| Functional changes after physiotherapy in fecal incontinence. | |
| | |
MedLine Citation:
|
PMID: 16244864 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Physiotherapy is a common treatment option in patients with fecal incontinence. Although physiotherapy may result in relief of symptoms, to what extent improvement is associated with changes in anorectal function is still unclear. AIM: The aim of the present study was to investigate prospectively how anorectal function changes with physiotherapy and whether these changes are related to changes in fecal incontinence score. METHODS: Consenting consecutive patients (n=266) with fecal incontinence (91% women; mean age, 59 years) underwent anorectal manometry, anal and rectal mucosal sensitivity measurements, and rectal capacity measurement at baseline and after nine sessions of standardized pelvic floor physiotherapy. These findings were compared with changes in Vaizey incontinence score. RESULTS: On follow-up 3 months after physiotherapy, squeeze pressure (p=0.028), as well as urge sensation threshold (p=0.046) and maximum tolerable volume (p=0.018), had increased significantly. The extent of improvement was not related to age, duration of fecal incontinence, menopause, and endosonography findings. All other anorectal functions did not change. An improvement in the Vaizey score was moderately correlated with an increase in incremental squeeze pressure (r=0.14, p=0.04) and a decrease in anal mucosal sensitivity threshold (r=0.20, p=0.01). CONCLUSIONS: Physiotherapy improves squeeze pressure, urge sensation, and maximum tolerable volume. However, improved anorectal function does not always result in a decrease in fecal incontinence complaints. |
| | |
Authors:
|
Annette C Dobben; Maaike P Terra; Bary Berghmans; Marije Deutekom; Guy E E Boeckxstaens; Lucas W M Janssen; Patrick M M Bossuyt; Jaap Stoker |
Related Documents
:
|
8426504 - Effect of cricopharyngeus myotomy on postlaryngectomy pharyngeal contraction pressures. 19812454 - Automated identification of peristaltic pressure waves in oesophageal manometry investi... 9440614 - Identification of diaphragmatic crural component of gastroesophageal barrier in the rat. 20840514 - Effects of different respiratory maneuvers on esophageal sphincters in obese patients b... 1327334 - Spectral change in heart rate variability in response to mental arithmetic before and a... 17955854 - Use of an injector for the ex-press mini glaucoma shunt. |
Publication Detail:
|
Type: Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't Date: 2005-10-22 |
Journal Detail:
|
Title: International journal of colorectal disease Volume: 21 ISSN: 0179-1958 ISO Abbreviation: Int J Colorectal Dis Publication Date: 2006 Sep |
Date Detail:
|
Created Date: 2006-07-21 Completed Date: 2007-01-11 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8607899 Medline TA: Int J Colorectal Dis Country: Germany |
Other Details:
|
Languages: eng Pagination: 515-21 Citation Subset: IM |
Affiliation:
|
Department of Radiology, Academic Medical Center, G1-228, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands. a.c.dobben@amc.uva.nl |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Anal Canal
/
physiopathology Fecal Incontinence / physiopathology, therapy* Female Follow-Up Studies Humans Male Manometry Middle Aged Physical Therapy Modalities* Pressure Prospective Studies Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Protective effects of trapidil in lung after abdominal aorta induced ischemia-reperfusion injury: an...
Next Document: Thallus morphology and optical characteristics affect growth and DNA damage by UV radiation in juven...