NCT06631001

Brief Summary

This study aims to evaluate the effects of abdominal massage on gastrointestinal functions in mechanically ventilated patients receiving enteral nutrition in intensive care units.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
70

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Jan 2025

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

October 1, 2024

Completed
7 days until next milestone

First Posted

Study publicly available on registry

October 8, 2024

Completed
3 months until next milestone

Study Start

First participant enrolled

January 6, 2025

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 27, 2025

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 29, 2025

Completed
Last Updated

February 19, 2025

Status Verified

February 1, 2025

Enrollment Period

6 months

First QC Date

October 1, 2024

Last Update Submit

February 15, 2025

Conditions

Keywords

Abdominal massageGastrointestinal Motility and Defecation ConditionsGastrointestinal MotilityIntensive careenteral nutrition

Outcome Measures

Primary Outcomes (1)

  • Bowel Movements: This measure will assess the frequency of defecation during the intervention period.

    he frequency of bowel movements will be recorded to assess gastrointestinal function, where increased frequency is considered a positive outcome.

    Measured twice daily (morning and evening) over 3 days.

Secondary Outcomes (1)

  • This measure will be used to determine the amount of stomach content remaining after feeding.

    Measured twice daily (morning and evening) over 3 days.

Other Outcomes (1)

  • This measure will be used to determine abdominal distension after feeding.

    Measured twice daily (morning and evening) over 3 days.

Study Arms (2)

Abdominal Massage Group

EXPERIMENTAL

This group consists of patients receiving abdominal massage. Abdominal massage will be administered twice a day for 15 minutes. This intervention is conducted to assess its effects on defecation frequency, gastric residual volume, and abdominal distension.

Other: Abdominal Massage

Control Group

NO INTERVENTION

This group will receive standard care without abdominal massage. Measurements for bowel excretion frequency, gastric residual volume, and abdominal distension will also be conducted.

Interventions

Abdominal massage will be administered twice a day for 15 minutes over three days. This intervention aims to evaluate its effects on defecation frequency, gastric residual volume, and abdominal distension.

Abdominal Massage Group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients over 18 years of age.
  • Patients who have been intubated and are on enteral feeding for at least 5 days.
  • Patients without wounds on the extremities or abdominal area.
  • Patients without a history of surgical intervention or radiotherapy in the abdominal area.
  • Patients without current gastrointestinal symptoms (constipation, diarrhea, vomiting, abdominal distension, or increased gastric residual volume).
  • Patients without intestinal obstruction.
  • Patients who have given consent through a first-degree relative.
  • Patients with no contraindications for abdominal massage.
  • Glasgow Coma Scale GCS \> 3.
  • Acute Physiology and Chronic Health Evaluation (APACHE II) score \> 16

You may not qualify if:

  • Patients receiving intermittent enteral nutrition
  • Patients not on mechanical ventilation
  • Patients with contraindications for abdominal massage
  • Patients fed via Percutaneous Endoscopic Gastrostomy
  • Patients who were intubated later
  • Patients hospitalized due to postoperative reasons

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Mersin Toros State Hospital

Mersin, 33010, Turkey (TĂ¼rkiye)

RECRUITING

Related Publications (32)

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    PMID: 16215143BACKGROUND
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    PMID: 24611520BACKGROUND
  • Pancorbo-Hidalgo PL, Garcia-Fernandez FP, Ramirez-Perez C. Complications associated with enteral nutrition by nasogastric tube in an internal medicine unit. J Clin Nurs. 2001 Jul;10(4):482-90. doi: 10.1046/j.1365-2702.2001.00498.x.

    PMID: 11822496BACKGROUND
  • Mentec H, Dupont H, Bocchetti M, Cani P, Ponche F, Bleichner G. Upper digestive intolerance during enteral nutrition in critically ill patients: frequency, risk factors, and complications. Crit Care Med. 2001 Oct;29(10):1955-61. doi: 10.1097/00003246-200110000-00018.

    PMID: 11588461BACKGROUND
  • Rohm KD, Schollhorn T, Boldt J, Wolf M, Papsdorf M, Piper SN. Nutrition support and treatment of motility disorders in critically ill patients - results of a survey on German intensive care units. Eur J Anaesthesiol. 2008 Jan;25(1):58-66. doi: 10.1017/S0265021507002657. Epub 2007 Sep 21.

    PMID: 17888190BACKGROUND
  • Uysal N, Senel G, Karaca S, Kadiogullari N, Kocak N, Oguz G. [Symptoms seen in inpatient palliative care and impact of palliative care unit on symptom control]. Agri. 2015;27(2):104-10. doi: 10.5505/agri.2015.26214. Turkish.

    PMID: 25944137BACKGROUND
  • Becker WC, Dorflinger L, Edmond SN, Islam L, Heapy AA, Fraenkel L. Barriers and facilitators to use of non-pharmacological treatments in chronic pain. BMC Fam Pract. 2017 Mar 20;18(1):41. doi: 10.1186/s12875-017-0608-2.

    PMID: 28320337BACKGROUND
  • Sinclair M. The use of abdominal massage to treat chronic constipation. J Bodyw Mov Ther. 2011 Oct;15(4):436-45. doi: 10.1016/j.jbmt.2010.07.007. Epub 2010 Aug 25.

    PMID: 21943617BACKGROUND
  • Liu Z, Sakakibara R, Odaka T, Uchiyama T, Yamamoto T, Ito T, Hattori T. Mechanism of abdominal massage for difficult defecation in a patient with myelopathy (HAM/TSP). J Neurol. 2005 Oct;252(10):1280-2. doi: 10.1007/s00415-005-0825-9. Epub 2005 May 20. No abstract available.

    PMID: 15895308BACKGROUND
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    PMID: 12188155BACKGROUND
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    PMID: 31780015BACKGROUND
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    PMID: 29389471BACKGROUND
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    PMID: 27663648BACKGROUND
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    PMID: 15149056BACKGROUND
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    PMID: 37964927BACKGROUND
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Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Masking Details
This study is single-blind, meaning that participants are unaware of whether they are in the intervention or control group, while care providers and investigators have access to this information.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Participants are randomly assigned to either the intervention group receiving abdominal massage or the control group
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
master student nurse

Study Record Dates

First Submitted

October 1, 2024

First Posted

October 8, 2024

Study Start

January 6, 2025

Primary Completion

June 27, 2025

Study Completion

August 29, 2025

Last Updated

February 19, 2025

Record last verified: 2025-02

Data Sharing

IPD Sharing
Will not share

There is no plan to share individual participant data (IPD) in this study

Locations