Predictors of outcome of anorectal biofeedback therapy in patients with constipation

Shim, Lisa; Jones, Michael; Prott, Gillian; Morris, Linsey-Anne I.; Kellow, John; Malcolm, Allison

doi:10.1111/j.1365-2036.2011.04653.x

Cited by 55 publications

(46 citation statements)

References 30 publications

(38 reference statements)

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“…This finding is not unexpected because hard stool is a common feature of DD [1] and because BFT is known to improve dyssynergia and allow more efficient stool evacuation. Shim et al studied 102 patients with CC and reported similar findings [47].…”

Section: Discussionsupporting

confidence: 60%

Efficacy and Predictors for Biofeedback Therapeutic Outcome in Patients with Dyssynergic Defecation

Yu¹,

Lin²

2017

Gastroenterology

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Section: Discussionsupporting

confidence: 60%

Efficacy and Predictors for Biofeedback Therapeutic Outcome in Patients with Dyssynergic Defecation

Yu¹,

Lin²

2017

Gastroenterology

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“…Harder stool consistency, shorter duration of laxative use, higher resting anal sphincter pressure, and more prolonged balloon expulsion time have been reported as predictors of a desirable outcome. 185,186 Neither patient age nor gender significantly affect the outcome. 186 The patient's willingness to participate or compliance is basically required for a behavioral therapy and seems to be one of the most important factors.…”

mentioning

confidence: 99%

“…185,186 Neither patient age nor gender significantly affect the outcome. 186 The patient's willingness to participate or compliance is basically required for a behavioral therapy and seems to be one of the most important factors.…”

mentioning

confidence: 99%

Guidelines for the Diagnosis and Treatment of Chronic Functional Constipation in Korea, 2015 Revised Edition

Shin

Jung

Lee

et al. 2016

J Neurogastroenterol Motil

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The Korean Society of Neurogastroenterology and Motility first published guidelines for chronic constipation in 2005 and was updated in 2011. Although the guidelines were updated using evidence-based process, they lacked multidisciplinary participation and did not include a diagnostic approach for chronic constipation. This article includes guidelines for diagnosis and treatment of chronic constipation to realistically fit the situation in Korea and to be applicable to clinical practice. The guideline development was based upon the adaptation method because research evidence was limited in Korea, and an organized multidisciplinary group carried out systematical literature review and series of evidence-based evaluations. Six guidelines were selected using the Appraisal of Guidelines for Research & Evaluation (AGREE) II process. A total 37 recommendations were adopted, including 4 concerning the definition and risk factors of chronic constipation, 8 regarding diagnoses, and 25 regarding treatments. The guidelines are intended to help primary physicians and general health professionals in clinical practice in Korea, to provide the principles of medical treatment to medical students, residents, and other healthcare professionals, and to help patients for choosing medical services based on the information. These guidelines will be updated and revised periodically to reflect new diagnostic and therapeutic methods.

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“…A recent study indicated that only 44-48% of patients who were recommended BFT actually underwent BFT10 because of the lack of insurance coverage, distance to local treatment facilities, and acute medical issues taking precedence. Moreover, BFT is time-consuming, and repeated training is required; hence, a willingness to participate is important for successful BFT 35. Physicians and therapists need to continuously motivate patients through education and counseling.…”

Section: Limitations Of Biofeedback Therapymentioning

confidence: 99%

Technique of Functional and Motility Test: How to Perform Biofeedback for Constipation and Fecal Incontinence

Lee

Jung

Myung

2013

J Neurogastroenterol Motil

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Biofeedback therapy is an instrument-based learning process centered on operant conditioning. The goal of biofeedback therapy in defecatory disorders is to strengthen the pelvic floor muscles, retrain rectal sensation and coordinate pelvic floor muscles during evacuation. Biofeedback therapy, in a broader sense, includes education, counseling, and diaphragmatic muscle training as well as exercise, sensory, and coordination training. For dyssynergic defecation, biofeedback therapy is a well-known and useful treatment option that had response rates of approximately 70-80% in randomized controlled trials. Biofeedback therapy for dyssynergic defecation consists of improving the abdominal push effort together with biofeedback technique-guided pelvic floor relaxation followed by simulated defecation and/or sensory training. For fecal incontinence, the results of a randomized controlled trial, which had a response rate of 76%, indicated that biofeedback therapy is useful in selected patients who fail to respond to conservative treatment and that training to enhance rectal discrimination of sensation may be helpful in reducing fecal incontinence. The focus of biofeedback therapy for fecal incontinence is on exercising external sphincter contractions under instant feedback, either alone or synchronously with rectal distension and/or sensory training. Biofeedback therapy is a safe treatment that may produce durable improvement beyond the active treatment period; however, a well-designed study to establish a standard protocol for biofeedback therapy is needed. This review discusses the technique of biofeedback therapy to achieve the goal and clinical outcomes for constipation and fecal incontinence.

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Predictors of outcome of anorectal biofeedback therapy in patients with constipation

Abstract: SUMMARY Background

Cited by 55 publications

References 30 publications

Efficacy and Predictors for Biofeedback Therapeutic Outcome in Patients with Dyssynergic Defecation

Efficacy and Predictors for Biofeedback Therapeutic Outcome in Patients with Dyssynergic Defecation

Guidelines for the Diagnosis and Treatment of Chronic Functional Constipation in Korea, 2015 Revised Edition

Technique of Functional and Motility Test: How to Perform Biofeedback for Constipation and Fecal Incontinence

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