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Electrical stimulation and biofeedback exercise of pelvic floor muscle for children with faecal incontinence after surgery for anorectal malformation.
Pediatr Surg Int. 2006 Dec; 22(12):975-8.PS

Abstract

We report our experience of electrical stimulation and biofeedback exercise of pelvic floor muscle for children with faecal incontinence after surgery for anorectal malformation (ARM). Electrical stimulation and biofeedback exercise of pelvic floor muscle were performed on children with post-operative faecal soiling following repair of intermediate or high type ARM. Children under the age of 5 years or with learning difficulties were excluded. They had 6 months supervised programme in the Department of Physiotherapy followed by 6 months home based programme. Bowel management including toilet training, dietary advice, medications and enemas were started before the pelvic floor muscle exercise and continued throughout the programme. Soiling frequency rank, Rintala continence score, sphincter muscle electromyography (EMG) and anorectal manometry were assessed before and after the programme. Wilcoxon signed rank test was performed for statistical analysis. From March 2001 to May 2006, 17 children were referred to the programme. Twelve patients (M:F = 10:2; age = 5-17 years) completed the programme. There was a trend of improvement in Rintala score at sixth month (p = 0.206) and at the end of programme (p = 0.061). Faecal soiling was significantly improved at sixth month (p = 0.01) and at the end of the programme (p = 0.004). Mean sphincter muscle EMG before treatment was 1.699 microV. Mean EMG at sixth month and after the programme was 3.308 microV (p = 0.034) and 3.309 microV (p = 0.002) respectively. After the programme, there was a mean increase in anal sphincter squeeze pressure of 29.9 mmHg (p = 0.007). Electrical stimulation and biofeedback exercise of pelvic floor muscle is an effective adjunct for the treatment of faecal incontinence in children following surgery for anorectal malformation.

Authors+Show Affiliations

Division of Paediatric Surgery, Department of Surgery, Queen Elizabeth and United Christian Hospital, 130, Hip Wo Street, Kwun Tong, Kowloon, Hong Kong, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17001486

Citation

Leung, M W Y., et al. "Electrical Stimulation and Biofeedback Exercise of Pelvic Floor Muscle for Children With Faecal Incontinence After Surgery for Anorectal Malformation." Pediatric Surgery International, vol. 22, no. 12, 2006, pp. 975-8.
Leung MW, Wong BP, Leung AK, et al. Electrical stimulation and biofeedback exercise of pelvic floor muscle for children with faecal incontinence after surgery for anorectal malformation. Pediatr Surg Int. 2006;22(12):975-8.
Leung, M. W., Wong, B. P., Leung, A. K., Cho, J. S., Leung, E. T., Chao, N. S., Chung, K. W., Kwok, W. K., & Liu, K. K. (2006). Electrical stimulation and biofeedback exercise of pelvic floor muscle for children with faecal incontinence after surgery for anorectal malformation. Pediatric Surgery International, 22(12), 975-8.
Leung MW, et al. Electrical Stimulation and Biofeedback Exercise of Pelvic Floor Muscle for Children With Faecal Incontinence After Surgery for Anorectal Malformation. Pediatr Surg Int. 2006;22(12):975-8. PubMed PMID: 17001486.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Electrical stimulation and biofeedback exercise of pelvic floor muscle for children with faecal incontinence after surgery for anorectal malformation. AU - Leung,M W Y, AU - Wong,B P Y, AU - Leung,A K P, AU - Cho,J S Y, AU - Leung,E T Y, AU - Chao,N S Y, AU - Chung,K W, AU - Kwok,W K, AU - Liu,K K W, PY - 2006/9/27/pubmed PY - 2007/2/28/medline PY - 2006/9/27/entrez SP - 975 EP - 8 JF - Pediatric surgery international JO - Pediatr. Surg. Int. VL - 22 IS - 12 N2 - We report our experience of electrical stimulation and biofeedback exercise of pelvic floor muscle for children with faecal incontinence after surgery for anorectal malformation (ARM). Electrical stimulation and biofeedback exercise of pelvic floor muscle were performed on children with post-operative faecal soiling following repair of intermediate or high type ARM. Children under the age of 5 years or with learning difficulties were excluded. They had 6 months supervised programme in the Department of Physiotherapy followed by 6 months home based programme. Bowel management including toilet training, dietary advice, medications and enemas were started before the pelvic floor muscle exercise and continued throughout the programme. Soiling frequency rank, Rintala continence score, sphincter muscle electromyography (EMG) and anorectal manometry were assessed before and after the programme. Wilcoxon signed rank test was performed for statistical analysis. From March 2001 to May 2006, 17 children were referred to the programme. Twelve patients (M:F = 10:2; age = 5-17 years) completed the programme. There was a trend of improvement in Rintala score at sixth month (p = 0.206) and at the end of programme (p = 0.061). Faecal soiling was significantly improved at sixth month (p = 0.01) and at the end of the programme (p = 0.004). Mean sphincter muscle EMG before treatment was 1.699 microV. Mean EMG at sixth month and after the programme was 3.308 microV (p = 0.034) and 3.309 microV (p = 0.002) respectively. After the programme, there was a mean increase in anal sphincter squeeze pressure of 29.9 mmHg (p = 0.007). Electrical stimulation and biofeedback exercise of pelvic floor muscle is an effective adjunct for the treatment of faecal incontinence in children following surgery for anorectal malformation. SN - 0179-0358 UR - https://www.unboundmedicine.com/medline/citation/17001486/Electrical_stimulation_and_biofeedback_exercise_of_pelvic_floor_muscle_for_children_with_faecal_incontinence_after_surgery_for_anorectal_malformation_ L2 - https://dx.doi.org/10.1007/s00383-006-1790-9 DB - PRIME DP - Unbound Medicine ER -