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The effects of a progressive exercise program with surface electromyographic biofeedback on an adult with fecal incontinence.
Phys Ther. 2002 Aug; 82(8):798-811.PT

Abstract

BACKGROUND AND PURPOSE

Fecal incontinence often compromises a person's ability to participate in work and recreational activities. Incontinence may also diminish a person's willingness to take part in social events, leading to feelings of isolation. This case report describes physical therapy designed to reduce a patient's pelvic-floor muscle dysfunction and fecal incontinence.

CASE DESCRIPTION

The patient was a 30-year-old woman whose fecal incontinence began after the complicated vaginal birth of her first child that required a vacuum extraction and episiotomy. Intervention included soft tissue techniques, electromyographic biofeedback, strength training, relaxation training, patient education, and a home program. The patient completed a questionnaire at initial evaluation and at discharge to assess her perceived limitations in functional activities. Electromyographic analysis was used to measure changes in the patient's pelvic-floor muscle control.

OUTCOMES

The social, occupational, and sexual domains, which the patient initially judged to be the most compromised, showed the greatest improvement. Electromyographic data for the final treatment session indicated improved strength, endurance, and control of her pelvic-floor muscles. The patient reported no episodes of fecal incontinence over the last month of the 3 months of therapy.

DISCUSSION

The physical therapy program may have led to improved bowel continence and greater control of the pelvic-floor muscles, resulting in greater confidence and comfort in social and work situations and less restriction in the patient's physical relationship with her spouse.

Authors+Show Affiliations

Coffey Physical Therapy, 99 Kennard Rd, Mahopac, NY 10541, USA. (Stephanie_Coffey@NYMC.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

12147009

Citation

Coffey, Stephanie Weiss, et al. "The Effects of a Progressive Exercise Program With Surface Electromyographic Biofeedback On an Adult With Fecal Incontinence." Physical Therapy, vol. 82, no. 8, 2002, pp. 798-811.
Coffey SW, Wilder E, Majsak MJ, et al. The effects of a progressive exercise program with surface electromyographic biofeedback on an adult with fecal incontinence. Phys Ther. 2002;82(8):798-811.
Coffey, S. W., Wilder, E., Majsak, M. J., Stolove, R., & Quinn, L. (2002). The effects of a progressive exercise program with surface electromyographic biofeedback on an adult with fecal incontinence. Physical Therapy, 82(8), 798-811.
Coffey SW, et al. The Effects of a Progressive Exercise Program With Surface Electromyographic Biofeedback On an Adult With Fecal Incontinence. Phys Ther. 2002;82(8):798-811. PubMed PMID: 12147009.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effects of a progressive exercise program with surface electromyographic biofeedback on an adult with fecal incontinence. AU - Coffey,Stephanie Weiss, AU - Wilder,Elaine, AU - Majsak,Michael J, AU - Stolove,Renee, AU - Quinn,Lori, PY - 2002/7/31/pubmed PY - 2002/9/13/medline PY - 2002/7/31/entrez SP - 798 EP - 811 JF - Physical therapy JO - Phys Ther VL - 82 IS - 8 N2 - BACKGROUND AND PURPOSE: Fecal incontinence often compromises a person's ability to participate in work and recreational activities. Incontinence may also diminish a person's willingness to take part in social events, leading to feelings of isolation. This case report describes physical therapy designed to reduce a patient's pelvic-floor muscle dysfunction and fecal incontinence. CASE DESCRIPTION: The patient was a 30-year-old woman whose fecal incontinence began after the complicated vaginal birth of her first child that required a vacuum extraction and episiotomy. Intervention included soft tissue techniques, electromyographic biofeedback, strength training, relaxation training, patient education, and a home program. The patient completed a questionnaire at initial evaluation and at discharge to assess her perceived limitations in functional activities. Electromyographic analysis was used to measure changes in the patient's pelvic-floor muscle control. OUTCOMES: The social, occupational, and sexual domains, which the patient initially judged to be the most compromised, showed the greatest improvement. Electromyographic data for the final treatment session indicated improved strength, endurance, and control of her pelvic-floor muscles. The patient reported no episodes of fecal incontinence over the last month of the 3 months of therapy. DISCUSSION: The physical therapy program may have led to improved bowel continence and greater control of the pelvic-floor muscles, resulting in greater confidence and comfort in social and work situations and less restriction in the patient's physical relationship with her spouse. SN - 0031-9023 UR - https://www.unboundmedicine.com/medline/citation/12147009/The_effects_of_a_progressive_exercise_program_with_surface_electromyographic_biofeedback_on_an_adult_with_fecal_incontinence_ L2 - http://www.diseaseinfosearch.org/result/3797 DB - PRIME DP - Unbound Medicine ER -