Clinical Factors Associated with Response to Biofeedback Therapy for Patients with Chronic Constipation.
- Author:
Do Hyun PARK
1
;
Seung Jae MYUNG
;
In Ja YOON
;
Oh Rhyun KWON
;
Jung Eun KO
;
Hye Sook CHANG
;
Suk Kyun YANG
;
Tae Hwoon KIM
;
Hye Kyung SONG
;
Jin Hyuk LEE
;
Hwoon Yong JUNG
;
Weon Seon HONG
;
Jin Ho KIM
;
Young Il MIN
Author Information
1. Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. sjm5675@amc.seoul.kr
- Publication Type:Original Article ; English Abstract
- Keywords:
Constipation;
Biofeedback therapy;
Prognostic factor;
Pelvic floor dysfunction
- MeSH:
*Biofeedback, Psychology;
Chronic Disease;
Constipation/physiopathology/*therapy;
Female;
Humans;
Male;
Middle Aged;
Pelvic Floor/physiopathology;
Treatment Outcome
- From:The Korean Journal of Gastroenterology
2003;42(4):289-296
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: Biofeedback therapy has been widely used for the treatment of constipated patients. However, there are only a few reports about the clinical factors that can predict the effectiveness of biofeedback therapy. The aim of this study was to evaluate prognostic factors before the initiation of biofeedback treatment in constipated patients. METHODS: Biofeedback treatment was performed in 114 patients with constipation. After classifying the patients into two groups, responder and non-responder by subjective and objective parameters, univariate and multivariate analysis were performed to evaluate the factors associated with effectiveness of biofeedback therapy. RESULTS: Eighty-five patients (74.6%) responded to biofeedback therapy. Pre-treatment balloon expulsion test, paradoxical contraction on manometry, defecation index and anal residual pressure during straining were the factors that influenced the results of biofeedback treatment. On multivariate analysis, defecation index (odds ratio=67.5, p<0.05) and paradoxical contraction on manometry (odds ratio=0.053, p<0.05) were the factors that showed significant difference between the responders and non-responders. CONCLUSIONS: This study suggests that several pre-treatment prognostic factors are associated with response to biofeedback for the constipated patients. Using prognostic factors, we may be able to evaluate the patterns of pelvic floor dysfunction and responsiveness of biofeedback therapy for the patients with constipation.
