| OBSTRUCTED DEFECATION: WHAT IS THE ROLE OF REHABILITATION? | |
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MedLine Citation:
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PMID: 21689326 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Aim: The study was designed to evaluate the results of rehabilitative treatment in patients suffering from obstructed defecation. Method: Between January 2008 and July 2010, 39 patients (37 women; age range, 25-73 years; age range, 57-67 years) affected by obstructed defecation were included in the study. After a preliminary clinical evaluation, including the Obstructed Defecation Syndrome (ODS) score, defaecography and anorectal manometry were performed. All 39 patients underwent rehabilitative treatment according to the "multimodal rehabilitative program" for obstructive defecation. At the end of the program, all 39 patients were reassessed by clinical evaluation and anorectal manometry. Post-rehabilition ODS scores were used for an arbitrary schedule of patients divided into three classes, including Class I, good (score ≤4); Class II, fair (score >4 to ≤8); Class III, poor (score >8). Results: After rehabilitation, there was significant improvement in the overall mean ODS score (P < 0.001). Thirty (76.9%) patients were included as Class I (good results) of whom 8 (20.5%) were symptom free. Five (12.8%) patients were considered Class III. A significant post-rehabilitative direct correlation was found between ODS score and pelvic surgery (ρ(s) 0.54; P< 0.05). Significant differences were found between pre-rehabilitative and post-rehabilitative manometric data of straining test (P<0.001), duration of maximal voluntary contraction (P<0.001) and conscious rectal sensitivity threshold (P<0.02). Conclusion: After rehabilitation, some patients become symptom-free and many have an improved ODS score. |
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Authors:
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Filippo Pucciani; Raggioli Magali; Maria Novella Ringressi |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-4-15 |
Journal Detail:
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Title: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland Volume: - ISSN: 1463-1318 ISO Abbreviation: - Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-6-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100883611 Medline TA: Colorectal Dis Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2011 The Association of Coloproctology of Great Britain and Ireland. |
Affiliation:
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Department of Medical and Surgical Critical Care. University of Florence. Italy. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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