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Biofeedback-guided pelvic floor exercise therapy for obstructive defecation: an effective alternative.
World J Gastroenterol. 2014 Jul 21; 20(27):9162-9.WJ

Abstract

AIM

To compare biofeedback-guided pelvic floor exercise therapy (BFT) with the use of oral polyethylene glycol (PEG) for the treatment of obstructive defecation.

METHODS

A total of 88 subjects were assigned to treatment with either BFT (n = 44) or oral PEG (n = 44). Constipation symptoms (including difficult evacuation, hard stool, digitation necessity, incomplete emptying sensation, laxative dependence, perianal pain at defecation, and constipation satisfaction), Wexner Scores, and quality of life scores were assessed after 1, 3, and 6 mo.

RESULTS

At the 6 mo follow-up, the symptoms of the BFT group patients showed significantly greater improvements compared with the PEG group regarding difficult evacuation, hard stools, digitation necessity, laxative dependence, perianal pain at defecation, constipation satisfaction, Wexner Constipation Score, and quality of life score (P < 0.05). The quality of life score of the BFT group at the final follow-up time (6 mo) was 80 ± 2.2. After a complete course of training, improvements in the clinical symptoms of the BFT group were markedly improved (P < 0.05), and the Wexner Constipation Scores were greatly decreased compared with the oral PEG group (P < 0.05).

CONCLUSION

We concluded that manometric biofeedback-guided pelvic floor exercise training is superior to oral polyethylene glycol therapy for obstructive defecation.

Authors+Show Affiliations

Ma-Mu-Ti-Jiang A ba-bai-ke-re, Tuerhongjiang Tuxun, Aierhati Husaiyin, Yalikun Sailai, Alimujiang Abulimiti, Liang Zhao, General Surgical Department of First Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, Xinjiang Uygur Autonomous Region, China.Ma-Mu-Ti-Jiang A ba-bai-ke-re, Tuerhongjiang Tuxun, Aierhati Husaiyin, Yalikun Sailai, Alimujiang Abulimiti, Liang Zhao, General Surgical Department of First Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, Xinjiang Uygur Autonomous Region, China.Ma-Mu-Ti-Jiang A ba-bai-ke-re, Tuerhongjiang Tuxun, Aierhati Husaiyin, Yalikun Sailai, Alimujiang Abulimiti, Liang Zhao, General Surgical Department of First Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, Xinjiang Uygur Autonomous Region, China.Ma-Mu-Ti-Jiang A ba-bai-ke-re, Tuerhongjiang Tuxun, Aierhati Husaiyin, Yalikun Sailai, Alimujiang Abulimiti, Liang Zhao, General Surgical Department of First Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, Xinjiang Uygur Autonomous Region, China.Ma-Mu-Ti-Jiang A ba-bai-ke-re, Tuerhongjiang Tuxun, Aierhati Husaiyin, Yalikun Sailai, Alimujiang Abulimiti, Liang Zhao, General Surgical Department of First Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, Xinjiang Uygur Autonomous Region, China.Ma-Mu-Ti-Jiang A ba-bai-ke-re, Tuerhongjiang Tuxun, Aierhati Husaiyin, Yalikun Sailai, Alimujiang Abulimiti, Liang Zhao, General Surgical Department of First Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, Xinjiang Uygur Autonomous Region, China.Ma-Mu-Ti-Jiang A ba-bai-ke-re, Tuerhongjiang Tuxun, Aierhati Husaiyin, Yalikun Sailai, Alimujiang Abulimiti, Liang Zhao, General Surgical Department of First Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, Xinjiang Uygur Autonomous Region, China.Ma-Mu-Ti-Jiang A ba-bai-ke-re, Tuerhongjiang Tuxun, Aierhati Husaiyin, Yalikun Sailai, Alimujiang Abulimiti, Liang Zhao, General Surgical Department of First Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, Xinjiang Uygur Autonomous Region, China.Ma-Mu-Ti-Jiang A ba-bai-ke-re, Tuerhongjiang Tuxun, Aierhati Husaiyin, Yalikun Sailai, Alimujiang Abulimiti, Liang Zhao, General Surgical Department of First Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, Xinjiang Uygur Autonomous Region, China.Ma-Mu-Ti-Jiang A ba-bai-ke-re, Tuerhongjiang Tuxun, Aierhati Husaiyin, Yalikun Sailai, Alimujiang Abulimiti, Liang Zhao, General Surgical Department of First Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, Xinjiang Uygur Autonomous Region, China.

