Effect of Chewing Exercises and Abdominal Massage
The Effect of Chewing Exercises and Abdominal Massage on Abdominal Pain and Nausea Following Colonoscopy
1 other identifier
interventional
60
1 country
2
Brief Summary
This study is planned with a randomized controlled experimental design to determine the effects of chewing exercises during the pre-colonoscopy preparation process and abdominal massage applied after the procedure on abdominal pain and nausea symptoms.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jun 2025
Shorter than P25 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
September 30, 2025
CompletedFirst Submitted
Initial submission to the registry
May 7, 2026
CompletedFirst Posted
Study publicly available on registry
August 12, 2026
CompletedAugust 12, 2026
August 1, 2026
Same day
May 7, 2026
August 11, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (6)
Blood pressure measument
To measure blood pressure, the systolic and diastolic values are combined and expressed in mm/Hg.
4 months
Oxygen saturation
Oxygen saturation will be expressed as a percentage.
4 months
Pulse
The pulse rate will be measured and recorded as the number of heartbeats per minute.
4 months
Pain assessment
Pain levels will be assessed on a scale from 0 to 10, where "0" indicates no pain and "10" indicates very severe pain.
4 months
Presence of Nausea Before and After Colonoscopy (yes/no)
Nausea will be assessed based on participant self-report and recorded as a dichotomous outcome (present/absent) using the study data collection form. The presence or absence of nausea will be evaluated at three time points: before colonoscopy, after colonoscopy, and before discharge.
4 months
Presence of Vomiting Before and After Colonoscopy (yes/no)
Vomiting will be assessed based on participant self-report and/or direct observation and recorded as a dichotomous outcome (present/absent) using the study data collection form. The presence or absence of vomiting will be evaluated at three time points: before colonoscopy, after colonoscopy, and before discharge.
4 months
Study Arms (2)
Control
NO INTERVENTIONNo additional interventions were performed on the participants in this group following the colonoscopy. They received routine care.
Abdominal massage and chewing egzersize
EXPERIMENTALArm Description: Patients in the experimental group will be instructed to perform chewing movements a day before the procedure during bowel preparation, as chewing is known to increase saliva flow rate via the oropharyngeal mechanism. Abdominal massage is a non-invasive, easy-to-apply method with no side effects, performed by nurses to reduce abdominal distension after colonoscopy. The researcher will apply it for 3-5 minutes when the patient is taken to the post-op recovery room after the procedure.
Interventions
Arm Description: Patients in the experimental group will be instructed to perform chewing movements a day before the procedure during bowel preparation, as chewing is known to increase saliva flow rate via the oropharyngeal mechanism. Abdominal massage is a non-invasive, easy-to-apply method with no side effects, performed by nurses to reduce abdominal distension after colonoscopy. The researcher will apply it for 3-5 minutes when the patient is taken to the post-op recovery room after the procedure.
Eligibility Criteria
You may qualify if:
- Aged 18 years and older
- Conscious oriented cooperative and open to communication
- Literate in Turkish
You may not qualify if:
- Under 18 years old -Malignancy
- Inadequate bowel cleaning
- Pregnancy or suspected pregnancy
- Mental disability or history of mental disorders
- Receiving psychiatric treatment or using anxiolytic medications
- History of prior bowel surgery
- Nausea and vomiting complaints due to other diseases such as migraine
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Sakarya University Education and Research Hospital
Sakarya, Serdivan, 54100, Turkey (Türkiye)
Sakarya University
Sakarya, Serdivan, 54100, Turkey (Türkiye)
Related Publications (4)
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: 21943617RESULTTanriverdi S, Parlar Kilic S. The Effect of Progressive Muscle Relaxation on Abdominal Pain and Distension in Colonoscopy Patients. J Perianesth Nurs. 2023 Apr;38(2):224-231. doi: 10.1016/j.jopan.2022.04.013. Epub 2022 Oct 31.
PMID: 36328945RESULTMutlu S, Yilmaz E, Sahin ST. The effect of position change and abdominal massage on anxiety, pain and distension after colonoscopy: A randomized clinical trial. Explore (NY). 2024 Jan-Feb;20(1):89-94. doi: 10.1016/j.explore.2023.06.007. Epub 2023 Jun 20.
PMID: 37391282RESULTÖztürk, D., & Gürkan, A.; 2021; The effect of post colonoscopy abdominal massage on abdominal pain, distension, discomfort and patient satisfaction: A randomized controlled study protocol. International Journal of Clinical Trials; 8(4); 301-307.
RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Özlem Doğu, PhD
Sakarya University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate proffessor
Study Record Dates
First Submitted
May 7, 2026
First Posted
August 12, 2026
Study Start
June 1, 2025
Primary Completion
June 1, 2025
Study Completion
September 30, 2025
Last Updated
August 12, 2026
Record last verified: 2026-08
Data Sharing
- IPD Sharing
- Will not share
Once the study is completed, the data may be shared if requested by researchers.