Tags

Type your tag names separated by a space and hit enter

Biofeedback treatment of constipation: a comparison of two methods.

Abstract

OBJECTIVES

Our purpose in this study was to determine whether, with balloon feedback treatment, one can obtain results similar to those achieved with electromyographic (EMG) feedback treatment, in patients with a functional outlet obstruction (spastic pelvic floor syndrome).

METHODS

In a randomized controlled study, 11 patients received EMG biofeedback and nine patients received balloon feedback. Treatment outcome was assessed by standard EMG during straining, constipation score, and a standard diary with details about complaints.

RESULTS

Using change scores (posttreatment score minus pretreatment score), we found significantly greater positive changes for EMG feedback at posttreatment and at follow-up. When criteria for good clinical outcome were used, eight of 11 patients treated with EMG feedback appeared to be improved, against two of nine patients treated with balloon feedback. Type of feedback was the only difference between the groups.

CONCLUSIONS

Alteration of the EMG pattern leads to lessening of complaints, which means that pelvic floor contraction during straining indeed is the cause of the constipation. The results suggest that EMG feedback is more effective than balloon feedback in treating spastic pelvic floor syndrome.

Authors+Show Affiliations

,

Department of Medical Psychology, University of Nijmegen, The Netherlands.

Source

MeSH

Adult
Anal Canal
Biofeedback, Psychology
Catheterization
Constipation
Defecation
Electromyography
Female
Humans
Male
Middle Aged
Muscle Contraction
Pelvic Floor

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

8017359

Citation

Bleijenberg, G, and H C. Kuijpers. "Biofeedback Treatment of Constipation: a Comparison of Two Methods." The American Journal of Gastroenterology, vol. 89, no. 7, 1994, pp. 1021-6.
Bleijenberg G, Kuijpers HC. Biofeedback treatment of constipation: a comparison of two methods. Am J Gastroenterol. 1994;89(7):1021-6.
Bleijenberg, G., & Kuijpers, H. C. (1994). Biofeedback treatment of constipation: a comparison of two methods. The American Journal of Gastroenterology, 89(7), pp. 1021-6.
Bleijenberg G, Kuijpers HC. Biofeedback Treatment of Constipation: a Comparison of Two Methods. Am J Gastroenterol. 1994;89(7):1021-6. PubMed PMID: 8017359.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Biofeedback treatment of constipation: a comparison of two methods. AU - Bleijenberg,G, AU - Kuijpers,H C, PY - 1994/7/1/pubmed PY - 1994/7/1/medline PY - 1994/7/1/entrez SP - 1021 EP - 6 JF - The American journal of gastroenterology JO - Am. J. Gastroenterol. VL - 89 IS - 7 N2 - OBJECTIVES: Our purpose in this study was to determine whether, with balloon feedback treatment, one can obtain results similar to those achieved with electromyographic (EMG) feedback treatment, in patients with a functional outlet obstruction (spastic pelvic floor syndrome). METHODS: In a randomized controlled study, 11 patients received EMG biofeedback and nine patients received balloon feedback. Treatment outcome was assessed by standard EMG during straining, constipation score, and a standard diary with details about complaints. RESULTS: Using change scores (posttreatment score minus pretreatment score), we found significantly greater positive changes for EMG feedback at posttreatment and at follow-up. When criteria for good clinical outcome were used, eight of 11 patients treated with EMG feedback appeared to be improved, against two of nine patients treated with balloon feedback. Type of feedback was the only difference between the groups. CONCLUSIONS: Alteration of the EMG pattern leads to lessening of complaints, which means that pelvic floor contraction during straining indeed is the cause of the constipation. The results suggest that EMG feedback is more effective than balloon feedback in treating spastic pelvic floor syndrome. SN - 0002-9270 UR - https://www.unboundmedicine.com/medline/citation/8017359/Biofeedback_treatment_of_constipation:_a_comparison_of_two_methods_ L2 - http://www.diseaseinfosearch.org/result/1885 DB - PRIME DP - Unbound Medicine ER -