Do resistance exercises during biofeedback therapy enhance the anal sphincter and pelvic floor muscles in anal incontinence?

2021 ◽  
Author(s):  
Lori J. Tuttle ◽  
Ali Zifan ◽  
Jessica Swartz ◽  
Ravinder K. Mittal
Keyword(s):  
Pelvic Floor ◽  
Anal Sphincter ◽  
Anal Incontinence ◽  
Pelvic Floor Muscles ◽  
Biofeedback Therapy ◽  
Resistance Exercises

scholarly journals FUNCTIONAL STATE OF THE PELVIC FLOOR MUSCLES IN PATIENTS WITH THE PELVIC PROLAPSE

2017 ◽  
pp. 55-61
Author(s):  
O. Yu. Fomenko ◽  
Yu. A. Shelygin ◽  
G. V. Poryadin ◽  
A. Yu. Titov ◽  
A. A. Ponomarenko ◽  
...  
Keyword(s):  
Physical Examination ◽  
Pelvic Floor ◽  
Anal Sphincter ◽  
Functional State ◽  
Diagnostic Algorithm ◽  
Pelvic Floor Muscles ◽  
Functional Study ◽  
Rectal Intussusception ◽  
Study Results ◽  
Obstructive Defecation

The article analyzes the functional state (evacuation functions, continence) and innervation of the pelvic floor muscles in patients with rectocele and combination rectocele with internal rectal intussusception, with complaints of obstructive defecation. AIM. The study of the functional state of the pelvic floor muscles in patients with obstructive defecation syndrome (ODS). MATERIALS AND METHODS. The study included 224 women with complaints of obstructive defecation, without pelvic floor surgery. On physical examination, all patients were detected signs of rectocele. The average age - 49,9±15,0 years. 52 (23,2%) patients had complaints to the fecal incontinence of various components. Diagnostic algorithm: physical examination defecography, rectal functional study (high resolution manometry (HRAM), evacuation test, comprehensive sphincterometry, pudendal nerve study). RESULTS. Frequency of functional disorders of defecation (FDD) according to objective methods of study among patients with ODS is high and amounts to 64.7%. In this case, there are no differences in the frequency FDD in patients with a combination of rectocele and internal intussusception compared to patients with only rectocele. There were no correlation between the frequency of anal sphincter failure and FDD. We identified some patients with subclinical incontinence, without complaints but with reduced manometric values and anal sphincter contractility. We have proved the absence of correlation between the presence or absence of pelvic floor muscle innervations violations in the form of neuropathy n. pudendus and the presence or absence of FDD. CONCLUSION. FDD can cause unsatisfactory results of surgical treatment of patients with ODS, even after the restoration of the anatomic relationships due to complaints of evacuation violation. ODS diagnostic algorithm should include not only an assessment of evacuationfunction (HRAM and evacuation test), but also sphincterometry, to assess the content function.

Significance of pelvic floor muscles in anal incontinence

2002 ◽  
Vol 123 (5) ◽  
pp. 1441-1450 ◽  
Author(s):  
Xose Fernández–Fraga ◽  
Fernando Azpiroz ◽  
Juan–R. Malagelada
Keyword(s):  
Pelvic Floor ◽  
Anal Incontinence ◽  
Pelvic Floor Muscles

scholarly journals URINARY INCONTINENCE AND EXERCISE: KINESIOLOGICAL DESCRIPTION OF AN INTERVENTION PROPOSAL

2019 ◽  
Vol 25 (5) ◽  
pp. 409-412
Author(s):  
Aletha Silva Caetano ◽  
Frank Shiguemitsu Suzuki ◽  
Maria Helena Baena de Moraes Lopes
Keyword(s):  
Physical Activity ◽  
Urinary Incontinence ◽  
Pelvic Floor ◽  
Case Series ◽  
Pelvic Floor Muscles ◽  
Level Of Evidence ◽  
Treatment And Prevention ◽  
Education Professional ◽  
Resistance Exercises ◽  
New Strategy

