ArticleInternational journal of colorectal disease2006
Functional changes after physiotherapy in fecal incontinence.
Article in International journal of colorectal disease, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 26 citations in OpenAlex.
- Pelvic floor rehabilitation for defecation disorders.Techniques in coloproctology · 2019Review
- Supervised pelvic floor muscle training versus attention-control massage treatment in patients with faecal incontinence: Statistical analysis plan for a randomised controlled trial.Contemporary clinical trials communications · 2017Article
- Impact of the Bowel Management Program on the quality of life in children with fecal incontinence.Pediatric surgery international · 2016Article
- Sacral nerve stimulation induces changes in the pelvic floor and rectum that improve continence and quality of life.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2010Article
- Bowel management for the treatment of pediatric fecal incontinence.Pediatric surgery international · 2009Review
- Anal pressure in experimental diabetes.International journal of colorectal disease · 2009Article
- Manometric study in ulcerative colitis patients with modified ileal pouch-anal anastomosis by G. Kobakov et al.International journal of colorectal disease · 2006Article
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPhysiotherapy 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.
aimThe 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.
methodsConsenting 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.
resultsOn 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).
conclusionsPhysiotherapy improves squeeze pressure, urge sensation, and maximum tolerable volume. However, improved anorectal function does not always result in a decrease in fecal incontinence complaints.
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