Effect of Biofeedback Training on Fecal Incontinence in Children with Myelomeningocele
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- Category: Vol. 77, March 2009
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Effect of Biofeedback Training on Fecal Incontinence in Children with Myelomeningocele,REDA S.M. SARHAN and ENAS EL-SAYED
Abstract
Purpose: This study aimed at evaluating the effects of biofeedback training on children with fecal incontinence.
Subjects: Twenty children (12 males and 8 females), diagnosed as spina-pifida (myelomeningocele), were recruited from pediatrics outpatient clinic, King Abdul-Aziz university hospital, Jeddah, Saudi Arabia. Their age ranged from ten to fifteen years.
Methods: Anorectal manometric functions were assessed for all children before and after treatment. The children were randomly divided into two groups of equal number (control and study). Both groups received physical therapy program (daily rectal evacuation program, diet control and pelvic floor muscle exercises). In addition, the study group received biofeedback training program. Treatment for all patients continued for three months (one hour/session, three times/ week).
Results: The results revealed statistically significant improvement in the outcome measures in the study group. Biofeedback training improved anal squeeze as well as rectal sensation.
Conclusion: Biofeedback training in conjunction with conventional therapy program was effective in improving fecal incontinence in children with myelomeningocele.
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