Abdominal Massage for Bowel Dysfunction
Abdominal Massage for Neurogenic Bowel Dysfunction in People With Multiple Sclerosis (AMBER Abdominal Massage for Bowel Dysfunction Effectiveness Research).
What it found
A paper reports the results; we have not read it yet. See Papers below.
What was tested
Treatment tested
- Abdominal massage
Given to everyone in the trial
- Optimised bowel care
What it measured
Main measures
Change from Baseline to 24 weeks Neurogenic Bowel Dysfunction Score (NBDs)
Baseline - 24 weeks
Bladder, bowel and sexual functionNeurogenic bowel dysfunction score
Bladder, bowel and sexual function
Other measures (12)
Neurogenic Bowel Dysfunction Questionnaire (NBD PROM) - change in Score from Baseline to 24 weeks
Baseline - 24 weeks
Bladder, bowel and sexual functionQuality of life (reported by participants)Constipation Symptoms (Constipation Scoring System (CSS)) - change in Score from Baseline to 24 weeks
Baseline - 24 weeks
Bladder, bowel and sexual functionBowel Symptoms (7 day diary) - change in Score from Baseline to 24 weeks
Baseline - 24 weeks
Bladder, bowel and sexual functionRadio Opaque Marker transit tests - change in Score from Baseline to 24 weeks
Baseline - 24 weeks
Adherence to massage schedule (7 day diary) - change in Score from Baseline to 24 weeks
Baseline - 24 weeks
Quality of life (reported by participants)Bladder Function (Qualiveen Questionnaire Short Form) - change in Score from Baseline to 24 weeks
Baseline - 24 weeks
Bladder, bowel and sexual functionHealth Status (EQ-5D-5L Health Questionnaire) - change in Score from Baseline to 24 weeks
Baseline - 24 weeks
Quality of life (reported by participants)Change of medication (Concomitant Medication Form)
Over the study duration (24 weeks)
Patient Resource Questionnaire - cost and use of NHS services (£)
Baseline, 1-6weeks, 12 weeks, 18 weeks and 24 weeks
Patient Resource Questionnaire - cost to the patients and their families/carers (£)
Baseline, 1-6weeks, 12 weeks, 18 weeks and 24 weeks
Who could take part
MS (type not specified) · 18 and over
Show the full criteria
Inclusion criteria
* Male or female over the age of 18 years; * Diagnosis of MS (in a stable phase i.e. no MS relapse for 3 months); * No major change of medication for 1 month e.g. introduction of disease modifying medications; * Individual is bothered by their bowel dysfunction, and; * Must not have used abdominal massage for at least 2 months.
Exclusion criteria
* Individuals who are unable to undertake the massage themselves or do not have a carer willing to do it; * Individuals who are unable to understand the study processes; * Individuals who have contraindications to abdominal massage e.g. history of abdominal/pelvic cancer, hiatus, inguinal or umbilical hernia, rectal prolapse, Inflammatory Bowel Disease, pregnancy and past history of volvulus. * Recent abdominal scars, abdominal wounds or skin disorders that may make abdominal massage uncomfortable.
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
The aim of the AMBER trial is to determine the effectiveness and cost effectiveness of abdominal massage as part of the adjunct to bowel care in people with Multiple Sclerosis who have problems with their bowel i.e. faecal incontinence and/or constipation.
Papers
Results
Abdominal massage plus advice, compared with advice only, for neurogenic bowel dysfunction in MS: a RCT.Health Technol Assess · 2018
Results
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 · 2017
Results
Todd CL, Johnson EE, Stewart F, Wallace SA, Bryant A, Woodward S, Norton C. Conservative, physical and surgical interventions for managing faecal incontinence and constipation in adults with central neurological diseases. Cochrane Database Syst Rev. 2024 Oct 29;10(10):CD002115. doi: 10.1002/14651858.CD002115.pub6.
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History
Started
Jun 2014
Main results due
Jan 2017
Finished
Mar 2017