Results of biofeedback in constipated patients

Autor: Karin Edebol Eeg-Olofsson, Marianne Hallden, Lars Påhlman, Urban Karlbom, Wilhelm Graf
Rok vydání: 1997
Předmět:
Zdroj: Diseases of the Colon & Rectum. 40:1149-1155
ISSN: 0012-3706
DOI: 10.1007/bf02055160
Popis: PURPOSE: The aims of this study were to assess the results of biofeedback treatment in constipated patients and to identify variables that might be used to predict the outcome. METHOD: Twenty-eight patients (5 men; median age, 46 (range, 22–72) years) with any degree of paradoxical activation measured with thin hook needle electromyography in the external sphincter or puborectalis muscle were included. The symptom duration varied between 1 and 30 (median, 9) years. The patients had eight outpatient training sessions with electromyography-based audiovisual feedback. All patients were followed up prospectively with a validated bowel function questionnaire from which a symptom index was created. RESULTS: At three months, nine patients had no improvement and underwent other treatments. The remaining 19 patients were followed up for a median of 14 (range, 12–34) months. Twelve patients (43 percent) stated they had improved rectal emptying. A good result was associated with increased stool frequency (P< 0.05), improved symptom index (P
Databáze: OpenAIRE