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Chronic Abdominal Wall Pain in Children may be Improved By Physiotherapy


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1 St Richard's Hospital, Chichester, PO19, 6SE,, United Kingdom
     

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Functional abdominal pain is common in children and a proportion of these children suffer from chronic abdominal wall pain (CAWP). CAWP is suggested when a positive Carnett's sign is elicited in a child where the pain gets worsened by movement. Analgesics are generally not helpful in children with CAWP. We describe a novel approach with physiotherapy (by core stability programme) for managing children with this condition. The therapy was delivered by a paediatric therapist after other organic causes of abdominal pain were ruled out. Forty two out of 49 children (85%) showed improvement with this therapy. As the improvement was noticed during the therapy and sustained thereafter we suggest that this therapy is helpful in children in CAWP.

Keywords

Chronic Abdominal Wall Pain, Carnett's Sign, Straight Leg Raising Test, Physiotherapy, Children
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  • Chronic Abdominal Wall Pain in Children may be Improved By Physiotherapy

Abstract Views: 94  |  PDF Views: 0

Authors

Siba Prosad Paul
St Richard's Hospital, Chichester, PO19, 6SE,, United Kingdom
Gina Farmer
St Richard's Hospital, Chichester, PO19, 6SE,, United Kingdom
Krishna Soondrum
St Richard's Hospital, Chichester, PO19, 6SE,, United Kingdom
David C. A. Candy
St Richard's Hospital, Chichester, PO19, 6SE,, United Kingdom

Abstract


Functional abdominal pain is common in children and a proportion of these children suffer from chronic abdominal wall pain (CAWP). CAWP is suggested when a positive Carnett's sign is elicited in a child where the pain gets worsened by movement. Analgesics are generally not helpful in children with CAWP. We describe a novel approach with physiotherapy (by core stability programme) for managing children with this condition. The therapy was delivered by a paediatric therapist after other organic causes of abdominal pain were ruled out. Forty two out of 49 children (85%) showed improvement with this therapy. As the improvement was noticed during the therapy and sustained thereafter we suggest that this therapy is helpful in children in CAWP.

Keywords


Chronic Abdominal Wall Pain, Carnett's Sign, Straight Leg Raising Test, Physiotherapy, Children

References