Home versus office biofeedback therapy for dyssynergic defecation: parallel arm (RCT): Difference between revisions
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== Introduction == | == Introduction == | ||
Dyssynergic is a subtype of primary chronic constipation characterized by difficulty stool propulsion, inadequate anal relaxation and paradoxical anal contraction. | |||
As Biofeedback has shown to be effective with patients with dyssenergic dysfunction and has positive impact on symptoms, as it provides visual, auditory stimulus during session to motivate patient and gives him a feedback about his performance during sessions.One of disadvantages it's costly expensive intervention. | |||
== | == purpose of the study == | ||
The aim of this study to compare if home biofeedback is efficacious as office biofeedback | |||
== Methods == | |||
=== Participants === | |||
The sample of study has included adult outpatients (18-80 years), had dyssynergic pattern of defecation and failed normal routine management of constipation. | |||
Exclusions criteria, metabolic disease that cause constipation, neurological disease, SCI, sever cardiac and renal disease, pregnancy, anal fissure. | |||
Patients assessed before and after treatment for slow colonic transit movement by a prospective stool diary. | |||
Before treatment they were advised with diet rich in fibers and fluid intake. They have learned diaphragmatic breathing techniques to use them in session during training. And to attempt bowel movement 5 min twice daily, 30 min after eating. | |||
=== Office biofeedback === | |||
Office device has used data record and software, session applied on three stages: | |||
1-Patient instructed to diaphragmatic breathing | |||
2-Patient used diaphragmatic breathing to increase intra-abdominal intra- rectal pressure that increase push effort that’s in turn improves recto-anal coordination while seated on commode and receiving visual, verbal feedback. | |||
3-Patients trained to expel 50ml artificial stool. | |||
Applied 1h session to maximum 6 session /3 months | |||
=== Home biofeedback === | |||
Home training device consists of a hand held device gives feedback about patients performance. | |||
Before the start, patients have learned how to place the probe into their rectum. | |||
Patient seated on commode and attempt 10-15 push while observing hand held device. | |||
Applied 2 sessions/day each session 20 min. Patient returns to follow up visit at 4<sup>th</sup>, 8<sup>th</sup> week. | |||
== Discussion == | |||
== Resources == | == Resources == | ||
Revision as of 22:57, 7 March 2020
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Introduction[edit | edit source]
Dyssynergic is a subtype of primary chronic constipation characterized by difficulty stool propulsion, inadequate anal relaxation and paradoxical anal contraction.
As Biofeedback has shown to be effective with patients with dyssenergic dysfunction and has positive impact on symptoms, as it provides visual, auditory stimulus during session to motivate patient and gives him a feedback about his performance during sessions.One of disadvantages it's costly expensive intervention.
purpose of the study[edit | edit source]
The aim of this study to compare if home biofeedback is efficacious as office biofeedback
Methods[edit | edit source]
Participants[edit | edit source]
The sample of study has included adult outpatients (18-80 years), had dyssynergic pattern of defecation and failed normal routine management of constipation.
Exclusions criteria, metabolic disease that cause constipation, neurological disease, SCI, sever cardiac and renal disease, pregnancy, anal fissure.
Patients assessed before and after treatment for slow colonic transit movement by a prospective stool diary.
Before treatment they were advised with diet rich in fibers and fluid intake. They have learned diaphragmatic breathing techniques to use them in session during training. And to attempt bowel movement 5 min twice daily, 30 min after eating.
Office biofeedback[edit | edit source]
Office device has used data record and software, session applied on three stages:
1-Patient instructed to diaphragmatic breathing
2-Patient used diaphragmatic breathing to increase intra-abdominal intra- rectal pressure that increase push effort that’s in turn improves recto-anal coordination while seated on commode and receiving visual, verbal feedback.
3-Patients trained to expel 50ml artificial stool.
Applied 1h session to maximum 6 session /3 months
Home biofeedback[edit | edit source]
Home training device consists of a hand held device gives feedback about patients performance.
Before the start, patients have learned how to place the probe into their rectum.
Patient seated on commode and attempt 10-15 push while observing hand held device.
Applied 2 sessions/day each session 20 min. Patient returns to follow up visit at 4th, 8th week.
Discussion[edit | edit source]
Resources[edit | edit source]
- bulleted list
- x
or
- numbered list
- x
