Long-Term Study on the Effects of Visual Biofeedback and Muscle Training as a Therapeutic Modality in Pelvic Floor Dyssynergia and Slow-Transit Constipation
| Autor: | Fabio Chistolini, Anna Serra, Gabrio Bassotti, Edda Battaglia, Giuseppina Buonafede, Antonio Morelli, Giorgio Emanuelli, L. Dughera |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Male Abdominal pain medicine.medical_specialty Time Factors Constipation Manometry medicine.medical_treatment Electromyography Biofeedback Dyssynergia medicine Humans Gastrointestinal Transit Pelvic floor medicine.diagnostic_test business.industry digestive oral and skin physiology Anorectal manometry Rectum Gastroenterology Biofeedback Psychology Pelvic Floor General Medicine Middle Aged Colorectal surgery body regions Treatment Outcome medicine.anatomical_structure Physical therapy Ataxia Female medicine.symptom business Psychomotor Performance Follow-Up Studies Muscle Contraction |
| Zdroj: | Diseases of the Colon & Rectum. 47:90-95 |
| ISSN: | 0012-3706 |
| DOI: | 10.1007/s10350-003-0010-0 |
| Popis: | PURPOSE: Biofeedback training has been shown as an effective therapeutic measure in patients with pelvic floor dyssynergia, at least in the short term. Long-term effects have received less attention. Moreover, its effects in patients with slow-transit constipation have been scarcely investigated. This study was designed to assess in an objective way the medium- and long-term effects of biofeedback and muscle training in patients with pelvic floor dyssynergia and slow-transit constipation. METHODS: Twenty-four patients (14 with pelvic floor dyssynergia and 10 with slow transit) meeting the Rome II criteria for constipation, and unresponsive to conventional treatments, entered the study. Clinical evaluation and anorectal manometry were performed basally and three months after a cycle of electromyographic biofeedback and muscle training; moreover, a clinical interview was obtained one year after biofeedback. Patients with slow-transit constipation also had colonic transit time reassessed at one year. RESULTS: Clinical variables (abdominal pain, straining, number of evacuations/week, use of laxatives) all significantly improved in both groups at three-month assessment; anorectal manometric variables remained unchanged, apart from a significant decrease of sensation threshold in the pelvic floor dyssynergia group and of the maximum rectal tolerable volume in the slow-transit constipation group. At one-year control, 50 percent of patients with pelvic floor dyssynergia still maintained a beneficial effect from biofeedback, whereas only 20 percent of those complaining of slow-transit constipation did so. Moreover, the latter displayed no improvement in colonic transit time. CONCLUSIONS: In our experience, patients with pelvic floor dyssynergia are likely to have continued benefit from biofeedback training in the time course, whereas its effects on slow-transit constipation seems to be maximal in the short-term course. |
| Databáze: | OpenAIRE |
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