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Prospective, randomized trial comparing four biofeedback techniques for patients with constipation.

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.

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  • Authors+Show Affiliations

    ,

    Department of Colorectal Surgery, Cleveland Clinic Florida, Fort Lauderdale, USA.

    , , , ,

    Source

    Diseases of the colon and rectum 42:11 1999 Nov pg 1388-93

    MeSH

    Adolescent
    Adult
    Aged
    Aged, 80 and over
    Biofeedback, Psychology
    Catheterization
    Child
    Child, Preschool
    Chronic Disease
    Constipation
    Electromyography
    Female
    Humans
    Male
    Middle Aged
    Muscle Contraction
    Muscle, Smooth
    Outpatients
    Pelvic Floor
    Peristalsis
    Physical Stimulation
    Prospective Studies
    Rectum
    Treatment Outcome

    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://ovidsp.ovid.com/ovidweb.cgi?T=JS&amp;PAGE=linkout&amp;SEARCH=10566525.ui DB - PRIME DP - Unbound Medicine ER -