Biofeedback therapy combined with diet to treating ODS (Anismus): 2 years outcome

Abstract

Object The advantages of biofeedback therapy along with diet in patients with constipation are among the issues discussed nowadays. The aim of this study was to evaluate 2 years outcome of biofeedback therapy along with diet in patients with obstructed defecation syndrome (ODS) (Anismus). Methodology The focus of this prospective study is a group of 129 patients with ODS constipation, who were referred to two tertiary-care referral academic centers from 2013 to 2016. Patients received biofeedback therapy combined with appropriate diet in cases group and received diet in controls group. Good response was defined as a subject with at least 50 percent improvement from before to after biofeedback therapy on a Cleveland Clinic Florida Constipation Scoring System (CCF). Factors associated with better outcome were analyzed using SPSS 20 software. Results Out of the 129 patients, 112 patients (86.8%) were female. The mean age of patients was 42.44 ± 15.05 years. The mean CCF score of the patients before and after biofeedback therapy was 12.41 ± 4.39 and 6.00 ± 3.28 respectively in case group (p-value < 0.001). In addition, the mean CCF score of the patients before and after diet therapy was 12.82 ± 4.85 and 9.43 ± 3.79 respectively in control group (p-value < 0.001). While CCF score in both case and control groups reduced significantly after therapy, the rate of this reduction was higher in case group (p < 0.001). Conclusion Our findings suggest that biofeedback therapy combined with diet will improve patients outcome in ODS constipation. Prospective clinical trials with larger sample sizes are recommend allowing for causal correlations.

An investigation into the effect of biofeedback on urinary and fecal incontinence in patients with anal sphincter dysfunction

“…People often refuse to talk about it. [1] This has negative impacts on people and decreases their self-confidence. [9]…”

“…This problem causes social degradation, anxiety, fear, and social isolation. [123] The incidence of incontinence in people is much higher than what figures report because most people are not talking about it. However, in other cases, people are willing to talk with friends and acquaintances.…”

“…Fecal incontinence refers to the inability to control bowel movements, causing feces to leak unexpectedly from the rectum. [1] It is a particularly embarrassing and distressing condition with significant medical, social, and economic implications. Anal sphincter exercises (pelvic floor muscle training) and biofeedback (BFB) therapy have been used to treat the symptoms of people with fecal incontinence.…”

“…Generally, the anal function decreases in elderly people. [1] It costs over US$400 million annually to buy diapers every year. Generally, fecal incontinence is a debilitating condition, which has an economic burden for the patient and the community.…”

An electroencephalography (EEG) study of short-term electromyography (EMG) biofeedback training in patients with myofascial pain syndrome in the upper trapezius

“…Several studies have indicated that relaxing techniques such as progressive muscle relaxation 7 , 8 ) , massage 9 ) , and meditation 10 ) can aid in relieving pain. Additional evidence suggests that biofeedback training can induce relaxation and decrease pain 11 , 12 , 13 ) .…”