scholarly journals Intervenção fisioterapêutica na incontinência fecal no idoso

2012 ◽  
Vol 37 (3) ◽  
Author(s):  
Lucas Lima Ferreira ◽  
Laís Helena Carvalho Marino ◽  
Simone Cavenaghi
Keyword(s):  
Physical Therapy ◽  
Fecal Incontinence

O objetivo deste estudo foi agrupar e atualizar conhecimentos referentes à intervenção fisioterapêutica na incontinência fecal no idoso. A pesquisa da literatura foi realizada nas bases de dados eletrônicas: MEDLINE, LILACS, Cochrane, PubMed e SciELO, no período de janeiro de 2006 a julho de 2011. As palavras-chave usadas em várias combinações foram: fecal incontinence, aged, physical therapy, physiotherapy, exercises, rehabilitation e electrotherapy. A intervenção fisioterapêutica incluiu a avaliação da incontinência fecal constituída pelos sinais e sintomas, exame físico e exames complementares, que incluíram a manometria anorretal, a retossigmoidoscopia, a defecografia, a eletromiografia anorretal, a ultrassonografia endoanal e a latência motora terminal do nervo pudendo; os exercícios para fortalecimento da musculatura do assoalho pélvico, o biofeedback, o treinamento com balão retal e a eletroestimulação constituem a base do tratamento. Essa atualização demonstrou a escassez de estudos abordando tal temática, encontrando apenas cinco estudos publicados nos últimos anos com pacientes idosos incontinentes, os quais enfatizaram em sua maioria os procedimentos já consagrados na literatura refutando as evidências já conhecidas. Porém, uma modalidade consideravelmente nova de tratamento, a neuroestimulação sacral, tem sido investigada com resultados aparentemente positivos, suscitando a necessidade de novos estudos com desenhos metodológicos específicos sobre este problema.

Pelvic Floor Physical Therapy is Effective in the Majority of Children with Fecal Incontinence

2017 ◽  
Vol 152 (5) ◽  
pp. S706
Author(s):  
Swathi Muddasani ◽  
Amanda Moe ◽  
Caitlin M. Semmelrock ◽  
Caroyl L. Gilbert ◽  
Valentine Enemuo ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Fecal Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Physical Therapy

scholarly journals The Effects of a Progressive Exercise Program With Surface Electromyographic Biofeedback on an Adult With Fecal Incontinence

2002 ◽  
Vol 82 (8) ◽  
pp. 798-811 ◽  
Author(s):  
Stephanie Weiss Coffey ◽  
Elaine Wilder ◽  
Michael J Majsak ◽  
Renee Stolove ◽  
Lori Quinn
Keyword(s):  
Physical Therapy ◽  
Fecal Incontinence ◽  
Pelvic Floor ◽  
Relaxation Training ◽  
Pelvic Floor Muscle ◽  
Pelvic Floor Muscles ◽  
Vacuum Extraction ◽  
Physical Relationship ◽  
Electromyographic Biofeedback ◽  
Patient Reported

AbstractBackground and Purpose. Fecal incontinence often compromises a person's ability to participate in work and recreational activities. Incontinence may also diminish a person's willingness to take part in social events, leading to feelings of isolation. This case report describes physical therapy designed to reduce a patient's pelvic-floor muscle dysfunction and fecal incontinence. Case Description. The patient was a 30-year-old woman whose fecal incontinence began after the complicated vaginal birth of her first child that required a vacuum extraction and episiotomy. Intervention included soft tissue techniques, electromyographic biofeedback, strength training, relaxation training, patient education, and a home program. The patient completed a questionnaire at initial evaluation and at discharge to assess her perceived limitations in functional activities. Electromyographic analysis was used to measure changes in the patient's pelvic-floor muscle control. Outcomes. The social, occupational, and sexual domains, which the patient initially judged to be the most compromised, showed the greatest improvement. Electromyographic data for the final treatment session indicated improved strength, endurance, and control of her pelvic-floor muscles. The patient reported no episodes of fecal incontinence over the last month of the 3 months of therapy. Discussion. The physical therapy program may have led to improved bowel continence and greater control of the pelvic-floor muscles, resulting in greater confidence and comfort in social and work situations and less restriction in the patient's physical relationship with her spouse.

scholarly journals PELVIC FLOOR MUSCLE EXERCISE AND PHYSICAL THERAPY MAY IMPROVE SYSTEMIC SCLEROSIS-ASSOCIATED FECAL INCONTINENCE

