Introduction Fecal incontinence is the involuntary loss of stools and gases, characterized by the inability to keep physiological control of bowel contents. It can negatively affect patients’ quality of life. Biofeedback is a therapeutic tool used in the treatment, through the training of the pelvic floor muscles from visual and sound stimuli. Objective To evaluate the effects of biofeedback in the treatment of female fecal incontinence. Methods Twenty-three patients with fecal incontinence, diagnosed by clinical evaluation and manometry, and referred for biofeedback treatment, participated responding to the Cleveland Clinic Incontinence Assessment scale, and the Fecal Incontinence Quality of Life Questionnaire to obtain personal data, clinical complaints and incontinence characteristics. Four biofeedback sessions were held once a week. After the protocol, they were reevaluated with anorectal manometry and questionnaires, and they were instructed to daily perform the sphincteric contraction exercises at home. Results The comparison of the Cleveland Clinic Florida Scoring System and FIQL scores before and after the biofeedback protocol showed a significant decrease ( p = 0.0001) in fecal incontinence. The mean anal pressure at rest was 33.3 mmHg before and 49.65 mmHg after biofeedback, while the mean anal pressure of maximal voluntary contraction was 85 mmHg before treatment and 136.65 mmHg after it. Conclusion Biofeedback is an effective method for the treatment of fecal incontinence, with increased sphincter strength and improved quality of life.
Con lito de interesses:Não Contribuição dos autores: TTL delineamento do estudo, elaboração e redação do manuscrito. SC orientação e delineamento do estudo. LHC orientação do projeto. Abstract Introduction: Joint hypermobility is the ability to perform joint movements with greater amplitude than normal. We use the term "hypermobility syndrome joint" when there is a combination of extra-skeletal and musculoskeletal signs and symptoms that include a larger number of detaching disorders, including pelvic dysfunction. Pelvic floor dysfunction is a broad term that encompasses urinary incontinence and prolapse of pelvic organs considered greatly prevalent. Objective: Update knowledge of the association between joint hypermobility and dysfunction of the pelvic floor in the common population. Patients and Methods: English and Portuguese articles were selected published between 2010 and 2015 in the electronic databases PubMed, LILACS, and SciELO. Results: The structure of this study was based on references that present significant aspects related to the demand of our research. It comprises 11 studies showing significance in the results towards the existence of the relationship between joint hypermobility and changes in the pelvic floor. Conclusion: It is believed that existing alterations in the collagen composition can be the main cause of the relationship between Articular hypermobility and dysfunction of the pelvic floor. In general, the articles examined in this update tend to support this relationship. However, future implications of this new knowledge for better practice should be considered. Contato para correspondência: Talita Teixeira LealDescriptors: Joint Instability; Pelvic Floor; Collagen.
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