Useful parameters helping proctologists to identify patients with defaecatory disorders that may be treated with pelvic floor rehabilitation.

Full Abstract

BACKGROUND:
No studies have specifically reported on the use of a diagnostic tool based on physiatric assessment of constipated or incontinent patients

METHODS:
Sixty-seven constipated and 37 incontinent patients were submitted to a standard protocol based on proctologic examination, clinico-physiatric assessment (puborectalis contraction, pubococcygeal test, perineal defence reflex, muscular synergies, postural examination) and instrumental evaluation (anorectal manometry, anal US and dynamic defaecography). Patients were offered pelvic floor rehabilitation (thoraco-abdominoperineal muscle coordination training, biofeedback, electrical stimulation and volumetric rehabilitation).

RESULTS:
After rehabilitation treatment, decreases of Wexner constipation score (p=0.0001) and Pescatori incontinence score (p=0.0001) were observed.

CONCLUSION:
This diagnostic protocol might improve the selection of patients with defaecatory disorders amenable for rehabilitation treatment.

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Author information

Author/s: Brusciano, L (L); Limongelli, P (P); del Genio, G (G); Sansone, S (S); Rossetti, G (G); Maffettone, V (V); Napoletano, V (V); Sagnelli, C (C); Amoroso, A (A); Russo, G (G); Pizza, F (F); Del Genio, A (A);

Affiliation: First Division of General and Gastrointestinal Surgery, Second University of Naples, Naples, Italy. luigibrusciano(-atsign-)tin.it

Journal and publication information

Publication Type: Journal Article

Journal: Techniques in coloproctology (Tech Coloproctol), published in Italy. (Language: eng)

Reference: 2007-Mar; vol 11 (issue 1) : pp 45-50

Dates: Created 2007/03/15; Completed 2007/12/31;

PMID: 17357866, status: MEDLINE (last retrieval date: 12/26/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adolescent
Adult
Aged
Aged, 80 and over
Biofeedback (Psychology)
Child
Constipation - diagnosis; physiopathology; rehabilitation
Electric Stimulation Therapy
Fecal Incontinence - diagnosis; physiopathology; rehabilitation

Fecal Incontinence - diagnosis; physiopathology; rehabilitation
Female
Humans
Male
Middle Aged
Patient Selection
Pelvic Floor - physiopathology
Physical Therapy Modalities
Treatment Outcome

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