Biofeedback versus bilateral transcutaneous posterior tibial nerve stimulation in the treatment of functional non-retentive fecal incontinence in children: A randomized controlled trial.

Autor: Abdelrahman EM; General Surgery Department, Faculty of Medicine, Benha University, Benha, Egypt. Electronic address: emadsahan301@gmail.com., Abdel Ghafar MA; Physical Therapy Program, Batterjee Medical College for science and technology, Jeddah, Saudi Arabia., Selim AO; Physical Therapy for Surgery Department, Faculty of Physical Therapy, Cairo University, Cairo, Egypt., Ali OI; Department of Basic Science, Faculty of Physical Therapy, Cairo University, Cairo, Egypt., Balbaa MA; General Surgery Department, Faculty of Medicine, Menoufia University, Shebin Elkom, Egypt.
Jazyk: angličtina
Zdroj: Journal of pediatric surgery [J Pediatr Surg] 2021 Aug; Vol. 56 (8), pp. 1349-1355. Date of Electronic Publication: 2020 Sep 30.
DOI: 10.1016/j.jpedsurg.2020.09.016
Abstrakt: Background: Biofeedback and transcutaneous posterior tibial nerve stimulation (TPTNS) can be used in treatment of Functional non-retentive fecal incontinence (FNRFI). Aim of this study was to evaluate the early effect of Biofeedback versus (TPTNS) and treatment by Kegal exercises and dietetic regulations in management of (FNRFI) in children.
Methodology: The current prospective randomized controlled study included 93 children with FNRFI who were randomly allocated into the 3 groups. Group A (n = 28) were treated by dietetic regulation and Kegal exercises. Group B (n = 34) received biofeedback while group C (n = 31) received (TPTNS) for 3 months. Follow up using St' Mark's incontinence score and high resolution manometry was done at 3 and 6 months and compared to the initial records.
Results: There was statistically significant decrease in the incontinence score in Group B and C compared to Group A at 3 and 6 months (p ˂ 0.001). Resting and squeeze pressures showed significant increase group B and C (p ˂ 0.001). Patients in Group B and C showed significant decrease volume of balloon required for 1st sensation (p ˂ 0.001 and 0.034) respectively.
Conclusion: Biofeedback is more effective than TPTNS, Kegal exercises and dietetic regulations in treatment of FNRFI in children for short term follow-up.
Level of Evidence: Level I.
Type of Study: Treatment Study.
(Copyright © 2020 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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