University School of Medicine, Specialists in Gastroenterology, LLC, St. Louis, MO 63141, United States.
Janey Sa PrattDepartment of Surgery, Stanford University School of Medicine, Palo Alto, CA 94035, United States.
C Richard KingCollege of Medicine, University of Florida, Gainesville, FL 32607, United States.
Lawrence J WurnClear Passage Therapies, Gainesville, FL 32606, United States. larryw@clearpassage.com.
Clear Passage Physical Therapy · USUniversity of Arizona · USDermatology Specialists · USWilliams College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo compare (1) quality of life and (2) rate of recurrent small bowel obstructions (SBO) for patients treated with novel manual physiotherapy

methodsOne hundred and three subjects (age 19-89) with a history of recurrent adhesive SBO were treated with a manual physiotherapy called the Clear Passage Approach (CPA) which focused on decreasing adhesive crosslinking in abdominopelvic viscera. Pre- and post-therapy data measured recurring obstructions and quality of life, using a validated test sent 90 d after therapy. Results were compared to 136 untreated control subjects who underwent the same measurements for subjects who did not receive any therapy, which is the normal course for patients with recurring SBO. Comparison of the groups allowed us to assess changes when the physiotherapy was added as an adjunct treatment for patients with recurring SBO.

resultsDespite histories of more prior hospitalizations, obstructions, surgeries, and years impacted by bowel issues, the 103 CPA-treated subjects reported a significantly lower rate of repeat SBO than 136 untreated controls (total obstructions

conclusionCPA physical therapy was effective for patients with adhesive SBO with significantly lower recurrence rate, improvement in reported symptoms and overall quality of life of subjects.

Indexed as

Quality of LifeAdultAgedAged, 80 and overCase-Control StudiesChronic DiseaseFemaleHumansIntestinal ObstructionIntestine, SmallMaleMiddle AgedMusculoskeletal ManipulationsProspective StudiesRecurrenceRetrospective StudiesAdhesionsAlternative therapyClear passage approachManual therapyPhysical therapyPhysiotherapySmall bowel obstructions

Identifiers

PMID29785079
PMCPMC5960816
OpenAlexW2803942561

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.