Behavioural treatment of the dyssynergic defecation in chronically constipated elderly patients: a randomized controlled trial
| Autor: | Miguel A. Simón, Ana Marcela Bueno |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty Bowel functioning law.invention Randomized controlled trial law Behavior Therapy Sensation Dyssynergic defecation medicine Humans Defecation Applied Psychology Aged Aged 80 and over Chronic constipation Analysis of Variance business.industry Electromyography Biofeedback Psychology medicine.disease body regions Neuropsychology and Physiological Psychology Treatment Outcome Anismus Chronic Disease Physical therapy Perianal pain Ataxia Female business Constipation |
| Zdroj: | Applied psychophysiology and biofeedback. 34(4) |
| ISSN: | 1573-3270 |
| Popis: | A randomized controlled trial was carried out with the purpose to determine the effectiveness of EMG-biofeedback in the treatment of chronically constipated elderly patients with dyssynergic defecation as compared to a control condition characterized by information about the bowel functioning and counseling focused on the behavioural mechanisms involved in the defecation. With this purpose, after an initial assessment period (4 weeks), 30 chronically constipated elderly patients with dyssynergic defecation (11 males, 19 females) were randomly assigned to either EMG-biofeedback group (n = 15) or control group (n = 15). The results shown significant improvements in psychophysiological measures (EMG-activity during straining to defecate and anismus index), as well as in clinical variables (frequency of defecations per week, sensation of incomplete evacuation, difficulty evacuation level and perianal pain at defecation) only in the EMG-biofeedback group. The clinical benefits of this behavioural treatment were maintained at the follow-up period 2 months later. |
| Databáze: | OpenAIRE |
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