Evidence map›Paper›PMID 25538778›Full record

ArticleJournal of research in medical sciences : the official journal of Isfahan University of Medical Sciences2014

The effect of biofeedback therapy on dyssynergic constipation in patients with or without Irritable Bowel Syndrome.

Tannaz Ahadi, Faezeh Madjlesi, Bahar Mahjoubi, Rezvan Mirzaei, Bijan Forogh, Seyedeh Somayeh Daliri, Seyed Majid Derakhshandeh, Roxana Bazaz Behbahani, G Reza Raissi

Open access · greenAbstract read
In one paragraph

Article in Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Biofeedback for treatment of irritable bowel syndrome.The Cochrane database of systematic reviews · 2019
    Pooled it
  2. Review
  3. Review
  4. Article
  5. Gastrointestinal Dysfunction in Parkinson's Disease.Journal of clinical medicine · 2021
    Review
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Tannaz AhadiDepartment of Physical Medicine and Rehabilitation, Iran University of Medical Science, Tehran, Iran.
Faezeh MadjlesiDepartment of Physical Medicine and Rehabilitation, Iran University of Medical Science, Tehran, Iran.
Bahar MahjoubiDepartment of Surgery, Iran University of Medical Science, Tehran, Iran.
Rezvan MirzaeiDepartment of Surgery, Iran University of Medical Science, Tehran, Iran.
Bijan ForoghDepartment of Physical Medicine and Rehabilitation, Iran University of Medical Science, Tehran, Iran.
Seyedeh Somayeh DaliriDepartment of Physical Medicine and Rehabilitation, Iran University of Medical Science, Tehran, Iran.
Seyed Majid DerakhshandehIsfahan Cardiovascular Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Roxana Bazaz BehbahaniDepartment of Physical Medicine and Rehabilitation, Iran University of Medical Science, Tehran, Iran.
G Reza RaissiDepartment of Physical Medicine and Rehabilitation, Iran University of Medical Science, Tehran, Iran.
Iran University of Medical Sciences · IRIsfahan University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Rome II and III diagnostic criteria for dyssynergic defecation recommended the exclusion of irritable bowel syndrome (IBS). This study determined the effect of biofeedback therapy on dyssynergic constipation in patients with or without IBS. MATERIALS AND

methodsThis study was a nonrandomized, single blinded, semi experimental study. Dyssynergic defecation patients with and without IBS were asked to undergo biofeedback therapy 8 sessions. The defecation dynamics and balloon expulsion time were evaluated before, at the end and 1 month after the biofeedback therapy. IBS symptoms were graded using a 4-point Likert scale. Mann-Whitney U-test, Wilcoxon test and Friedman test were applied to analyze data using SPSS software package (SPSS Inc., Chicago, IL, USA).

resultsAfter the biofeedback therapy, the IBS symptoms have been decreased significantly (the median of 2 before and 1 after therapy, P < 0.01). The biofeedback therapy significantly decreased the anismus index in IBS group by the mean of 0.75 ± 0.31, 0.28 ± 0.07 and 0.28 ± 0.06 in three phases, respectively. Similar results were found in non-IBS patients (the mean of 0.74 ± 0.32, 0.28 ± 0.08, 0.27 ± 0.08 in three phases, respectively). The symptoms of constipation (sensation of incomplete evacuation, difficult and painful defecation), defecation facilitative manual maneuver frequency, pelvic floor muscles resting amplitude and strain amplitude decreased and squeezing amplitude improved significantly after biofeedback therapy in both groups with and without IBS (P < 0.001). There were not significant differences between patients with and without IBS (P > 0.05) with respect to outcome. No complication was observed in treatment groups.

conclusionDyssynergic constipation patients with and without IBS will likely benefit from biofeedback therapy.

Indexed as

Biofeedbackdyssynergic constipationirritable bowel syndrome

Identifiers

PMID25538778
PMCPMC4274571
OpenAlexW2145653399

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.