Evidence map›Paper›PMID 26034741›Full record

ArticleMedical journal of the Islamic Republic of Iran2015

MR defecography: a diagnostic test for the evaluation of pelvic floor motion in patients with dyssynergic defecation after biofeedback therapy.

Afsaneh Nikjooy, Nader Maroufi, Ismaeil Ebrahimi Takamjani, Homayoun Hadizdeh Kharazi, Bahar Mahjoubi, Rasoul Azizi, Hamid Haghani

Open access · greenAbstract read
In one paragraph

Article in Medical journal of the Islamic Republic of Iran, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
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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

7 authors at 1 institution in 1 country.

Afsaneh NikjooyPhD Candidate, Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran. afsanehnikjooy@yahoo.com.
Nader MaroufiAssociate Professor, Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran. maroufi.n@iums.ac.ir.
Ismaeil Ebrahimi TakamjaniProfessor, Department of Physiotherapy, School of Rehabilitation, Sciences, Iran University of Medical Sciences, Tehran, Iran. ebrahimi.pt@gmail.com.
Homayoun Hadizdeh KharaziAssistant Professor, Babak imaging Center, & Department of Radiology, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran. drhhh_kharazi@yahoo.com.sg.
Bahar MahjoubiAssociate Professor, Surgery Department, Colorectal Research Center (CRRC) Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran. bahar1167@yahoo.com.
Rasoul AziziAssistant Professor, Colorectal Surgery Department, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran. razizimd@hotmail.com.
Hamid HaghaniAssistant Professor, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran. haghani511@yahoo.com.
Iran University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDyssynergic defecation is a major cause of chronic functional constipation as a common digestive complaint. We clinically evaluated the effects of biofeedback therapy on the pelvic floor motion indices through magnetic resonance (MR) defecography, quality of life and depression in patients with dyssynergic defecation.

methodsIn this clinical trial study, among patients referring to the Colorectal Clinic of Hazrat Rasoul Hospital, 22 subjects were randomly assigned into two equal groups (n= 11) to receive either standard only or biofeedback and standard therapy. Dynamic changes of the pelvic floor were measured by MR defecography. During the simulated defecation, two MR defecography dynamic indices including abnormal anorectal angle change and perineal descent were measured before and after treatment. The effects of biofeedback therapy on patients' symptoms, quality of life and severity of depression were assessed and compared with the standard therapy. Statistical analysis was carried out using independent _t-test and Mann-Whitney test.

resultsParadox index (p< 0.001), perineal descent index (p< 0.001), depression (p< 0.1), physical function (p< 0.001), vitality (p< 0.001) and role emotion (p< 0.001) significantly improved in the biofeedback therapy group in contrast to the standard therapy SDT group.

conclusionBiofeedback therapy appears to be effective in improving symptoms of functional constipation and dysfunction of pelvic floor motion as well as patient's quality of life and depression state. MR defecography is able to show the changes in dynamic indices of the pelvic floor through biofeedback therapy.

Indexed as

Biofeedback TherapyDyssynergic DefecationFunctional ConstipationMR Defecography

Identifiers

PMID26034741
PMCPMC4431447
OpenAlexW2186454754

What OpenQuestion holds

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Registered trials

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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.