Treatment of the spastic pelvic floor syndrome with biofeedback

Bleijenberg, Gijs; Kuijpers, Han C.

doi:10.1007/bf02554946

Cited by 240 publications

(66 citation statements)

References 3 publications

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“…Patients are taught to brace the abdominal wall muscles and relax the pelvic floor muscles during defecation, and efforts are also made to modify sensory perception in the rectum [11]. The first application of BFT for treatment of CC due to DD was in 1987 [12]. Since then, a number of controlled studies have shown that BFT can be more effective than laxatives, muscle relaxants, and placebo, with benefits lasting for at least 12 months [13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Efficacy and Predictors for Biofeedback Therapeutic Outcome in Patients with Dyssynergic Defecation

Yu¹,

Lin²

2017

Gastroenterology

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Section: Introductionmentioning

confidence: 99%

Efficacy and Predictors for Biofeedback Therapeutic Outcome in Patients with Dyssynergic Defecation

Yu¹,

Lin²

2017

Gastroenterology

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“…For patients with paradoxical puborectalis contraction (anismus) biofeedback is accepted as a method of choice (9) with a success rate of 70 to 90 percent (10,(34)(35)(36). In our study biofeedback was successful in 64 percent of all patients with constipation and outlet obstruction, but in 77 percent when the cause was purely anismus.…”

Section: Discussionmentioning

confidence: 59%

The Role of Biofeedback Therapy in Functional Proctologic Disorders

et al. 2004

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Background and Aims:The question which patients with functional proctologic disorders truly benefit from the biofeedback has not been equivocally resolved. The aim of this study was to assess our results of biofeedback therapy in patients with anal incontinence or constipation.Material and Methods: Fifty-two consecutive patients who were treated with biofeedback therapy between January 1998 and March 2002 were studied. Data was collected from our proctologic database.Results: Of the twenty-two patients with anal incontinence who underwent biofeedback therapy during the study period, twenty patients had incontinence affecting quality of life. Twelve patients (60 percent) benefited from biofeedback as judged by improvement of incontinence symptoms affecting quality of life; all four patients with partial sphincter defects, three out of four patients after secondary repair, three out of five patients with persistent incontinence after rectal prolapse surgery and two out of seven patients having idiopathic incontinence. Of the thirty patients who underwent biofeedback therapy for constipation, twenty-five had intractable symptoms of constipation. Constipation resolved in sixteen patients (64 percent); in thirteen out of nineteen (68 percent) of those with pelvic floor dysfunction (PFD) and in three out of six (50 percent) having combined PFD and slow transit constipation. In patients with PFD constipation was resolved in ten out of thirteen patients (77 percent) with anismus but in only three out of six (50 percent) having other causes.Conclusions: Biofeedback therapy improves incontinence after sphincter repairs and in patients with partial external sphincter defects, but does not improve idiopathic incontinence. Biofeedback is also effective in patients with constipation, especially when anismus is the only cause for symptoms of constipation and difficult evacuation.

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“…13 The first application of BFT for constipation treatment was reported in 1987. 14 Recently, studies reported that BFT was effective for patients with dyssynergic defecation, 15,16 constipated patients with mild spinal cord diseases, 17 and constipated patients caused by radical hysterectomy or vaginal delivery. 18 Currently,…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Cranial Electrotherapy Stimulation Combined with Biofeedback Therapy in Patients with Functional Constipation

Gong

Hong

Zang

et al. 2016

J Neurogastroenterol Motil

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Background/AimsA large number of studies have shown that function constipation (FC) has an extremely high incidence of mental and psychological disorders. Cranial electrotherapy stimulation (CES) was applied to the treatment of psychological disorders such as anxiety and depression. We explored the effects of CES combined with biofeedback therapy (BFT) on the psychological state, clinical symptoms, and anorectal function in patients with FC. MethodsA total of 74 patients with FC were randomly divided into 2 groups. The control group received BFT. CES combined with BFT was carried out in the experiment group. All patients were assessed using the self-rating anxiety scale (SAS), self-rating depression scale (SDS), and Wexner constipation score at baseline and the end of each course. Anorectal manometry and balloon expulsion tests were performed before and after treatment. ResultsAfter treatment, the participants in the experiment group had significantly lower score SAS, SDS, and Wexner constipation scores than the control group (all P < 0.05). The number of successful expulsion in the experiment group was larger than the control group (P = 0.016). Conclusions

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Treatment of the spastic pelvic floor syndrome with biofeedback

Cited by 240 publications

References 3 publications

Efficacy and Predictors for Biofeedback Therapeutic Outcome in Patients with Dyssynergic Defecation

Efficacy and Predictors for Biofeedback Therapeutic Outcome in Patients with Dyssynergic Defecation

The Role of Biofeedback Therapy in Functional Proctologic Disorders

Efficacy of Cranial Electrotherapy Stimulation Combined with Biofeedback Therapy in Patients with Functional Constipation

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