- Spastic colon
- Irritable colon
- Mucous colitis
- Spastic colitis
- 564.1 Irritable bowel syndrome
- 315.4 Developmental coordination disorder
- 718.45 Contracture of joint, pelvic region and thigh
- 719.70 Difficulty in walking
- 728.2 Muscular wasting and disuse atrophy
- 728.89 Disorders of muscle, ligament, and fascia
- 729.9 Other disorders of soft tissue
- 780.7 Malaise and fatigue
- 782.3 Edema
- 786.0 Dyspnea and respiratory abnormalities
- K58.9 Irritable bowel syndrome without diarrhea
- As of January 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.
- There is a broad array of GI disorders that may be encountered by physical therapists
- While physical therapists may not manage GI disorders specifically, many clients may have GI pathology and be receiving care as a result of secondary problems such as weakness, gait abnormalities and limited aerobic endurance
- They may be acute, post-operative, chronic, viral, bacterially related, or congenital/hereditary1
- Abdominal pain and altered bowel habits without pathology
- Considered a disorder and not a disease
- Complaints often include changes in bowel habits such as constipation, diarrhea, bowel urgency, bloating, incontinence, and cramping
- Pain is frequently referred to the low back
- Does not result in permanent damage to colon and is not inflammatory
- Symptoms may come and go or, in some cases, disappear
- Abdominal pain; constant or intermittent history
- ROME Criteria
- Abdominal pain over course of 12 weeks, not necessarily continuous weeks
- At least 2 of the following:
- A change in the frequency or consistency of the bowels
- Straining, urgency or a feeling that the bowels will not completely empty
- Mucus in the stool
- Bloating or abdominal distension
- Diarrhea or constipation
- Possible rectal bleeding
- Rectal/anal irritation
- Acute falls in blood pressure, which may result in decrease blood flow to intestines
- Inability to swallow
- Lack of appetite
- Unexplained weight loss
- Abdominal pain related to ingesting food
- Possible joint pains
- Dark stool or bright red blood in stool
- Diagnosis for more occult problems may take time and require intensive medical diagnostic testing
- GI disorders occur cross the lifespan; birth through geriatric
- 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, such as when referred to the low back
- GI problems may be commonly related to stress or constipation, more serious problems such as autoimmune conditions like Crohn’s, or acute pain indicative of appendicitis
- In adults females, GI complaints may actually be related or indicative of cancer or tumors in the reproductive organs, or gynecological problems ...
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