Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/25323
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Title: Abdominal massage for neurogenic bowel dysfunction in people with multiple sclerosis (AMBER - Abdominal Massage for Bowel Dysfunction Effectiveness Research): study protocol for a randomised controlled trial
Authors: McClurg, Doreen
Goodman, Kirsteen
Hagen, Suzanne
Harris, Fiona Margaret
Treweek, Shaun
Emmanuel, Anton
Norton, Christine
Coggrave, Maureen
Doran, Selina
Norrie, John
Donnan, Peter T
Mason, Helen
Manoukian, Sarkis
Keywords: Multiple sclerosis
Constipation
Abdominal massage
Randomised controlled trial
Issue Date: 29-Mar-2017
Citation: McClurg D, Goodman K, Hagen S, Harris FM, Treweek S, Emmanuel A, Norton C, Coggrave M, Doran S, Norrie J, Donnan PT, Mason H & Manoukian S (2017) Abdominal massage for neurogenic bowel dysfunction in people with multiple sclerosis (AMBER - Abdominal Massage for Bowel Dysfunction Effectiveness Research): study protocol for a randomised controlled trial, Trials, 18, Art. No.: 150.
Abstract: Background  Multiple sclerosis (MS) is a life-long condition primarily affecting younger adults. Neurogenic bowel dysfunction (NBD) occurs in 50–80% of these patients and is the term used to describe constipation and faecal incontinence, which often co-exist. Data from a pilot study suggested feasibility of using abdominal massage for the relief of constipation, but the effectiveness remains uncertain.  Methods/design  This is a multi-centred patient randomised superiority trial comparing an experimental strategy of once daily abdominal massage for 6weeks against a control strategy of no massage in people with MS who have stated that their constipation is bothersome. The primary outcome is the Neurogenic Bowel Dysfunction Score at 24weeks. Both groups will receive optimised advice plus the MS Society booklet on bowel management in MS, and will continue to receive usual care.  Participants and their clinicians will not be blinded to the allocated intervention. Outcome measures are primarily self-reported and submitted anonymously. Central trial staff who will manage and analyse the trial data will be unaware of participant allocations. Analysis will follow intention-to-treat principles.  Discussion  This pragmatic randomised controlled trial will demonstrate if abdominal massage is an effective, cost-effective and viable addition to the treatment of NBD in people with MS.
DOI Link: http://dx.doi.org/10.1186/s13063-017-1890-y
Rights: © The Author(s). 2017 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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