Prospective study of biofeedback for treatment of constipation.

作者: N. A. Rieger , D. A. Wattchow , R. G. Sarre , G. T. P. Saccone , C. A. Rich

DOI: 10.1007/BF02055159

关键词:

摘要: PURPOSE: This study was designed to evaluate prospectively the results of pelvic floor physiotherapy with aid biofeedback in a heterogeneous group patients intractable constipation. METHODS: Biofeedback used treat 19 (age range, 16–78 (median, 63) years) Assessment, using visual linear analog scales symptoms, performed by an independent researcher. physiotherapist, and were required attend six sessions on outpatient basis. The cause constipation heterogeneous, no specific disorder being implicated testing anal manometry, defecating proctography, colonic transit time. RESULTS: At weeks, there median 27 percent (range, −8–93 percent) improvement symptom scores. months, 23 −54–64 These statistically significant compared scores at outset, weeks (P=0.0006), months (P=0.012). However, only two (12.5 six-month follow-up had greater than 50 their symptoms. CONCLUSION: is not recommended management

参考文章(18)
Hélène Martelli, Ghislain Devroede, Pierre Arhan, Colette Duguay, Mechanisms of Idiopathic Constipation: Outlet Obstruction Gastroenterology. ,vol. 75, pp. 623- 631 ,(1978) , 10.1016/S0016-5085(19)31670-1
M M. Henry, Michael Swash, Coloproctology and the Pelvic Floor ,(1991)
Nicholas W. Read, William V. Harford, A. Carl Schmulen, Maria G. Read, Carol Santa Ana, John S. Fordtran, A clinical study of patients with fecal incontinence and diarrhea. Gastroenterology. ,vol. 76, pp. 747- 756 ,(1979) , 10.1016/S0016-5085(79)80175-4
James O. Keck, Raymond J. Staniunas, John A. Coller, Richard C. Barrett, Mary E. Oster, David J. Schoetz, Patricia L. Roberts, John J. Murray, Malcolm C. Veidenheimer, Biofeedback training is useful in fecal incontinence but disappointing in constipation Diseases of The Colon & Rectum. ,vol. 37, pp. 1271- 1276 ,(1994) , 10.1007/BF02257795
C. Johansson, B. Y. Nilsson, A. Mellgren, A. Dolk, B. Holmstr�m, Paradoxical sphincter reaction and associated colorectal disorders. International Journal of Colorectal Disease. ,vol. 7, pp. 89- 94 ,(1992) , 10.1007/BF00341293
P. N. Jones, D. Z. Lubowski, M. Swash, M. M. Henry, Is paradoxical contraction of puborectalis muscle of functional importance Diseases of The Colon & Rectum. ,vol. 30, pp. 667- 670 ,(1987) , 10.1007/BF02561685
R. Miller, G. S. Duthie, D. C. C. Bartolo, A. M. Roe, J. Locke-Edmunds, N. J. McC. Mortense, Anismus in patients with normal and slow transit constipation British Journal of Surgery. ,vol. 78, pp. 690- 692 ,(2005) , 10.1002/BJS.1800780619
Steven D Wexner, John D Cheape, Jose MN Jorge, Steve Heymen, David G Jagelman, None, Prospective assessment of biofeedback for the treatment of paradoxical puborectalis contraction. Diseases of The Colon & Rectum. ,vol. 35, pp. 145- 150 ,(1992) , 10.1007/BF02050669
D. M. Preston, J. E. Lennard-Jones, Anismus in chronic constipation. Digestive Diseases and Sciences. ,vol. 30, pp. 413- 418 ,(1985) , 10.1007/BF01318172
F.W. Poon, J.C. Lauder, I.G. Finlay, Technical report: evacuating proctography--a simplified technique. Clinical Radiology. ,vol. 44, pp. 113- 116 ,(1991) , 10.1016/S0009-9260(05)80508-2