Pelvic Floor Rehabilitation in Anal Incontinence

Santos, Claudio Teodoro dos; Lima, Fernanda Mateus Queiroz Schmidt Tania das Graças de Souza; Santos, Vera Lúcia Conceição deGouveia

doi:10.5772/57364

Cited by 2 publications

(2 citation statements)

References 63 publications

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“…Anal training is based on the co-ordination of anal sphincters as well as isolation of their contraction [77]. An increase in the tension and strength of anal sphincters can lead to an improvement of anal canal capacity and facilitate the process of defecation [78,79], as well as potentially improving the level of resting anus closure pressure [80]. Therefore, for a better therapeutic effect and depending on the stage of FI advancement, muscle training can be combined with other techniques [77].…”

Section: Pelvic Floor and Anal Muscle Training For The Treatment Of Fecal Incontinencementioning

confidence: 99%

“…Inability to proper identify and isolate of PFM contractions have been included among the main obstacles to urogynoecological rehabilitation [79]. Biofeedback is one of the techniques that supports the learning and facilitation of PFM exercises [84], helping to isolate appropriate PFM [52] and anal sphincter contractions [24] without the co-contraction of other muscles.…”

Section: Pfm Training With Biofeedback For the Treatment Of Fecal Incontinencementioning

confidence: 99%

See 1 more Smart Citation

Physiotherapy for Prevention and Treatment of Fecal Incontinence in Women—Systematic Review of Methods

Mazur-Biały

Kołomańska-Bogucka

Opławski³

et al. 2020

JCM

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Fecal incontinence (FI) affects approximately 0.25–6% of the population, both men and women. The most common causes of FI are damage to/weakness of the anal sphincter muscle and/or pelvic floor muscles, as well as neurological changes in the central or peripheral nervous system. The purpose of this study is to report the results of a systematic review of the possibilities and effectiveness of physiotherapy techniques for the prevention and treatment of FI in women. For this purpose, the PubMed, Embase, and Web of Science databases were searched for 2000–2020. A total of 22 publications qualified for detailed analysis. The studies showed that biofeedback (BF), anal sphincter muscle exercises, pelvic floor muscle training (PFMT), and electrostimulation (ES) are effective in relieving FI symptoms, as reflected in the International Continence Society recommendations (BF: level A; PFMT and ES: level B). Research has confirmed that physiotherapy, by improving muscle strength, endurance, and anal sensation, is beneficial in the prevention of FI, both as an independent method of conservative treatment or in pre/post-surgery treatment. Moreover, it can significantly improve the quality of life of patients. In conclusion, physiotherapy (in particular, BF, PFMT, or ES, as effective methods) should be one of the key elements in the comprehensive therapy of patients with FI.

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