The Impact of Aerobic Interval and Inspiratory Muscle Training On Patient Reported Outcome Scores In Individuals With Chronic Constipation

Inclusion Criteria:

• Adults >18 years of age
• Complaint of chronic constipation and associated symptoms
• Confirmed pelvic floor muscle dyssynergia
• Willing and able to sign informed consent
• Ability to comply with study guidelines.
• Potential subjects must report two or more of the following: straining during morethan 25% of defecations, lumpy or hard stools more than 25% of defecations, sensationsof incomplete bowel evacuation more than 25% of defecations, manual maneuvers tofacilitate more than 25% of defecations, sensation of anorectal obstruction/blockagemore than 25% of defecations, and fewer than 3 small bowel movements per week.

Exclusion Criteria:

• Rectal prolapse greater than grade 2
• Pregnancy
• Cognitive impairments
• History or present cardiac condition that would exclude them from moderate intensityexercise
• Presence of an orthopedic condition with significant severity that the exerciseprotocol may exacerbate
• Currently receiving additional physical therapy treatment for conditions associatedwith pelvic floor muscle dysfunction
• Recent surgery within the past 3 months without clearance from a medical doctor
• Medication usage that would interfere with their ability to exercise safely
• Individuals recovering from a confirmed eating disorder or recent unexplained weightloss >10lbs within one month.