| Biofeedback therapy for constipation in adults. | |
| | |
MedLine Citation:
|
PMID: 21382587 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Dyssynergic defecation is common and affects up to one half of patients with chronic constipation. This acquired behavioural problem is due to the inability to coordinate the abdominal and pelvic floor muscles to evacuate stools. Today, it is possible to diagnose this problem and treat this effectively with biofeedback therapy, history, prospective stool diaries, and anorectal physiological tests. Several randomised controlled trails have demonstrated that biofeedback therapy using neuromuscular training and visual and verbal feedback is not only efficacious but superior to other modalities such as laxative or sham training. Also the symptom improvement is due a change in the underlying pathophysiology. Development of user friendly approaches to biofeedback therapy and use of home biofeedback programs will significantly enhance the adoption of this treatment by gastroenterologists and colorectal surgeons in the future. Improved reimbursement for this proven and relatively inexpensive treatment will carry a significant impact on the problem. |
| | |
Authors:
|
Satish S C Rao |
Related Documents
:
|
10572327 - Psychiatrists meet on the web: the chance for a virtual congress. results and experienc... 16420387 - Efns guidelines on management of neurological problems in liver transplantation. 856427 - Relevance in undergraduate neurological teaching. 6878327 - Counseling the head and neck cancer patient: laryngectomy. 20921007 - Piecewise affine systems approach to control of biological networks. |
Publication Detail:
|
Type: Journal Article; Research Support, N.I.H., Extramural; Review |
Journal Detail:
|
Title: Best practice & research. Clinical gastroenterology Volume: 25 ISSN: 1532-1916 ISO Abbreviation: Best Pract Res Clin Gastroenterol Publication Date: 2011 Feb |
Date Detail:
|
Created Date: 2011-03-08 Completed Date: 2011-06-24 Revised Date: 2012-02-02 |
Medline Journal Info:
|
Nlm Unique ID: 101120605 Medline TA: Best Pract Res Clin Gastroenterol Country: Netherlands |
Other Details:
|
Languages: eng Pagination: 159-66 Citation Subset: IM |
Copyright Information:
|
Copyright © 2011 Elsevier Ltd. All rights reserved. |
Affiliation:
|
Department of Gastroenterology-Hepatology, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA. satish-rao@uiowa.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Biofeedback, Psychology* Constipation / physiopathology, psychology, therapy* Defecation* Gastrointestinal Tract / innervation* Humans Pelvic Floor / innervation* Sensation Treatment Outcome |
| Grant Support | |
ID/Acronym/Agency:
|
R01 DK057100-10/DK/NIDDK NIH HHS; R01DK57100-03/DK/NIDDK NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Current and future therapies for chronic constipation.
Next Document: Surgical treatment for constipation in children and adults.