Pub Type(s)

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

Language

eng

PubMed ID

25083090

Citation

Ba-Bai-Ke-Re, Ma-Mu-Ti-Jiang A., et al. "Biofeedback-guided Pelvic Floor Exercise Therapy for Obstructive Defecation: an Effective Alternative." World Journal of Gastroenterology, vol. 20, no. 27, 2014, pp. 9162-9.
Ba-Bai-Ke-Re MM, Wen NR, Hu YL, et al. Biofeedback-guided pelvic floor exercise therapy for obstructive defecation: an effective alternative. World J Gastroenterol. 2014;20(27):9162-9.
Ba-Bai-Ke-Re, M. M., Wen, N. R., Hu, Y. L., Zhao, L., Tuxun, T., Husaiyin, A., Sailai, Y., Abulimiti, A., Wang, Y. H., & Yang, P. (2014). Biofeedback-guided pelvic floor exercise therapy for obstructive defecation: an effective alternative. World Journal of Gastroenterology, 20(27), 9162-9. https://doi.org/10.3748/wjg.v20.i27.9162
Ba-Bai-Ke-Re MM, et al. Biofeedback-guided Pelvic Floor Exercise Therapy for Obstructive Defecation: an Effective Alternative. World J Gastroenterol. 2014 Jul 21;20(27):9162-9. PubMed PMID: 25083090.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Biofeedback-guided pelvic floor exercise therapy for obstructive defecation: an effective alternative. AU - Ba-Bai-Ke-Re,Ma-Mu-Ti-Jiang A, AU - Wen,Ni-Re, AU - Hu,Yun-Long, AU - Zhao,Liang, AU - Tuxun,Tuerhongjiang, AU - Husaiyin,Aierhati, AU - Sailai,Yalikun, AU - Abulimiti,Alimujiang, AU - Wang,Yun-Hai, AU - Yang,Peng, PY - 2013/12/30/received PY - 2014/02/26/revised PY - 2014/04/15/accepted PY - 2014/8/2/entrez PY - 2014/8/2/pubmed PY - 2015/4/18/medline KW - Biofeedback KW - Obstructive defecation KW - Polyethylene glycol SP - 9162 EP - 9 JF - World journal of gastroenterology JO - World J. Gastroenterol. VL - 20 IS - 27 N2 - AIM: To compare biofeedback-guided pelvic floor exercise therapy (BFT) with the use of oral polyethylene glycol (PEG) for the treatment of obstructive defecation. METHODS: A total of 88 subjects were assigned to treatment with either BFT (n = 44) or oral PEG (n = 44). Constipation symptoms (including difficult evacuation, hard stool, digitation necessity, incomplete emptying sensation, laxative dependence, perianal pain at defecation, and constipation satisfaction), Wexner Scores, and quality of life scores were assessed after 1, 3, and 6 mo. RESULTS: At the 6 mo follow-up, the symptoms of the BFT group patients showed significantly greater improvements compared with the PEG group regarding difficult evacuation, hard stools, digitation necessity, laxative dependence, perianal pain at defecation, constipation satisfaction, Wexner Constipation Score, and quality of life score (P < 0.05). The quality of life score of the BFT group at the final follow-up time (6 mo) was 80 ± 2.2. After a complete course of training, improvements in the clinical symptoms of the BFT group were markedly improved (P < 0.05), and the Wexner Constipation Scores were greatly decreased compared with the oral PEG group (P < 0.05). CONCLUSION: We concluded that manometric biofeedback-guided pelvic floor exercise training is superior to oral polyethylene glycol therapy for obstructive defecation. SN - 2219-2840 UR - https://www.unboundmedicine.com/medline/citation/25083090/Biofeedback_guided_pelvic_floor_exercise_therapy_for_obstructive_defecation:_an_effective_alternative_ L2 - http://www.wjgnet.com/1007-9327/full/v20/i27/9162.htm DB - PRIME DP - Unbound Medicine ER -