ABSTRACT Introduction Research shows that symptoms of urinary incontinence are common among women who engage in physical activity. Objective To conduct a kinesiological analysis of specific exercises for the pelvic floor muscles (PFM), proposing correspondences of these postures through resistance exercises. Methods This research project is of a descriptive nature with level of evidence V. Videos and photos were taken to obtain an image for the collection of data based on the accomplishment of the specific postures. Results The kinesiological study revealed that the muscles involved in the postures of exercises targeting the prevention of urinary incontinence beyond those specific to the pelvic floor were: trunk flexors; spinal erector; adductors and hip extensors. The resistance exercises corresponding to these positions in bodybuilding apparatus were the machine hack squat; sitting adductor exercises; sitting abductor exercises; the smith machine squat and the free squat or machine squat. Conclusion This study showed that it is possible to construct correspondence between exercises for the pelvic floor muscles and resistance exercises with bodybuilding equipment and free weights. A new strategy is suggested for the physical education professional, based on resistance exercises: taking a coadjuvant approach to the treatment and prevention of urinary incontinence during physical and sports exercises. Level of evidence V, Case series.

Sa1680 EFFECTS OF CONCENTRIC PELVIC FLOOR RESISTANCE EXERCISES ASSOCIATED WITH BIOFEEDBACK ON ISOMETRIC MUSCLE CONTRACTIONS OF THE ANAL SPHINCTER

2020 ◽  
Vol 158 (6) ◽  
pp. S-380
Author(s):  
Ali Zifan ◽  
Ravinder K. Mittal ◽  
Jessica Swartz ◽  
Garrett Barr ◽  
David C. Kunkel ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Anal Sphincter ◽  
Muscle Contractions ◽  
Resistance Exercises ◽  
Isometric Muscle

Residual defects after repair of obstetric anal sphincter injuries and pelvic floor muscle strength are related to anal incontinence symptoms

2016 ◽  
Vol 28 (3) ◽  
pp. 455-460 ◽  
Author(s):  
Cristina Ros Cerro ◽  
Eva Martínez Franco ◽  
Giulio Aniello Santoro ◽  
Maria José Palau ◽  
Pawel Wieczorek ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Pelvic Floor ◽  
Anal Sphincter ◽  
Anal Incontinence ◽  
Pelvic Floor Muscle ◽  
Obstetric Anal Sphincter Injuries ◽  
Pelvic Floor Muscle Strength

Первый опыт применения экстракорпоральной магнитной стимуляции в лечении недостаточности анального сфинктера

2018 ◽  
pp. 98-106
Author(s):  
О.Ю. Фоменко ◽  
Ю.А. Шелыгин ◽  
Г.В. Порядин ◽  
А.Ю. Титов ◽  
В.А. Козлов ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Anal Canal ◽  
Anal Sphincter ◽  
Anal Incontinence ◽  
Magnetic Stimulation ◽  
Included Study ◽  
Voluntary Contraction ◽  
Biofeedback Therapy ◽  
Sphincter Tone ◽  
Strong Contraction

