Long-Term Study on the Effects of Visual Biofeedback and Muscle Training as a Therapeutic Modality in Pelvic Floor Dyssynergia and Slow-Transit Constipation

Battaglia, Edda; Serra, Anna; Buonafede, Giuseppina; L, Dughera; Chistolini, Fabio; Morelli, Antonio; Emanuelli, G; Bassotti, Gabrio

doi:10.1007/s10350-003-0010-0

Cited by 98 publications

(97 citation statements)

References 25 publications

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“…Biofeedback treatment is an effective option for patients with OD (5,6,23), as was also recently demonstrated by controlled trials (9,10,24), and the present study confirmed this. In fact, 94% of our patients undergoing this training had a successful response, al least in the short term; however, there is evidence of a sustained response of up to two years in up to 80% of patients (9).…”

Section: Discussionsupporting

confidence: 90%

Prevalence of sexual and physical abuse in patients with obstructed defecation: impact on biofeedback treatment

Solé¹,

Bolino²,

Lueso³

et al. 2009

Rev. esp. enferm. dig.

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Background: obstructed defecation is one of the most common subtypes of constipation, and it is frequently responsive to biofeedback treatment.Aims: since a history of sexual and physical abuse may be present in patients with obstructed defecation, we assessed the incidence of abuse history in patients with obstructed defecation referred to a general gastroenterology practice, and whether such a history may lead to a different outcome of biofeedback training in these patients.Patients and methods: one hundred and twenty-one patients (17 men, 104 women, age 53 ± 15 years) with obstructed defecation were studied by retrospective chart review. Their history of sexual, physical and psychological abuse was obtained by a standard interview, and biofeedback training was carried out by means of a three-balloon technique.Results: a history of sexual/physical or psychological abuse was present in 12.4% patients. Biofeedback training yielded a successful improvement of obstructed defecation in 93% patients without abuse and in 100% of patients with abuse; this difference was not statistically different (p = 0.53).Conclusions: the prevalence of sexual/physical or psychological abuse in a population of patients with obstructed defecation referred to a general gastroenterology practice is relatively low; such a history seems not to affect the outcome of biofeedback training in these patients.Key words: Abuse. Biofeedback. Constipation. Obstructed defecation. INTRODUCTIONChronic constipation is a frequent complaint in clinical practice, and affects 3 to 30% of the general population in Western countries, particularly women (1). However, recent studies have shown that similar figures are also present in other countries, such as Latin America (2).The pathophysiological basis of chronic idiopathic constipation may basically be reconducted to two main subtypes, slow-transit constipation (STC) and constipation due to obstructed defecation (OD) (3). The latter, after excluding anatomical or mechanical causes, may be often due to paradoxical contraction or failure to relax of the pelvic floor muscles during attempts to defecate, which impedes the outflow of feces (4,5).The prevalence of OD in different series varies between 25 and 70% (6,7). This probably reflects different population samples, with a prevalence of 7% in the general population (8). In many of these patients biofeedback treatment is very effective (9,10).Even though behavioral or psychological disturbances are frequently encountered in OD, it is still controversial whether these abnormalities are the cause or the consequence of this often disabling symptom (11).Physical and/or psychical abuse are described with relative frequency in some functional gastrointestinal disorders, particularly in patients with irritable bowel syndrome (IBS) (12,13); less data are available for constipated, non-IBS patients. Two recent studies reported that more than 32% of patients with OD had a history of physical and/or psychical abuse (14,15). However, no data on the treatment of such pa...

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Section: Discussionsupporting

confidence: 90%

Prevalence of sexual and physical abuse in patients with obstructed defecation: impact on biofeedback treatment

Solé¹,

Bolino²,

Lueso³

et al. 2009

Rev. esp. enferm. dig.

