Improvement of fecal incontinence and quality of life by electrical stimulation and biofeedback for patients with low rectal cancer after intersphincteric resection.
Arch Phys Med Rehabil
; 96(8): 1442-7, 2015 Aug.
Article
em En
| MEDLINE
| ID: mdl-25838018
ABSTRACT
OBJECTIVE:
To assess the efficacy and benefits of pelvic rehabilitation programs in terms of functional outcomes and quality of life for patients with fecal incontinence and defecation disorders after rectal cancer surgery.DESIGN:
Prospective, observational study.SETTING:
University hospital physiotherapy clinics.PARTICIPANTS:
Patients (N=32) who experienced fecal incontinence after sphincter-saving surgery with the intersphincteric resection (ISR) technique and could follow and cooperate with the treatment schedule were included in the present study.INTERVENTIONS:
Pelvic rehabilitation programs included electrical stimulation (ES) and biofeedback (BF). MAIN OUTCOMEMEASURES:
Functional results, Wexner score, and anorectal manometry were used to assess the clinical outcomes of rehabilitation treatment.RESULTS:
Maximum squeeze pressure improved after rehabilitation training (P=.014). There were no statistical differences in resting pressure, resting muscle electromyography, and maximum squeeze electromyography (P=.061, P=.76, and P=.99, respectively). The mean stool frequency was 18.8 per 24 hours before the pelvic intervention program and 7.8 per 24 hours after ES and BF training (P<.001). Of the 32 patients, 27 required antidiarrheal medications before treatment, and after completion of the training, only 9 patients still needed antidiarrheal medications (P<.001). Significant improvements were observed in the Wexner score (17.74 vs 12.93; P<.001).CONCLUSIONS:
Our data show that ES and BF are effective in the treatment of fecal incontinence, leading to improvement of quality of life for patients with low rectal cancer after ISR.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Neoplasias Retais
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Biorretroalimentação Psicológica
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Terapia por Estimulação Elétrica
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Incontinência Fecal
Tipo de estudo:
Clinical_trials
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Observational_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article