Цель исследования. В связи с отсутствием четких алгоритмов консервативного лечения анальной инконтиненции и доказанным превосходством мультимодальной терапии, целью исследования было сравнение двух комплексных программ консервативного лечения недостаточности анального сфинктера (НАС), включающих в качестве одной из составляющих анальную электростимуляцию или экстракорпоральную магнитную стимуляцию по специально разработанным протоколам. Методика. В исследование включено 59 чел. с недостаточностью анального сфинктера. В 1-й группе, состоящей из 22 пациентов (20 женщин, 2 мужчины, средний возраст 50,9 ± 5,1 года), анальная электростимуляция сочеталась с БОС-терапией (терапией биологической обратной связью) и тибиальной нейромодуляцией. Во 2-й группе, состоящей из 37 пациентов (33 женщины, 4 мужчин, средний возраст 51 ± 4,4 года), экстракорпоральная магнитная стимуляция сочеталась с БОС-терапией и тибиальной нейромодуляцией. Результаты. У 22 больных 1-й группы показатели тонуса и сократительной способности анальных сфинктеров до лечения составляли 33,3 ± 2,8 мм рт. ст. в покое и 77,3 ± 16,0 при волевом сокращении, а после лечения - 42,6 ± 4,2 и 99,5 ± 19,2, т.е. увеличение давления в анальном канале составило 27,9% и 28,7% соответственно. У 37 пациентов 2-й группы показатели тонуса и сократительной способности анальных сфинктеров до лечения составили 32,4 ± 2,0 и 91,4 ± 9,5 мм рт. ст., а после лечения отмечены на уровне 40,9 ± 3,0 и 109,8 ± 11,9 мм рт. ст., т.е. давление в анальном канале возросло на 26,2% и 20,1% в покое и при волевом сокращении соответственно. Обсуждение. Проводимая консервативная реабилитация оказывает положительное воздействие на мышцы запирательного аппарата прямой кишки у пациентов с анальной инконтиненцией, вызывая увеличение показателей как тонуса, так и сократительной способности анальных сфинктеров, что имеет важное клиническое значение. Статистически значимых различий между приростом показателей давления в группах пациентов с анальной и магнитной стимуляцией не зарегистрировано. Aim. Since clear algorithms for conservative treatment of anal incontinence are unavailable while advantages of the multimodal therapy have been proven, the aim of this study was to compare two complex programs of conservative treatment of anal sphincter failure. The programs included study-specific protocols of anal electrostimulation or extracorporeal magnetic stimulation as one of treatment components. Methods. The study included 59 patients with anal sphincter failure. The first group, which consisted of 22 patients (20 (90.9%) women and 2 (9.1%) men; mean age, 50.9 ± 5.1), underwent anal electrostimulation combined with biofeedback therapy and tibial neuromodulation. The second group, which consisted of 37 patients (33 (89.2%) women and 4 (10.8%) men; mean age, 51 ± 4.4), underwent extracorporeal magnetic stimulation combined with biofeedback therapy and tibial neuromodulation. Results. For 22 patients of the first group, pretreatment values of perianal sphincter tone and contractility were 33.3 ± 2.8 mm Hg at rest and 77.3 ± 16.0 mm Hg during a strong voluntary contraction; posttreatment values increased to 42.6 ± 4.2 mm Hg and 99.5 ± 19.2 mm Hg, respectively, i.e., the anal canal pressure increased by 27.9% and 28.7%, respectively. For 37 patients of the second group, pretreatment values of perianal sphincter tone and contractility were 32.4 ± 2.0 mm Hg and 91.4 ± 9.5 mm Hg; posttreatment values increased to 40.9 ± 3.0 mm Hg and 109.8 ± 11.9 mm Hg, i.e., the anal canal pressure increased by 26.2% and 20.1% at rest and during a strong contraction, respectively. Discussion. The conservative rehabilitation was beneficial for the anal sphincter in patients with anal incontinence by increasing both tone and contractility of perianal sphincters, which is clinically highly important. Statistically significant differences in increments of pressure values between groups of patients with colorectal and magnetic stimulation were absent.

EPISIOTOMY : A CHALLENGING OBSTETRIC INTERVENTION

2003 ◽  
Vol 42 (145) ◽  
pp. 54-58
Author(s):  
D S Malla
Keyword(s):  
Blood Loss ◽  
Pelvic Floor ◽  
Anal Sphincter ◽  
Intracranial Haemorrhage ◽  
Perineal Tear ◽  
Obstetric Intervention ◽  
Anal Sphincter Damage

ABSTRACTThe professional literatures on the development of widely practiced procedure, episiotomy through theyears from the first publication in 1742 are reviewed. It reveals the change in number of publication as wellas the contributors to the development of perception about episiotomy. So it consisted expression of opinionof doctors initially then the co-workers like nurses and researchers and clients or consumers themselvestoo. It concludes that episiotomies prevent anterior perineal tear but fails to accomplish other benefitstraditionally ascribed to pelvic floor damage and relaxation including its sequel and also protection ofnewboin from intracranial haemorrhage and intrapartum asphyxia. Episiotomy substantially increasematernal blood loss during delivery and risk of anal sphincter damage with their long term morbidity.There is an urgent need to restrict the use of episiotomy in vaginal delivery.Key Words: Episiotomy, Perineal tear, anal sphincter damage.

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