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“…After 6-session manometric-biofeedback protocol (B), maximal and mean strenght increased to 48 and 7 mmHg, respectively. ficacy in short term, measured by QoL scales and by psychological state (28). However, in the long term, follow-up studies indicate a fading effect over time (28).…”

Section: Discussionmentioning

confidence: 99%

“…ficacy in short term, measured by QoL scales and by psychological state (28). However, in the long term, follow-up studies indicate a fading effect over time (28). Even though, a high percentage of patients (up to 50%) continue to report satisfaction even after 12 to 44 months since treatment (29).…”

Section: Discussionmentioning

confidence: 99%

Manometric Biofeedback Effectiveness on Urinary Incontinence and Quality of Life: A Non-Randomized Control Trial

Fernández-Cuadros

Diez-Ramos

Albaladejo-Florín

et al. 2017

Middle East J Rehabil Health Stud

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Objectives: This study aimed at examining if a 6-session protocol of tonic-phasic exercises using manometric biofeedback (BFB) is capable of improving quality of life (QoL) and muscular strength in patients with urinary incontinence (UI). Methods: A prospective quasi-experimental before-after study was performed on 31 patients with Urinary Incontinence (UI) referred to the rehabilitation department of Santa Cristina's University hospital, Madrid, Spain. The study was performed from January to December 2016. At initial evaluation, affiliation of data, predisposing factors, and type of UI were recorded. Patients were given lifestyle recommendations and international consultation on incontinence questionnaire short form (ICIQ-SF)/ incontinence quality-of-life measure (I-QOL) questionnaires/scales to be fulfilled at the beginning/end of treatment. Manometric evaluation was recorded at initial/final evaluation by MYOMED ® 932. Manometric-BFB protocol consisted of a 30-minute session of tonic/phasic exercises (15 minutes each), 2 times a week for up to 6 sessions, supervised by a physiotherapist. Results:Mean age was 52 ± 12.1 years. Overall, 96.7% (n = 31) of the participants were females. Maximum and mean strength of pelvic floor contraction was 24 ± 17.72 and 4.9 ± 4.1 mmHg, and increased significantly after treatment to 35 ± 20.85 and 7.45 ± 4.92 mmHg (P < 0.01). The mean ICIQ-SF score was 9.13 ± 5.18 and decreased significantly to 6.13 ± 4.75 (P = 0.003). The mean I-QoL score increased significantly from 70.33 ± 22.12 to 81.25 ± 16.72 (P = 0.0017). The I-QoL Limiting Behaviour (LB)-subscale raised from 68.38 ± 23.33 to 80 ± 16.56 (P = 0.0015); I-QoL Psychosocial Impact (PI)-subscale increased from 77.43 ± 24.51 to 80 ± 17.47 (p = 0.0152); and I-QoL social embarrassment (SE)-subscale incremented from 60.72 ± 22.37 to 74.37 ± 20.86 (P = 0.0007). Conclusions:Manometric-BFB protocol is capable of decreasing UI and to improve QoL and manometric values. This reduced protocol could be applied to other public and private institutions and it could have an economical impact on the health system and on patients' economy.

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“…Heymen et al (10) dynamics, which is a contraction of the external anal sphincter and the absence of pelvic floor muscle relaxation (6,21,22). The second mechanism, called PFD, is responsible for approximately 30-50% of cases of functional constipation (5).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the effectiveness of biofeedback therapy for functional constipation in children

Jarzębicka¹,

Sieczkowska²,

Dądalski³

et al. 2016

Turk J Gastroenterol

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Long-Term Study on the Effects of Visual Biofeedback and Muscle Training as a Therapeutic Modality in Pelvic Floor Dyssynergia and Slow-Transit Constipation

Abstract: 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.

Cited by 98 publications

References 25 publications

Prevalence of sexual and physical abuse in patients with obstructed defecation: impact on biofeedback treatment

Prevalence of sexual and physical abuse in patients with obstructed defecation: impact on biofeedback treatment

Manometric Biofeedback Effectiveness on Urinary Incontinence and Quality of Life: A Non-Randomized Control Trial

Evaluation of the effectiveness of biofeedback therapy for functional constipation in children

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