{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T10:37:14Z","timestamp":1784025434163,"version":"3.55.0"},"reference-count":38,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p>Small bowel obstructions (SBOs) caused by adhesions are a common, often life-threatening postsurgical complication with few treatment options available for patients. This study examines the efficacy of a manual physical therapy treatment regimen on the pain and quality of life of subjects with a history of bowel obstructions due to adhesions in a prospective, controlled survey based study. Changes in six domains of quality of life were measured via ratings reported before and after treatment using the validated Small Bowel Obstruction Questionnaire (SBO-Q). Improvements in the domains for pain (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn fontstyle=\"italic\">0.0087<\/mml:mn><\/mml:math>), overall quality of life (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn fontstyle=\"italic\">0.0016<\/mml:mn><\/mml:math>), and pain severity (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn fontstyle=\"italic\">0.0006<\/mml:mn><\/mml:math>) were significant when average scores before treatment were compared with scores after treatment. The gastrointestinal symptoms (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn fontstyle=\"italic\">0.0258<\/mml:mn><\/mml:math>) domain was marginally significant. There was no statistically significant improvement identified in the diet or medication domains in the SBO-Q for this population. Significant improvements in range of motion in the trunk (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M5\"><mml:mi>p<\/mml:mi><mml:mo>\u2264<\/mml:mo><mml:mn fontstyle=\"italic\">0.001<\/mml:mn><\/mml:math>), often limited by adhesions, were also observed for all measures. This study demonstrates in a small number of subjects that this manual physical therapy protocol is an effective treatment option for patients with adhesive small bowel obstructions as measured by subject reported symptoms and quality of life.<\/jats:p>","DOI":"10.1155\/2016\/7610387","type":"journal-article","created":{"date-parts":[[2016,2,18]],"date-time":"2016-02-18T23:13:25Z","timestamp":1455837205000},"page":"1-8","source":"Crossref","is-referenced-by-count":12,"title":["Treating Small Bowel Obstruction with a Manual Physical Therapy: A Prospective Efficacy Study"],"prefix":"10.1155","volume":"2016","author":[{"given":"Amanda D.","family":"Rice","sequence":"first","affiliation":[{"name":"Clear Passage Physical Therapy, 4421 NW 39th Avenue, Gainesville, FL 32606, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberley","family":"Patterson","sequence":"additional","affiliation":[{"name":"Clear Passage Physical Therapy, 4421 NW 39th Avenue, Gainesville, FL 32606, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evette D.","family":"Reed","sequence":"additional","affiliation":[{"name":"Clear Passage Physical Therapy, 4421 NW 39th Avenue, Gainesville, FL 32606, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belinda F.","family":"Wurn","sequence":"additional","affiliation":[{"name":"Clear Passage Physical Therapy, 4421 NW 39th Avenue, Gainesville, FL 32606, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernhard","family":"Klingenberg","sequence":"additional","affiliation":[{"name":"Department of Mathematics and Statistics, Williams College, Williamstown, MA 01267, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. Richard","family":"King","sequence":"additional","affiliation":[{"name":"Clear Passage Physical Therapy, 4421 NW 39th Avenue, Gainesville, FL 32606, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence J.","family":"Wurn","sequence":"additional","affiliation":[{"name":"Clear Passage Physical Therapy, 4421 NW 39th Avenue, Gainesville, FL 32606, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"98","reference":[{"issue":"1","key":"1","first-page":"60","volume":"72","year":"1990","journal-title":"Annals of the Royal College of Surgeons of England"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f5588"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1007\/bf02234701"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1186\/1749-7922-8-42"},{"issue":"5","key":"6","first-page":"320","volume":"81","year":"1999","journal-title":"Annals of the Royal College of Surgeons of England"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2482-11-30"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v17.i41.4545"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.6061\/clinics\/2012(11)14"},{"issue":"1","key":"10","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1093\/humrep\/17.1.69","volume":"17","year":"2002","journal-title":"Human Reproduction"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-1474-3"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.14.4861"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1159\/000314805"},{"issue":"9","key":"14","doi-asserted-by":"crossref","first-page":"543","DOI":"10.7556\/jaoa.2011.111.9.543","volume":"111","year":"2011","journal-title":"Journal of the American Osteopathic Association"},{"issue":"2","key":"15","first-page":"113","volume":"111","year":"2011","journal-title":"Journal of the American Osteopathic Association"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1179\/2042618611y.0000000011"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1179\/2042618611y.0000000006"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.3944\/aott.2011.2385"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-10-111"},{"issue":"4","key":"20","first-page":"47","volume":"6","year":"2004","journal-title":"Medscape General Medicine"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.5301\/je.2012.9088"},{"issue":"1","key":"22","first-page":"18","volume":"14","year":"2008","journal-title":"Alternative Therapies in Health and Medicine"},{"issue":"2","key":"23","first-page":"51","volume":"6","year":"2004","journal-title":"Medscape General Medicine"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2015.5766"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbmt.2011.02.004"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbmt.2012.05.004"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2012.0458"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.4081\/pr.2014.5126"},{"key":"29","doi-asserted-by":"publisher","DOI":"10.3390\/jcm2010001"},{"key":"30","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare2010139"},{"key":"31","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-6-113"},{"key":"33","year":"1993"},{"key":"34","year":"1965"},{"key":"35","year":"1995"},{"key":"36","year":"1976"},{"key":"37","year":"1983"},{"key":"38","doi-asserted-by":"publisher","DOI":"10.3238\/arztebl.2010.0769"},{"key":"39","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198211000-00012"},{"key":"40","doi-asserted-by":"publisher","DOI":"10.5402\/2011\/645104"}],"container-title":["BioMed Research International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2016\/7610387.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2016\/7610387.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2016\/7610387.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,24]],"date-time":"2017-06-24T06:14:31Z","timestamp":1498284871000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/bmri\/2016\/7610387\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016]]},"references-count":38,"alternative-id":["7610387","7610387"],"URL":"https:\/\/doi.org\/10.1155\/2016\/7610387","relation":{},"ISSN":["2314-6133","2314-6141"],"issn-type":[{"value":"2314-6133","type":"print"},{"value":"2314-6141","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016]]}}}