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Improvement of fecal incontinence and quality of life by electrical stimulation and biofeedback for patients with low rectal cancer after intersphincteric resection.
Kuo, Li-Jen; Lin, Yu-Ching; Lai, Chien-Hung; Lin, Yen-Kuang; Huang, Yu-Shih; Hu, Chia-Chen; Chen, Shih-Ching.
Afiliación
  • Kuo LJ; Division of General Surgery, Taipei Medical University Hospital, Taipei, Taiwan; Department of Surgery, Taipei Medical University Hospital, Taipei, Taiwan; Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; Department of Surgery, School of Medici
  • Lin YC; Department of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei, Taiwan.
  • Lai CH; Department of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei, Taiwan; Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
  • Lin YK; Biostatistics and Research Consultation Center, Taipei Medical University, Taipei, Taiwan.
  • Huang YS; Department of Surgery, Taipei Medical University Hospital, Taipei, Taiwan.
  • Hu CC; Department of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei, Taiwan.
  • Chen SC; Department of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei, Taiwan; Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan. Electronic address: CSC@tmu.edu.tw.
Arch Phys Med Rehabil ; 96(8): 1442-7, 2015 Aug.
Article en En | MEDLINE | ID: mdl-25838018
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 OUTCOME MEASURES: 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias del Recto / Biorretroalimentación Psicológica / Terapia por Estimulación Eléctrica / Incontinencia Fecal Tipo de estudio: Clinical_trials / Observational_studies Aspecto: Patient_preference Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Arch Phys Med Rehabil Año: 2015 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias del Recto / Biorretroalimentación Psicológica / Terapia por Estimulación Eléctrica / Incontinencia Fecal Tipo de estudio: Clinical_trials / Observational_studies Aspecto: Patient_preference Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Arch Phys Med Rehabil Año: 2015 Tipo del documento: Article Pais de publicación: Estados Unidos