Biofeedback therapy combinell with electrical stimulation in the treatment of traumatic faecal incontinence
- VernacularTitle:经肛电刺激结合生物反馈在损伤性控便障碍康复治疗中的应用
- Author:
Daqing SUN
;
Qiangsan SUN
;
Dianguo LI
;
Ke HAN
;
Xiaobing SUN
;
Weixiu CHEN
;
Li ZHANG
- Publication Type:Journal Article
- Keywords:
Electrical stimulation;
Faecal incontinence;
Biofeedback
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2008;30(8):551-554
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of biofeedback therapy combined with electrical stimulation in patients with traumatic faecal incontinence.Methods Eishty-two patients with traumatic faecal incontinence were treated once daily with electric stimulation delivered via an intra-anal electrode.They also followed a biofeedback regimen including strengthening,sensory and coordination biofeedback.The whole progrtun consisted of 3 sessions of supervised treatment in hospital followed by 3 sessions of home therapy(10 days per session with an interval of 7days between the sessions).Clinical scores and anorectal function were assessed before and after the program.Results Before treatment,there were 9 patients with good clinical scores,and the general rate of fair and poor clinical scores Was 89%.After therapy,61 patients had good scores,and the general rate of fair and poor Was 26%.Anorectal squeeze pressure and sphincter electromyographic amplitude had improved significantly,the rectal sensory threshold Was decreased significantly,and 76%of the patients who had no external anal sphincter reflex recovered.At the two years follow-up,68% of the patients had maintained the clinical outcomes.Conclusion Biofeedback therapy in conjunction with electrical stimulation has significant therapeutic effects on patients with traumatic faecal incontinence.
