Background No studies have specifically reported on the use of a diagnostic tool based on physiatric assessment of constipated or incontinent patients Methods Sixty-seven constipated and 37 incontinent patients were submitted to a standard protocol based on proctologic examination, clinico-physiatric assessment (puborectalis contraction, pubococcygeal test, perineal defence reflex, muscular synergies, postural examination) and instrumental evaluation (anorectal manometry, anal US and dynamic defaecography). Patients were offered pelvic floor rehabilitation (thoraco-abdominoperineal muscle coordination training, biofeedback, electrical stimulation and volumetric rehabilitation). Results After rehabilitation treatment, decreases of Wexner constipation score (p=0.0001) and Pescatori incontinence score (p=0.0001) were observed. Conclusions This diagnostic protocol might improve the selection of patients with defaecatory disorders amenable for rehabilitation treatment.

Useful parameters helping proctologists to identify patients with defaecatory disorders that may be treated with pelvic floor rehabilitation.

BRUSCIANO L.;LIMONGELLI, Paolo;DEL GENIO, Gianmattia;MAFFETTONE, Vincenzo;NAPOLITANO, Vincenzo;SAGNELLI, Caterina;
2007

Abstract

Background No studies have specifically reported on the use of a diagnostic tool based on physiatric assessment of constipated or incontinent patients Methods Sixty-seven constipated and 37 incontinent patients were submitted to a standard protocol based on proctologic examination, clinico-physiatric assessment (puborectalis contraction, pubococcygeal test, perineal defence reflex, muscular synergies, postural examination) and instrumental evaluation (anorectal manometry, anal US and dynamic defaecography). Patients were offered pelvic floor rehabilitation (thoraco-abdominoperineal muscle coordination training, biofeedback, electrical stimulation and volumetric rehabilitation). Results After rehabilitation treatment, decreases of Wexner constipation score (p=0.0001) and Pescatori incontinence score (p=0.0001) were observed. Conclusions This diagnostic protocol might improve the selection of patients with defaecatory disorders amenable for rehabilitation treatment.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11591/186849
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