Biofeedback effectiveness in patients with fecal incontinence
Main Article Content
Keywords
Fecal incontinence, Biofeedback, Electromyography
Abstract
Background: Fecal incontinence is defined as an involuntary bowel movement through the anal canal in inadequate time and place. There are different types of therapies for the management of fecal incontinence, being biofeedback therapy one of the most effective techniques. The aim of this study was to evaluate the necessary number of sessions of biofeedback electromyographyc therapy to achieve the maximum sphincteric complex contraction.
Methods: Descriptive, retrospective and longitudinal study. 65 patients with fecal incontinence were included. Weekly electromyographyc biofeedback therapies were applied, with a maximum of 6, in which the sphincteric complex contraction was measured. A two ways Friedman analysis was made to determine the significant differences between the sessions.
Results: A total of 65 patients were evaluated for fecal incontinence. The values for pelvic floor contraction were significantly higher in the third session, and did not show any significant difference in posterior sessions.
Conclusion: The maximum contraction of the sphicnteric complex was achieved in the third weekly biofeedback session, without any significant differences in the posterior sessions.
References
Norton C. Fecal incontinence and biofeedback therapy. Gastroenterology clinics of North America. Sep 2008;37(3):587-604, viii.
Aaltonen T, Abazov VM, Abbott B, et al. Combination of Tevatron searches for the standard model Higgs boson in the W+W- decay mode. Physical review letters. Feb 12 2010;104(6):061802.
Zutshi M, Salcedo L, Hammel J, Hull T. Anal physiology testing in fecal incontinence: is it of any value? International journal of colorectal disease. Feb 2010; 25(2):277-282.
Poirier M AHFiICJ, ed. Current Surgical Therapy. Philadelphia PM, 2008:285–291 E. Fecal incontinence. Philadelphia, PA: Mosby Elsevier; 2008.
Rao SS. Biofeedback therapy for constipation in adults. Best practice & research. Clinical gastroenterology. Feb 2011;25(1):159-166.
Hayden DM, Weiss EG. Fecal incontinence: etiology, evaluation, and treatment. Clinics in colon and rectal surgery. Mar 2011;24(1):64-70.
Chiarioni G, Ferri B, Morelli A, Iantorno G, Bassotti G. Bio-feedback treatment of fecal incontinence: where are we, and where are we going? World journal of gastroenterology : WJG. Aug 21 2005;11(31): 4771-4775.
Whitehead WE HS, Schuster MM. Motility as a therapeutic modality: biofeedback treatment of gastrointestinal disorders. Second ed2002.
Engel BT, Nikoomanesh P, Schuster MM. Operant conditioning of rectosphincteric responses in the treatment of fecal incontinence. The New England journal of medicine. Mar 21 1974;290(12):646-649.
Koh D, Lim JF, Quah HM, Tang CL. Biofeedback is an effective treatment for patients with dyssynergic defaecation. Singapore medical journal. Jun 2012; 53(6):381-384.
Boselli AS, Pinna F, Cecchini S, et al. Biofeedback therapy plus anal electrostimulation for fecal incontinence: prognostic factors and effects on anorectal physiology. World journal of surgery. Apr 2010;34 (4):815-821.
Iwai N, Nagashima M, Shimotake T, Iwata G. Biofeedback therapy for fecal incontinence after surgery for anorectal malformations: preliminary results. Journal of pediatric surgery. Jun 1993;28(6):863-866.
Chiarioni G, Bassotti G, Stanganini S, Vantini I, Whitehead WE. Sensory retraining is key to biofeedback therapy for formed stool fecal incontinence. The American journal of gastroenterology. Jan 2002;97 (1):109-117.
Hamalainen KJ, Raivio P, Antila S, Palmu A, Mecklin JP. Biofeedback therapy in rectal prolapse patients. Diseases of the colon and rectum. Mar 1996;39(3):262-265.
Miner PB, Donnelly TC, Read NW. Investigation of mode of action of biofeedback in treatment of fecal incontinence. Digestive diseases and sciences. Oct 1990;35(10):1291-1298.
Lee BH, Kim N, Kang SB, et al. The Long-term Clinical Efficacy of Biofeedback Therapy for Patients With Constipation or Fecal Incontinence. Journal of neurogastroenterology and motility. Apr 2010;16(2):177-185.