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Useful parameters helping proctologists to identify patients with defaecatory disorders that may be treated with pelvic floor rehabilitation.
Tech Coloproctol. 2007 Mar; 11(1):45-50.TC

Abstract

BACKGROUND

No studies have specifically reported on the use of a diagnostic tool based on physiatric assessment of constipated or incontinent patients

METHODS

Sixty-seven constipated and 37 incontinent patients were submitted to a standard protocol based on proctologic examination, clinico-physiatric assessment (puborectalis contraction, pubococcygeal test, perineal defence reflex, muscular synergies, postural examination) and instrumental evaluation (anorectal manometry, anal US and dynamic defaecography). Patients were offered pelvic floor rehabilitation (thoraco-abdominoperineal muscle coordination training, biofeedback, electrical stimulation and volumetric rehabilitation).

RESULTS

After rehabilitation treatment, decreases of Wexner constipation score (p=0.0001) and Pescatori incontinence score (p=0.0001) were observed.

CONCLUSION

This diagnostic protocol might improve the selection of patients with defaecatory disorders amenable for rehabilitation treatment.

Links

Publisher Full Text

Authors+Show Affiliations

Brusciano L
First Division of General and Gastrointestinal Surgery, Second University of Naples, Naples, Italy. luigibrusciano@tin.it
Limongelli P
No affiliation info available
del Genio G
No affiliation info available
Sansone S
No affiliation info available
Rossetti G
No affiliation info available
Maffettone V
No affiliation info available
Napoletano V
No affiliation info available
Sagnelli C
No affiliation info available
Amoroso A
No affiliation info available
Russo G
No affiliation info available
Pizza F
No affiliation info available
Del Genio A
No affiliation info available

MeSH

AdolescentAdultAgedAged, 80 and overBiofeedback, PsychologyChildConstipationElectric Stimulation TherapyFecal IncontinenceFemaleHumansMaleMiddle AgedPatient SelectionPelvic FloorPhysical Therapy ModalitiesTreatment Outcome

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17357866

Citation

Brusciano, L, et al. "Useful Parameters Helping Proctologists to Identify Patients With Defaecatory Disorders That May Be Treated With Pelvic Floor Rehabilitation." Techniques in Coloproctology, vol. 11, no. 1, 2007, pp. 45-50.
Brusciano L, Limongelli P, del Genio G, et al. Useful parameters helping proctologists to identify patients with defaecatory disorders that may be treated with pelvic floor rehabilitation. Tech Coloproctol. 2007;11(1):45-50.
Brusciano, L., Limongelli, P., del Genio, G., Sansone, S., Rossetti, G., Maffettone, V., Napoletano, V., Sagnelli, C., Amoroso, A., Russo, G., Pizza, F., & Del Genio, A. (2007). Useful parameters helping proctologists to identify patients with defaecatory disorders that may be treated with pelvic floor rehabilitation. Techniques in Coloproctology, 11(1), 45-50.
Brusciano L, et al. Useful Parameters Helping Proctologists to Identify Patients With Defaecatory Disorders That May Be Treated With Pelvic Floor Rehabilitation. Tech Coloproctol. 2007;11(1):45-50. PubMed PMID: 17357866.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Useful parameters helping proctologists to identify patients with defaecatory disorders that may be treated with pelvic floor rehabilitation. AU - Brusciano,L, AU - Limongelli,P, AU - del Genio,G, AU - Sansone,S, AU - Rossetti,G, AU - Maffettone,V, AU - Napoletano,V, AU - Sagnelli,C, AU - Amoroso,A, AU - Russo,G, AU - Pizza,F, AU - Del Genio,A, Y1 - 2007/02/16/ PY - 2006/08/29/received PY - 2006/09/07/accepted PY - 2007/3/16/pubmed PY - 2008/1/1/medline PY - 2007/3/16/entrez SP - 45 EP - 50 JF - Techniques in coloproctology JO - Tech Coloproctol VL - 11 IS - 1 N2 - BACKGROUND: No studies have specifically reported on the use of a diagnostic tool based on physiatric assessment of constipated or incontinent patients METHODS: Sixty-seven constipated and 37 incontinent patients were submitted to a standard protocol based on proctologic examination, clinico-physiatric assessment (puborectalis contraction, pubococcygeal test, perineal defence reflex, muscular synergies, postural examination) and instrumental evaluation (anorectal manometry, anal US and dynamic defaecography). Patients were offered pelvic floor rehabilitation (thoraco-abdominoperineal muscle coordination training, biofeedback, electrical stimulation and volumetric rehabilitation). RESULTS: After rehabilitation treatment, decreases of Wexner constipation score (p=0.0001) and Pescatori incontinence score (p=0.0001) were observed. CONCLUSION: This diagnostic protocol might improve the selection of patients with defaecatory disorders amenable for rehabilitation treatment. SN - 1123-6337 UR - https://www.unboundmedicine.com/medline/citation/17357866/Useful_parameters_helping_proctologists_to_identify_patients_with_defaecatory_disorders_that_may_be_treated_with_pelvic_floor_rehabilitation_ L2 - https://dx.doi.org/10.1007/s10151-007-0324-3 DB - PRIME DP - Unbound Medicine ER -