title: [Influence of ippotherapy on primary constipation].
abstract: Effective treatment of primary constipation remains one of problematic issues. The disease may be represented individually in the form of functional constipation, and in most of cases it is observed in the form of irritable bowel syndrome or it is conjugated with other functional disorders of bowels. Treatment with combined preparations and means of pluripotential orientation are more and more acknowledged. Ippotherapy is distinguished with its complex action. Aim of the research was to determine influence of the given natural method on dynamics of primary constipation. The research had been held among eleven patients, nine of whom were women and two men. In five cases functional constipation was diagnosed, in six cases - irritable bowel syndrome. Seven patients have been treated with ippotherapy from the very beginning and four of them underwent this treatment after one month of pharmacotherapy. Ippotherapy lasted within five weeks. On a general basis three sessions were held in a week, and after pharmacotherapy - two sessions. Before the beginning of the course of treatment and after its completion patients filled in questionnaires of self-appraisal. Subjective estimation of the dynamics of symptoms was handled in accordance with the method of nonparametric statistics - appraisal criteria had been calculated. All of the examined people have mentioned improvement of health condition after ippotherapy; nine of them have mentioned significant improvement. According to the accurate statistics result of the impact of ippotherapy on all four manifestations of constipation - intervals between defecations have been reduced to the norm, contractions during defecation have reduced, and excrements were of normal consistence and configuration, the sense of fatigue has disappeared. In the case of irritated bowel syndrome according to accurate statistics the episodes with abdominal pains and abdominal swelling have reduced. Iippotherapy was less effective in treatment of postprandial distress syndrome and practically ineffective in case of heartburn. It is important to note that in no cases of ippotherapy no complication of any syndrome or occurrence of new symptoms was revealed. In the process of treatment no procedural discomfort had been observed. Received data confirm manifested positive influence of ippotherapy on the course of functional disorders of bowels, which in case of availability should be considered at the determination of the strategy of management of the given disease.
mesh_terms: D015746:Abdominal Pain / Q000628:therapy; D003248:Constipation / Q000628:therapy*; D056147:Equine-Assisted Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D043183:Irritable Bowel Syndrome / Q000503:physiopathology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome