Immediate results from biofeedback and anorectal electrostimulation in the treatment of paradoxical puborectal muscle contraction in women with obstructed defecation

Detalhes bibliográficos
Autor(a) principal: Magalhães,Germana Mesquita
Data de Publicação: 2018
Outros Autores: Vasconcelos,Thiago Brasileiro de, Regadas,Sthela Maria Murad, Bastos,Vasco Pinheiro Diógenes, Almeida,Paulo César de, Veras,Lusmar Rodrigues
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Journal of Coloproctology (Rio de Janeiro. Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632018000100042
Resumo: ABSTRACT Objective: This study was conducted to evaluate the effects of “biofeedback” (BF), electrostimulation (ES), and of the high-fiber diet associated with behavioral therapy in women with obstructed evacuation and paradoxical puborectalis contraction and to compare the results among these three modalities. Method: Thirty-one women were evaluated who fulfilled the Rome III Criteria, and with an electromanometric test positive for the presence of contraction in the evacuation maneuver. These patients were randomized into three groups: group I – conventional treatment of constipation, group II – conventional treatment of constipation associated with biofeedback and group III – conventional treatment of constipation associated with electrostimulation. At the beginning of this study and after six weeks, subjective and objective parameters of the anorectal function were evaluated using the Wexner constipation scoring system, the Bristol scale, an visual analogical scale, and anorectal electromanometry. Results: All patients demonstrated improvement in bowel satisfaction, stool frequency, effort and feeling of incomplete evacuation, stool-type modifications, and improvement in the quality of life. On examination, there was increased mean pressure of voluntary contraction in group III (p = 0.043), decreased sensitivity threshold in group II (p = 0.025) and III (p = 0.012) and decreased maximum rectal capacity in group II (p = 0.005). Only 19.4% (n = 6) had their dynamic defecation normalized, and 80.6% (n = 25) expressed clinical, non-instrumental, improvement. Conclusion: The conventional treatment of constipation, biofeedback and electrostimulation show a significant subjective improvement in symptoms of obstructed evacuation and in quality of life, regardless of the reversal of the paradoxical puborectalis contraction.
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spelling Immediate results from biofeedback and anorectal electrostimulation in the treatment of paradoxical puborectal muscle contraction in women with obstructed defecationConstipationPelvic floorRehabilitationConservative treatmentABSTRACT Objective: This study was conducted to evaluate the effects of “biofeedback” (BF), electrostimulation (ES), and of the high-fiber diet associated with behavioral therapy in women with obstructed evacuation and paradoxical puborectalis contraction and to compare the results among these three modalities. Method: Thirty-one women were evaluated who fulfilled the Rome III Criteria, and with an electromanometric test positive for the presence of contraction in the evacuation maneuver. These patients were randomized into three groups: group I – conventional treatment of constipation, group II – conventional treatment of constipation associated with biofeedback and group III – conventional treatment of constipation associated with electrostimulation. At the beginning of this study and after six weeks, subjective and objective parameters of the anorectal function were evaluated using the Wexner constipation scoring system, the Bristol scale, an visual analogical scale, and anorectal electromanometry. Results: All patients demonstrated improvement in bowel satisfaction, stool frequency, effort and feeling of incomplete evacuation, stool-type modifications, and improvement in the quality of life. On examination, there was increased mean pressure of voluntary contraction in group III (p = 0.043), decreased sensitivity threshold in group II (p = 0.025) and III (p = 0.012) and decreased maximum rectal capacity in group II (p = 0.005). Only 19.4% (n = 6) had their dynamic defecation normalized, and 80.6% (n = 25) expressed clinical, non-instrumental, improvement. Conclusion: The conventional treatment of constipation, biofeedback and electrostimulation show a significant subjective improvement in symptoms of obstructed evacuation and in quality of life, regardless of the reversal of the paradoxical puborectalis contraction.Sociedade Brasileira de Coloproctologia2018-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632018000100042Journal of Coloproctology (Rio de Janeiro) v.38 n.1 2018reponame:Journal of Coloproctology (Rio de Janeiro. Online)instname:Sociedade Brasileira de Coloproctologia (SBCP)instacron:SBCP10.1016/j.jcol.2017.10.001info:eu-repo/semantics/openAccessMagalhães,Germana MesquitaVasconcelos,Thiago Brasileiro deRegadas,Sthela Maria MuradBastos,Vasco Pinheiro DiógenesAlmeida,Paulo César deVeras,Lusmar Rodrigueseng2018-03-06T00:00:00Zoai:scielo:S2237-93632018000100042Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=2237-9363&lng=pt&nrm=isohttps://old.scielo.br/oai/scielo-oai.php||sbcp@sbcp.org.br2317-64232237-9363opendoar:2018-03-06T00:00Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP)false
dc.title.none.fl_str_mv Immediate results from biofeedback and anorectal electrostimulation in the treatment of paradoxical puborectal muscle contraction in women with obstructed defecation
title Immediate results from biofeedback and anorectal electrostimulation in the treatment of paradoxical puborectal muscle contraction in women with obstructed defecation
spellingShingle Immediate results from biofeedback and anorectal electrostimulation in the treatment of paradoxical puborectal muscle contraction in women with obstructed defecation
Magalhães,Germana Mesquita
Constipation
Pelvic floor
Rehabilitation
Conservative treatment
title_short Immediate results from biofeedback and anorectal electrostimulation in the treatment of paradoxical puborectal muscle contraction in women with obstructed defecation
title_full Immediate results from biofeedback and anorectal electrostimulation in the treatment of paradoxical puborectal muscle contraction in women with obstructed defecation
title_fullStr Immediate results from biofeedback and anorectal electrostimulation in the treatment of paradoxical puborectal muscle contraction in women with obstructed defecation
title_full_unstemmed Immediate results from biofeedback and anorectal electrostimulation in the treatment of paradoxical puborectal muscle contraction in women with obstructed defecation
title_sort Immediate results from biofeedback and anorectal electrostimulation in the treatment of paradoxical puborectal muscle contraction in women with obstructed defecation
author Magalhães,Germana Mesquita
author_facet Magalhães,Germana Mesquita
Vasconcelos,Thiago Brasileiro de
Regadas,Sthela Maria Murad
Bastos,Vasco Pinheiro Diógenes
Almeida,Paulo César de
Veras,Lusmar Rodrigues
author_role author
author2 Vasconcelos,Thiago Brasileiro de
Regadas,Sthela Maria Murad
Bastos,Vasco Pinheiro Diógenes
Almeida,Paulo César de
Veras,Lusmar Rodrigues
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Magalhães,Germana Mesquita
Vasconcelos,Thiago Brasileiro de
Regadas,Sthela Maria Murad
Bastos,Vasco Pinheiro Diógenes
Almeida,Paulo César de
Veras,Lusmar Rodrigues
dc.subject.por.fl_str_mv Constipation
Pelvic floor
Rehabilitation
Conservative treatment
topic Constipation
Pelvic floor
Rehabilitation
Conservative treatment
description ABSTRACT Objective: This study was conducted to evaluate the effects of “biofeedback” (BF), electrostimulation (ES), and of the high-fiber diet associated with behavioral therapy in women with obstructed evacuation and paradoxical puborectalis contraction and to compare the results among these three modalities. Method: Thirty-one women were evaluated who fulfilled the Rome III Criteria, and with an electromanometric test positive for the presence of contraction in the evacuation maneuver. These patients were randomized into three groups: group I – conventional treatment of constipation, group II – conventional treatment of constipation associated with biofeedback and group III – conventional treatment of constipation associated with electrostimulation. At the beginning of this study and after six weeks, subjective and objective parameters of the anorectal function were evaluated using the Wexner constipation scoring system, the Bristol scale, an visual analogical scale, and anorectal electromanometry. Results: All patients demonstrated improvement in bowel satisfaction, stool frequency, effort and feeling of incomplete evacuation, stool-type modifications, and improvement in the quality of life. On examination, there was increased mean pressure of voluntary contraction in group III (p = 0.043), decreased sensitivity threshold in group II (p = 0.025) and III (p = 0.012) and decreased maximum rectal capacity in group II (p = 0.005). Only 19.4% (n = 6) had their dynamic defecation normalized, and 80.6% (n = 25) expressed clinical, non-instrumental, improvement. Conclusion: The conventional treatment of constipation, biofeedback and electrostimulation show a significant subjective improvement in symptoms of obstructed evacuation and in quality of life, regardless of the reversal of the paradoxical puborectalis contraction.
publishDate 2018
dc.date.none.fl_str_mv 2018-03-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1016/j.jcol.2017.10.001
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Coloproctologia
publisher.none.fl_str_mv Sociedade Brasileira de Coloproctologia
dc.source.none.fl_str_mv Journal of Coloproctology (Rio de Janeiro) v.38 n.1 2018
reponame:Journal of Coloproctology (Rio de Janeiro. Online)
instname:Sociedade Brasileira de Coloproctologia (SBCP)
instacron:SBCP
instname_str Sociedade Brasileira de Coloproctologia (SBCP)
instacron_str SBCP
institution SBCP
reponame_str Journal of Coloproctology (Rio de Janeiro. Online)
collection Journal of Coloproctology (Rio de Janeiro. Online)
repository.name.fl_str_mv Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP)
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