Skip to Main Content

++

  • Crohn’s disease
  • Ulcerative colitis (UC)
  • Regional enteritis

++

  • 555 Regional enteritis
  • 555.0 Regional enteritis of small intestine
  • 555.1 Regional enteritis of large intestine
  • 555.2 Regional enteritis of small intestine with large intestine
  • 555.9 Regional enteritis of unspecified site

++

  • 315.4 Developmental coordination disorder
  • 718.45 Contracture of joint, pelvic region and thigh
  • 719.70 Difficulty in walking involving joint site unspecified
  • 728.2 Muscular wasting and disuse atrophy, not elsewhere classified
  • 728.89 Other disorders of muscle, ligament, and fascia
  • 729.9 Other and unspecified disorders of soft tissue
  • 780.7 Malaise and fatigue
  • 782.3 Edema
  • 786.0 Dyspnea and respiratory abnormalities

++

  • K50.00 Crohn’s disease of small intestine without complications
  • K50.10 Crohn’s disease of large intestine without complications
  • K50.80 Crohn’s disease of both small and large intestine without complications
  • K50.90 Crohn’s disease, unspecified, without complications

++

  • As of February 2013, the APTA Guide to Physical Therapist Practice does not include practice patterns for organ system pathology; therefore, the associated or secondary musculoskeletal, cardiovascular/pulmonary, or potential neuromuscular patterns would be indicated

++

Description

++

  • Chronic inflammation of the GI track
  • Crohn’s can affect any part of the gastrointestinal tract, all or part of the GI system, from the mouth to anus
  • Ulcerative colitis affects somewhere from the colon to the rectum
  • Complaints often include changes in bowel habits such as constipation, diarrhea, bowel urgency, incontinence, and cramping
  • Pain is frequently referred to the lower back
  • Inflammatory bowel diseases (IBD) describes disorders with chronic or recurring immune response and inflammation of the gastrointestinal tract
  • A common inflammatory bowel disease
  • There is a broad array of GI disorders that may be encountered by physical therapists
  • Many clients with GI pathology may be receiving physical therapy as a result of secondary problems such as weakness, gait abnormalities, and limited aerobic endurance

++

Essentials of Diagnosis

++

  • Normal healthy bowel between patches of diseased bowel
  • Abdominal pain; constant or intermittent
  • Abdominal tenderness
  • Nausea
  • Vomiting
  • Diarrhea or constipation
  • Changes in bowel habits
  • Bloating
  • Possible rectal bleeding
  • Rectal/anal irritation
  • Acute drops in blood pressure, which may result in decreased blood flow to intestines

++

General Considerations

++

  • Crohn’s disease commonly involves the terminal ileum
  • May result in secondary problems such as aerobic capacity and muscle endurance impairment, sarcopenia, weakness/impaired muscle performance, musculoskeletal problems, neuromuscular problems, weight loss, or weight gain, indicating the need for physical therapy intervention depending on severity
  • Because GI disorders frequently refer pain to other body areas, individuals may get referred to PT inappropriately (i.e., referred for low back pain)
  • Chronic diarrhea, episodic diarrhea, loss of bowel control (incontinence or urgency), and blood in stool may be symptomatic of inflammatory disease, pre-cancerous conditions, or cancer

++

Demographics

++

  • Higher incidence in Jews of European descent
  • Women may have slightly higher incidence than males
  • Familial: Occurring or tending to occur among members of a family, usually by heredity

Want remote access to your institution's subscription?

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.

Ok

About MyAccess

If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.

Subscription Options

AccessPhysiotherapy Full Site: One-Year Subscription

Connect to the full suite of AccessPhysiotherapy content and resources including interactive NPTE review, more than 500 videos, Anatomy & Physiology Revealed, 20+ leading textbooks, and more.

$595 USD
Buy Now

Pay Per View: Timed Access to all of AccessPhysiotherapy

24 Hour Subscription $34.95

Buy Now

48 Hour Subscription $54.95

Buy Now

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.