2021 ◽  
Vol 2 (2) ◽  
pp. 104-108
Author(s):  
Neslihan Gokcen
Keyword(s):  
Systemic Sclerosis ◽  
Physical Therapy ◽  
Fecal Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Treatment Strategies ◽  
Muscle Exercise ◽  
Biofeedback Therapy ◽  
Gastrointestinal Complications ◽  
Pelvic Floor Muscle Exercise

Gastrointestinal involvement in systemic sclerosis (SSc) is observed in up to 90% of patients. Resolution of some of these gastrointestinal complications is challenging without the support of physical therapy and rehabilitation. One of these complications, SSc-associated fecal incontinence, which can be devastating for those affected, is seen in up to 39%. Studies focusing on fecal incontinence and its treatment are scarce. The hypothesis presented herein suggests that pelvic floor muscle exercise, biofeedback therapy, and neuromodulation methods might be effective and safe treatment strategies for patients affected by this debilitating complication.

Physical Therapy for Fecal Incontinence in Children with Pelvic Floor Dyssynergia

2017 ◽  
Vol 190 ◽  
pp. 74-78 ◽  
Author(s):  
Swathi Muddasani ◽  
Amanda Moe ◽  
Caitlin Semmelrock ◽  
Caroyl Luan Gilbert ◽  
Valentine Enemuo ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Fecal Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Dyssynergia

scholarly journals Biofeedback for Pelvic Floor Disorders

2020 ◽  
Author(s):  
Melissa Hite ◽  
Thomas Curran
Keyword(s):  
Physical Therapy ◽  
Fecal Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Disorders ◽  
Pelvic Floor Muscle Training ◽  
Pelvic Floor Muscle ◽  
The Body ◽  
Muscle Training ◽  
Low Anterior Resection Syndrome ◽  
Anorectal Pain

AbstractDefecatory disorders can include structural, neurological, and functional disorders in addition to concomitant symptoms of fecal incontinence, functional anorectal pain, and pelvic floor dyssynergia. These disorders greatly affect quality of life and healthcare costs. Treatment for pelvic floor disorders can include medications, botulinum toxin, surgery, physical therapy, and biofeedback. Pelvic floor muscle training for pelvic floor disorders aims to enhance strength, speed, and/or endurance or coordination of voluntary anal sphincter and pelvic floor muscle contractions. Biofeedback therapy builds on physical therapy by incorporating the use of equipment to record or amplify activities of the body and feed the information back to the patients. Biofeedback has demonstrated efficacy in the treatment of chronic constipation with dyssynergic defecation, fecal incontinence, and low anterior resection syndrome. Evidence for the use of biofeedback in levator ani syndrome is conflicting. In comparing biofeedback to pelvic floor muscle training alone, studies suggest that biofeedback is superior therapy.

Central Nervous System Processing of Emotions in Children with Fecal Incontinence and Constipation

2019 ◽  
Vol 47 (1) ◽  
pp. 67-71
Author(s):  
Monika Equit ◽  
Justine Niemczyk ◽  
Anna Kluth ◽  
Carla Thomas ◽  
Mathias Rubly ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Fecal Incontinence ◽  
Event Related Potentials ◽  
Anterior Cingulate ◽  
Afferent Pathways ◽  
Study Results ◽  
Related Potentials ◽  
The Central Nervous System ◽  
Cortical Regions

Abstract. Objective: Fecal incontinence and constipation are common disorders in childhood. The enteric nervous system and the central nervous system are highly interactive along the brain-gut axis. The interaction is mainly afferent. These afferent pathways include centers that are involved in the central nervous processing of emotions as the mid/posterior insula and the anterior cingulate cortex. A previous study revealed altered processing of emotions in children with fecal incontinence. The present study replicates these results. Methods: In order to analyze the processing of emotions, we compared the event-related potentials of 25 children with fecal incontinence and constipation to those of 15 control children during the presentation of positive, negative, and neutral pictures. Results: Children with fecal incontinence and constipation showed altered processing of emotions, especially in the parietal and central cortical regions. Conclusions: The main study results of the previous study were replicated, increasing the certainty and validity of the findings.

Urinary and Fecal Incontinence: A Training Program for Children and Adolescents

2014 ◽  
Author(s):  
Monika Equit ◽  
Heike Sambach ◽  
Justine Niemczyk ◽  
Alexander von Gontard
Keyword(s):  
Fecal Incontinence ◽  
Children And Adolescents ◽  
Training Program
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