Investigation of the Additional Effects of Aerobic Exercise Training to Abdominal Massage in Functional Constipation

Inclusion Criteria: * Being between the ages of 18-65 * Diagnosed with chronic constipation according to Rome IV criteria * No new treatment for constipation in the last 3 months * Absence of any condition that would prevent compliance with the interventions and assessments in the study Exclusion Criteria: * Presence of secondary constipation ( uncontrolled metabolic disease (uncontrolled DM, hypothyroidism), hyperparathyroidism, neurologic disease or use of anticoagulants, anticholinergics, antihistamines, antipsychotics or opioids) * In individuals over 50 years of age, the presence of alarm symptoms (new-onset constipation, rectal bleeding, involuntary weight loss, nausea and vomiting, fever and anemia) * having BMI \> 30 kg/m² * having cancer diagnosis * being pregnant or breastfeeding, being within the first year postnatally * having irritable Bowel Syndrome, Hirschprung's Disease, Crohn's Disease, Inflammatory Bowel Disease, Megacolon diagnosis, Megarectum diagnosis, Rectocele and enterocele stage 3 and above * presence of advanced systemic disease (e.g. cardiovascular, respiratory, renal or hepatic diseases) * history of abdomino-pelvic or gastrointestinal surgery in the last 6 months * presence of open wound, disruption of skin integrity, local tumor, cholestomy or abdominal hernia at the massage site * Presence of orthopedic (e.g. lumbopelvic pain, advanced knee joint degeneration) and cardiovascular diseases (e.g. acute coronary syndrome, stage 3-4 heart valve diseases) that may prevent aerobic exercise training