ba-bai-ke-re MMTJA, Wen NR, Hu YL, Zhao L, Tuxun T, Husaiyin A, Sailai Y, Abulimiti A, Wang YH, Yang P. Biofeedback-guided pelvic floor exercise therapy for obstructive defecation: An effective alternative. World J Gastroenterol 2014; 20(27): 9162-9169 [PMID: 25083090 DOI: 10.3748/wjg.v20.i27.9162]
Corresponding Author of This Article
Yalikun Sailai, Surgical Assistant Professor, MD, General Surgical Department of First Affiliated Hospital of Xinjiang Medical University, Liyushan Road, No 1, Urumqi 830011, Xinjiang Uygur Autonomous Region, China. 834140633@qq.com
Research Domain of This Article
Surgery
Article-Type of This Article
Clinical Trials Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Failure: (unsuccessful attempts at evacuation per 24 h)
Score
Never
0
1-3
1
3-6
2
6-9
3
More than 9
4
Pain: abdominal
Score
Never
0
Rarely
1
Sometimes
2
Usually
3
Always
4
Time: minutes in lavatory per attempt
Score
Less than 5
0
5-10
1
10-20
2
20-30
3
More than 30
4
History: duration of constipation (yr)
Score
0
0
1-5
1
5-10
2
10-20
3
More than 20
4
Assistance: type of assistance
Score
Without assistance
0
Stimulant laxatives
1
Digital assistance/enema
2
Table 3 Comparison of biofeedback pelvic floor training and polyethylene glycol groups at each follow-up time after treatment n (%)
Symptoms
PEG
BFT
Statistic value
P value
Difficult evacuation
1-mo follow-up
39 (88.64)
31 (70.45)
4.4698
0.0345
3-mo follow-up
31 (70.45)
18 (40.90)
8.0173
0.0046
6-mo follow-up
24 (54.54)
11 (25.00)
8.0173
0.0046
Hard stools
1-mo follow-up
34 (77.27)
28 (63.64)
1.9653
0.1610
3- mo follow-up
29 (65.91)
10 (22.73)
16.6238
0.0000
6- mo follow-up
21 (47.73)
7 (15.91)
10.2667
0.0014
Need for digitation
1-mo follow-up
31 (70.45)
7 (15.55)
26.6779
0.0000
3-mo follow-up
25 (56.82)
5 (11.36)
20.2299
0.0000
6-mo h follow-up
20 (45.45)
3 (6.82)
17.0114
0.0000
Sensation of incomplete emptying
1-mo follow-up
28 (63.64)
15 (34.09)
7.6858
0.0056
3-mo follow-up
21 (47.73)
18 (40.90)
6.4144
0.5197
6-mo follow-up
14 (31.82)
10 (22.73)
0.9167
0.3384
Laxative dependence
1-mo follow-up
37 (84.09)
25 (56.82)
7.8610
0.0051
3-mo follow-up
31 (70.45)
19 (43.18)
6.6695
0.0098
6-mo follow-up
28 (63.64)
10 (22.73)
15.0063
0.0001
Perianal pain at defecation
1-mo follow-up
28 (63.64)
12 (27.27)
11.7333
0.0006
3-mo follow-up
24 (54.54)
15 (34.09)
3.7300
0.0534
6-mo follow-up
18 (40.91)
9 (20.45)
4.3279
0.0375
Satisfaction
1-mo follow-up
8 (18.18)
19 (42.22)
6.4651
0.0110
3-mo follow-up
11 (25.00)
25 (56.81)
9.2137
0.0024
6-mo follow-up
9 (20.45)
35 (79.54)
7.0625
0.0010
Table 4 Comparison of biofeedback pelvic floor training and polyethylene glycol groups wexner scores and quality of life scores
Symptoms (mo)
PEG
BFT
Statistic value
P value
Wexner scores
1
16 ± 4.1
22 ± 4.2
14.518
0
3
18 ± 3.9
23 ± 3.2
29.3749
0
6
19 ± 3.4
25 ± 3.1
68.2902
0
Quality of life scores
1
50 ± 2.5
62 ± 3.8
16.4269
0
3
57 ± 2.1
71 ± 3.2
22.5295
0
6
64 ± 1.9
80 ± 2.2
36.5105
0
Citation: ba-bai-ke-re MMTJA, Wen NR, Hu YL, Zhao L, Tuxun T, Husaiyin A, Sailai Y, Abulimiti A, Wang YH, Yang P. Biofeedback-guided pelvic floor exercise therapy for obstructive defecation: An effective alternative. World J Gastroenterol 2014; 20(27): 9162-9169