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Prospective, randomized trial comparing four biofeedback techniques for patients with constipation.
Dis Colon Rectum 1999; 42(11):1388-93DC

Abstract

PURPOSE

The aim of this study was to compare four methods of biofeedback for patients with constipation.

METHODS

Thirty-six patients were prospectively, randomly assigned to one of four protocols: 1) outpatient intra-anal electromyographic biofeedback training; 2) electromyographic biofeedback training plus intrarectal balloon training; 3) electromyographic biofeedback training plus home training; or 4) electromyographic biofeedback training, balloon training, and home training. All 36 patients received weekly one-hour outpatient biofeedback training. Success was measured by increased unassisted bowel movements and reduction in cathartic use. In all instances patients maintained a daily log in which documentation was maintained regarding each bowel evacuation and the need for any cathartics. RESULTS; There was a statistically significant increase in unassisted bowel movements for Groups 1, 2, and 4 (P < 0.05) and a reduction in the use of cathartics in Groups 1, 2, and 3 (P < 0.05).

CONCLUSION

There was a significant improvement in outcome after all four treatment protocols for constipation; however, no significant difference was found among the treatments. Therefore, electromyographic biofeedback training alone is as effective as with the addition of balloon training, home training, or both.

Authors+Show Affiliations

Department of Colorectal Surgery, Cleveland Clinic Florida, Fort Lauderdale, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

10566525

Citation

Heymen, S, et al. "Prospective, Randomized Trial Comparing Four Biofeedback Techniques for Patients With Constipation." Diseases of the Colon and Rectum, vol. 42, no. 11, 1999, pp. 1388-93.
Heymen S, Wexner SD, Vickers D, et al. Prospective, randomized trial comparing four biofeedback techniques for patients with constipation. Dis Colon Rectum. 1999;42(11):1388-93.
Heymen, S., Wexner, S. D., Vickers, D., Nogueras, J. J., Weiss, E. G., & Pikarsky, A. J. (1999). Prospective, randomized trial comparing four biofeedback techniques for patients with constipation. Diseases of the Colon and Rectum, 42(11), pp. 1388-93.
Heymen S, et al. Prospective, Randomized Trial Comparing Four Biofeedback Techniques for Patients With Constipation. Dis Colon Rectum. 1999;42(11):1388-93. PubMed PMID: 10566525.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prospective, randomized trial comparing four biofeedback techniques for patients with constipation. AU - Heymen,S, AU - Wexner,S D, AU - Vickers,D, AU - Nogueras,J J, AU - Weiss,E G, AU - Pikarsky,A J, PY - 1999/11/24/pubmed PY - 1999/11/24/medline PY - 1999/11/24/entrez SP - 1388 EP - 93 JF - Diseases of the colon and rectum JO - Dis. Colon Rectum VL - 42 IS - 11 N2 - PURPOSE: The aim of this study was to compare four methods of biofeedback for patients with constipation. METHODS: Thirty-six patients were prospectively, randomly assigned to one of four protocols: 1) outpatient intra-anal electromyographic biofeedback training; 2) electromyographic biofeedback training plus intrarectal balloon training; 3) electromyographic biofeedback training plus home training; or 4) electromyographic biofeedback training, balloon training, and home training. All 36 patients received weekly one-hour outpatient biofeedback training. Success was measured by increased unassisted bowel movements and reduction in cathartic use. In all instances patients maintained a daily log in which documentation was maintained regarding each bowel evacuation and the need for any cathartics. RESULTS; There was a statistically significant increase in unassisted bowel movements for Groups 1, 2, and 4 (P < 0.05) and a reduction in the use of cathartics in Groups 1, 2, and 3 (P < 0.05). CONCLUSION: There was a significant improvement in outcome after all four treatment protocols for constipation; however, no significant difference was found among the treatments. Therefore, electromyographic biofeedback training alone is as effective as with the addition of balloon training, home training, or both. SN - 0012-3706 UR - https://www.unboundmedicine.com/medline/citation/10566525/Prospective_randomized_trial_comparing_four_biofeedback_techniques_for_patients_with_constipation_ L2 - http://link.springer.com/article/10.1007/bf02235034 DB - PRIME DP - Unbound Medicine ER -