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Randomised controlled trial comparing early home biofeedback physiotherapy with pelvic floor exercises for the treatment of third-degree tears (EBAPT Trial).
BJOG. 2013 Sep; 120(10):1240-7; discussion 1246.BJOG

Abstract

OBJECTIVE

To compare early home biofeedback physiotherapy with pelvic floor exercises (PFEs) for the initial management of women sustaining a primary third-degree tear.

DESIGN

Single centre, randomised trial.

SETTING

National Maternity Hospital, Dublin, Ireland.

POPULATION

A total of 120 women sustaining a primary third-degree tear.

METHODS

Women were randomised in a one to three ratio: 30 to early postpartum home biofeedback physiotherapy and 90 to PFEs.

MAIN OUTCOME MEASURES

Differences in anorectal manometry results, Cleveland Clinic continence scores and Rockwood faecal incontinence quality of life scale scores after 3 months of postpartum treatment.

RESULTS

The mean anal resting pressure was 39 ± 13 mmHg in the early biofeedback physiotherapy group and 43 ± 17 mmHg in the PFE group. The mean anal squeeze pressure was 64 ± 17 mmHg in the biofeedback group and 62 ± 23 mmHg in the PFE group. There was no significant difference in anal resting and squeeze pressure values between the groups (P = 0.123 and P = 0.68, respectively). There were no differences in symptom score and quality of life measurements between the groups.

CONCLUSIONS

This study demonstrates no added value in using early home biofeedback physiotherapy in the management of women sustaining third-degree tears. Poor compliance may have contributed because women found it difficult to designate time to using biofeedback.

Authors+Show Affiliations

National Maternity Hospital, Dublin, Ireland.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

23782995

Citation

Peirce, C, et al. "Randomised Controlled Trial Comparing Early Home Biofeedback Physiotherapy With Pelvic Floor Exercises for the Treatment of Third-degree Tears (EBAPT Trial)." BJOG : an International Journal of Obstetrics and Gynaecology, vol. 120, no. 10, 2013, pp. 1240-7; discussion 1246.
Peirce C, Murphy C, Fitzpatrick M, et al. Randomised controlled trial comparing early home biofeedback physiotherapy with pelvic floor exercises for the treatment of third-degree tears (EBAPT Trial). BJOG. 2013;120(10):1240-7; discussion 1246.
Peirce, C., Murphy, C., Fitzpatrick, M., Cassidy, M., Daly, L., O'Connell, P. R., & O'Herlihy, C. (2013). Randomised controlled trial comparing early home biofeedback physiotherapy with pelvic floor exercises for the treatment of third-degree tears (EBAPT Trial). BJOG : an International Journal of Obstetrics and Gynaecology, 120(10), 1240-7; discussion 1246. https://doi.org/10.1111/1471-0528.12194
Peirce C, et al. Randomised Controlled Trial Comparing Early Home Biofeedback Physiotherapy With Pelvic Floor Exercises for the Treatment of Third-degree Tears (EBAPT Trial). BJOG. 2013;120(10):1240-7; discussion 1246. PubMed PMID: 23782995.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Randomised controlled trial comparing early home biofeedback physiotherapy with pelvic floor exercises for the treatment of third-degree tears (EBAPT Trial). AU - Peirce,C, AU - Murphy,C, AU - Fitzpatrick,M, AU - Cassidy,M, AU - Daly,L, AU - O'Connell,P R, AU - O'Herlihy,C, Y1 - 2013/06/19/ PY - 2012/12/12/accepted PY - 2013/6/21/entrez PY - 2013/6/21/pubmed PY - 2013/11/15/medline KW - Biofeedback physiotherapy KW - faecal incontinence KW - pelvic floor exercises KW - pudendal nerve injury KW - third-degree tear SP - 1240-7; discussion 1246 JF - BJOG : an international journal of obstetrics and gynaecology JO - BJOG VL - 120 IS - 10 N2 - OBJECTIVE: To compare early home biofeedback physiotherapy with pelvic floor exercises (PFEs) for the initial management of women sustaining a primary third-degree tear. DESIGN: Single centre, randomised trial. SETTING: National Maternity Hospital, Dublin, Ireland. POPULATION: A total of 120 women sustaining a primary third-degree tear. METHODS: Women were randomised in a one to three ratio: 30 to early postpartum home biofeedback physiotherapy and 90 to PFEs. MAIN OUTCOME MEASURES: Differences in anorectal manometry results, Cleveland Clinic continence scores and Rockwood faecal incontinence quality of life scale scores after 3 months of postpartum treatment. RESULTS: The mean anal resting pressure was 39 ± 13 mmHg in the early biofeedback physiotherapy group and 43 ± 17 mmHg in the PFE group. The mean anal squeeze pressure was 64 ± 17 mmHg in the biofeedback group and 62 ± 23 mmHg in the PFE group. There was no significant difference in anal resting and squeeze pressure values between the groups (P = 0.123 and P = 0.68, respectively). There were no differences in symptom score and quality of life measurements between the groups. CONCLUSIONS: This study demonstrates no added value in using early home biofeedback physiotherapy in the management of women sustaining third-degree tears. Poor compliance may have contributed because women found it difficult to designate time to using biofeedback. SN - 1471-0528 UR - https://www.unboundmedicine.com/medline/citation/23782995/Randomised_controlled_trial_comparing_early_home_biofeedback_physiotherapy_with_pelvic_floor_exercises_for_the_treatment_of_third_degree_tears__EBAPT_Trial__ L2 - https://doi.org/10.1111/1471-0528.12194 DB - PRIME DP - Unbound Medicine ER -