Implementation of a Defecation Posture Modification Device

Modi, Rohan M.; Hinton, Alice; Pinkhas, Daniel; Groce, Royce J.; Meyer, Marty M.; Balasubramanian, Gokulakrishnan; Levine, Edward J.; Stanich, Peter P.

doi:10.1097/mcg.0000000000001143

Cited by 24 publications

(8 citation statements)

References 12 publications

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“…This position should be reached on the toilet by placing a support under the feet. This avoids pushing and, thus, increases pressure in the intra-abdominal cavity, lowering the PFM and weakening them [74]. The toilet should be used at the same time, as the nervous system is then accustomed to regularity.…”

Section: Prevention Of Fecal Incontinencementioning

confidence: 99%

Physiotherapy for Prevention and Treatment of Fecal Incontinence in Women—Systematic Review of Methods

Mazur-Biały

Kołomańska-Bogucka

Opławski³

et al. 2020

JCM

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Fecal incontinence (FI) affects approximately 0.25–6% of the population, both men and women. The most common causes of FI are damage to/weakness of the anal sphincter muscle and/or pelvic floor muscles, as well as neurological changes in the central or peripheral nervous system. The purpose of this study is to report the results of a systematic review of the possibilities and effectiveness of physiotherapy techniques for the prevention and treatment of FI in women. For this purpose, the PubMed, Embase, and Web of Science databases were searched for 2000–2020. A total of 22 publications qualified for detailed analysis. The studies showed that biofeedback (BF), anal sphincter muscle exercises, pelvic floor muscle training (PFMT), and electrostimulation (ES) are effective in relieving FI symptoms, as reflected in the International Continence Society recommendations (BF: level A; PFMT and ES: level B). Research has confirmed that physiotherapy, by improving muscle strength, endurance, and anal sensation, is beneficial in the prevention of FI, both as an independent method of conservative treatment or in pre/post-surgery treatment. Moreover, it can significantly improve the quality of life of patients. In conclusion, physiotherapy (in particular, BF, PFMT, or ES, as effective methods) should be one of the key elements in the comprehensive therapy of patients with FI.

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Section: Prevention Of Fecal Incontinencementioning

confidence: 99%

Physiotherapy for Prevention and Treatment of Fecal Incontinence in Women—Systematic Review of Methods

Mazur-Biały

Kołomańska-Bogucka

Opławski³

et al. 2020

JCM

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“…This theory led to the use of a 'Defecation Posture Modi cation Device' (DPMD) with the seating type of toilet. The DPMD brings the hips and knees in a pseudo-squatting position thus facilitates relaxation of the pelvic oor muscles during defecation [16]. It was also reported that the squatting action during use of squatting toilets improved blood ow velocity in the lower extremities [17], and the user is subjected to squatting, as a form of exercise for strengthening of the quadriceps muscles.…”

Section: Resultsmentioning

confidence: 99%

Limiting potential COVID-19 contagion in squatting public toilets

Han

Pan

Chen

et al. 2020

Preprint

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Background: Since the outbreak of the SARS-CoV-2 virus in December 2019, the COVID-19 pandemic continues to threaten global stability. Transmission of SARS-CoV-2 is mostly by respiratory droplets and direct contact but viral RNA fragments have also been detected in the faecal waste of patients with COVID-19. Cleanliness and effective sanitation of public toilets is a concern, as flushing the toilet is potentially an aerosol generating procedure. When the toilets are of the squatting type and without a cover, there exists a risk of viral contamination through the splashing of toilet water and aerosol generation. Methods: This study reports an online survey of 134 people in China to determine whether the cleanliness of public toilets was a concern to the general population during the COVID-19 pandemic, and whether a squatting toilet was preferred to a seated design.Results: The survey showed that 91% of participants preferred squatting toilets, but that 72% were apprehensive of personal contamination when using public toilets. Over 63% of the respondents had encountered an incidence of water splash and would prefer public toilets to be covered during flushing and 83% of these respondents preferred a foot-controlled device.Conclusions: This survey suggests that consideration should be given to the installation of a simple foot-controlled device to cover public squatting toilets to help restrict potential COVID-19 contamination and to meet hygienic expectations of the public.

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“…The DPMD brings the hips and knees in a pseudo-squatting position thus facilitates relaxation of the pelvic floor muscles during defecation. 16 It was also reported that the squatting action during use of squatting toilets improved blood flow velocity in the lower extremities, 17 and the user is subjected to squatting, as a form of exercise for strengthening of the quadriceps muscles. Quadriceps strength is associated with a lower cardiovascular mortality in patients with coronary artery disease.…”

Section: Discussionmentioning

confidence: 99%

Limiting potential COVID-19 contagion in squatting public toilets

Chen

Guo

et al. 2021

Hong Kong Physiother. J.

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Background: Since the outbreak of the SARS-CoV-2 virus in December 2019, the COVID-19 pandemic continues to threaten global stability. Transmission of SARS-CoV-2 is mostly by respiratory droplets and direct contact but viral RNA fragments have also been detected in the faecal waste of patients with COVID-19. Cleanliness and effective sanitation of public toilets is a concern, as flushing the toilet is potentially an aerosol generating procedure. When the toilets are of the squatting type and without a cover, there exists a risk of viral contamination through the splashing of toilet water and aerosol generation. Objective: This study aims to determine whether the cleanliness of public toilets was a concern to the general population during the COVID-19 pandemic, and whether a squatting toilet was preferred to a seated design. Methods: A questionnaire was designed and posted on “WeChat” contact groups of the investigators. Results: The survey showed that 91% of participants preferred squatting toilets, but that 72% were apprehensive of personal contamination when using public toilets. Over 63% of the respondents had encountered an incidence of water splash and would prefer public toilets to be covered during flushing and 83% of these respondents preferred a foot-controlled device. Conclusion: This survey suggests that consideration should be given to the installation of a simple foot-controlled device to cover public squatting toilets to help restrict potential COVID-19 contamination and to meet hygienic expectations of the public.

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Implementation of a Defecation Posture Modification Device

Cited by 24 publications

References 12 publications

Physiotherapy for Prevention and Treatment of Fecal Incontinence in Women—Systematic Review of Methods

Physiotherapy for Prevention and Treatment of Fecal Incontinence in Women—Systematic Review of Methods

Limiting potential COVID-19 contagion in squatting public toilets

Limiting potential COVID-19 contagion in squatting public toilets

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