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 more than 25% of defecations, lumpy or hard stools more than 25% of defecations, sensations of incomplete bowel evacuation more than 25% of defecations, manual maneuvers to facilitate more than 25% of defecations, sensation of anorectal obstruction/blockage more 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 intensity exercise * Presence of an orthopedic condition with significant severity that the exercise protocol may exacerbate * Currently receiving additional physical therapy treatment for conditions associated with 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 weight loss \>10lbs within one month.