This study randomized clinical trial of 124 patients traction skeletal blind in Sanandaj be conducted in Hospital Patients randomly using sealed envelope with re Replacing a laptop into four equal groups: 1.jvydn chewing gum sugar (31), 2.masazh abdomen (31), 3.rvsh combination (n = 31) and 4. The control group (n = 31) will be divided. Patients Group (1) Mark Van chewing sugar-free gum a number 3 times a day for 30 minutes after an hour of eating a meal, patients (2) clockwise abdominal massage for 15 minutes on the clock 9 am and 9 pm with gentle constant pressure, patients groups (3) a combination of chewing gum and abdominal massage to get control Krdnd.grvh receive routine care only.Inclusion criteria: having a pattern of normal bowel movements and constipation prior to the study, skeletal traction approved under the femoral fractures in patients older than 18 years, following the instructions given in the diet based on normal diet, lack of effective underlying disease the bowel movements.Exclusion criteria from the study: lack of desire to continue working, the patient is discharged before 7 days, the use of drugs affecting bowel function such as lactulose, magnesium hydroxide syrup, etc., inability to chew gum.To compare data obtained in the study groups Chi square testAnd also to compare the intensity of constipation based on a rating scale between the groups Mann-Whitney test was used.