Constipation and evacuation disorders

Chatoor, D; Emmnauel, Anton

doi:10.1016/j.bpg.2009.05.001

Cited by 81 publications

(46 citation statements)

References 64 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It should be noted that constipation rarely occurs alone and is frequently associated with other pelvic floor problems, such as urinary disorders (bladder alterations), sexual dysfunctions and chronic pain 30 . The authors observed reduced pain in these patients (reduced constipation score) and improvement in associated soiling.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of biofeedback therapy in patients with chronic constipation

Sagae¹,

Lima²,

Alves³

et al. 2012

J. Coloproctol. (Rio J.)

View full text Add to dashboard Cite

Purpose: The purpose of this study was to evaluate the effect of physical therapy in women diagnosed with chronic constipation using functional training of the pelvic floor (biofeedback). Patients and Methods: From March 2009 to March 2010, 67 women with chronic constipation were prospectively evaluated. The patients were evaluated and the constipation score proposed by Agachan et al. was applied. Then, they were sent to biofeedback. These patients were divided into 2 groups: with anismus (group I: mean age of 46.90 years old) and without anismus (group II: mean age of 44.89 years old) and diagnosed by anorectal electromanometry. The treatment was performed with different exercises for each group, associated with some hygieno-dietetic directions. At the end of treatment, the constipation score was reapplied. Results: Pre-biofeedback constipation score in group I was 15.04 (standard deviation -SD=2.48) and post-biofeedback constipation score was 3.39 (SD=1.62) (p<0.0001). Pre-biofeedback constipation score in group II was 14.82 (SD=2.401) and post-biofeedback constipation score was 2.90 (SD=1.64) (p<0.0001). Besides, a significant difference (p<0.005) was observed between the groups regarding the number of biofeedback sessions. Conclusion: Thus, the authors conclude that biofeedback is effective in the treatment of constipation.Keywords: biofeedback; constipation; pelvic floor. RESUMO: Objetivo:Este trabalho objetivou avaliar o efeito do tratamento fisioterapêutico, em mulheres diagnosticadas com constipação crô-nica, utilizando treinamento funcional do assoalho pélvico (biofeedback). Casuística e Método: No período de março de 2009 a março de 2010, foram avaliadas, prospectivamente, 67 mulheres com constipação intestinal. As pacientes foram avaliadas e o escore de constipação, proposto por Agachan et al., foi aplicado; então, foram encaminhadas ao biofeedback. Essas pacientes foram divididas em 2 grupos: com anismus (56 pacientes do grupo I: média de idade 46,90 anos) e sem anismus (11 pacientes do grupo II: média de idade 44,89 anos), diagnosticadas pela eletromanometria anorretal. Para o tratamento, foram estipulados exercícios diferentes para cada grupo, associados com orientações higienodietéticas. Ao fim do tratamento, foi reaplicado o escore de constipação. Resultados: O escore de constipação do grupo I, na avaliação pré-biofeedback, foi 15,04 (desvio padrão -DP=2,48) e, no pós-tratamento, foi 3,39 (DP=1,62) (p<0,0001). O escore de constipação do grupo II, na avaliação pré-biofeedback, foi 14,82 (DP=2,401) e, no pós-tratamento, foi 2,90 (DP=1,64) (p<0,0001). Além disso, em relação ao número de sessões de biofeedback entre os grupos, houve diferença significativa (p<0,005). Conclusão: Concluiu-se que o biofeedback é eficaz no tratamento da constipação intestinal.Palavras-chave: feedback de eletromiografia; constipação intestinal; diafragma da pelve.

show abstract

Section: Discussionmentioning

confidence: 99%

Effectiveness of biofeedback therapy in patients with chronic constipation

Sagae¹,

Lima²,

Alves³

et al. 2012

J. Coloproctol. (Rio J.)

View full text Add to dashboard Cite

show abstract

“…Constipation refers to bowel movements that are infrequent or hard to pass [11]. Chronic constipation was defined as the use of daily laxatives to achieve passage of daily stools.…”

Section: Methodsmentioning

confidence: 99%

Development of Frequency of Stools over Time in Children with Hirschsprung Disease Posttransanal Endorectal One-Stage Pull-through

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Other studies have reported a peak incidence between 3 and 5 years [75-78]. The second peak, occurring in geriatric patients [9,79], has been variously attributed to aging with consequent loss of tissue elasticity [80], increased evidence of neuropathy with age [81], pelvic floor weakness and laxity [81], reduced mobility, polypharmacy [82], etc.…”

Section: Influence Of Age and Gendermentioning

confidence: 98%