title: [Constipation in patients with quadriplegic cerebral palsy: intestinal reeducation using massage and a laxative diet].
abstract: Constipation affects 74% of individuals with cerebral palsy. This study aimed to evaluate the results of nursing interventions for treating intestinal constipation associated with cerebral palsy. This quantitative, prospective, comparative study included 50 patients with quadriplegic cerebral palsy and constipation. The main conservative measures included daily consumption of laxative foods and vegetable oils, increase in fluid intake, and daily intestinal massage. Total or partial constipation relief was observed in 90% of the patients, with improvement in quality-of-life aspects such as sleep, appetite, and irritability, and a significant decrease in rectal bleeding, anal fissure, voluntary retention of stools, crying, and pain on defecation. Only 10% of the patients required laxative medications. It is recommended that conservative measures be used for treating cerebral palsy-related constipation and medications be used solely as adjuvants, if needed.
authors: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão PretoSP, Brasil, fabifaleiros@eerp.usp.br.
authors: Fabiana Santana
authors: FS
authors: Faleiros-Castro
authors: Elenice Dias Ribeiro
authors: ED
authors: de Paula
mesh_terms: D000293:Adolescent; D002547:Cerebral Palsy / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D003248:Constipation / Q000209:etiology* / Q000628:therapy*; D004032:Diet; D005260:Female; D006801:Humans; D007223:Infant; D007422:Intestines; D054368:Laxatives / Q000627:therapeutic use*; D008297:Male; D008405:Massage; D011446:Prospective Studies; D055815:Young Adult
chemical_list: D054368:Laxatives