Most Read Articles
Elvira Manzano, Yesterday
Bisphosphonates have proven antifracture efficacy and remain to be the cornerstone of osteoporosis treatment. However, a drug holiday is of particular importance with bisphosphonates due to some signals with long-term use of the drug, including rare incidence of atypical femoral fracture (AFF) and osteonecrosis of the jaw (ONJ), says a leading endocrinologist at AFOS 2017.
07 Oct 2017
Women who follow a low-fat dietary pattern appear to have reduced breast cancer mortality, according to data from the Earlier Women’s Health Initiative Dietary Modification trial.
Pearl Toh, 5 days ago
Women with higher plasma tryptophan concentrations were less likely to have poor sleep quality during pregnancy, especially among those with anxiety symptoms, according to the GUSTO* study.
Pearl Toh, 11 Oct 2017
Clinical practice is an art guided by good science, and clinical practice guideline (CPG) is meant to guide in integrating the art and science of clinical practice for the long-term benefits of patients, said Dr Abdul Rashid Abdul Rahman, a consultant cardiovascular physician at An-Nur Specialist Hospital in Bangi, Malaysia, during the 13th Asian-Pacific Congress of Hypertension (APCH) held in Singapore.

Biofeedback therapy improves dyssynergic defecation in elderly women

6 days ago
Constipation: More than meets the eye

Electromyographic biofeedback (EMG-BF) appears to be an effective behavioural therapy for improving dyssynergic defecation in chronically constipated community-dwelling elderly women, according to a recent study.

There were significant differences between randomized groups in all the dependent variables after 1 month of treatment. In addition, no significant between-group difference was seen in age or in the duration of chronic constipation symptoms.

Clinical gains were maintained over a follow-up of 3 months, according to researchers.

To assess the efficacy of BF therapy in the treatment of dyssynergic defecation, 20 chronically constipated women were randomly assigned to either EMG-BF group (n=10) or control group (n=10) after an initial assessment phase carried out for 1 month.

The outcome measures for evaluating treatment efficacy were as follows: weekly stool frequency, sensation of incomplete evacuation, difficulty evacuation level, Anismus index and mean EMG-activity of the external anal sphincter during straining to defecate.

The findings of the current study supported those of a previous randomized controlled trial by Simon and Bueno. [Appl Psychophysiol Biofeedback 2009;34:273-7]

Their results showed that patients in the EMG-BF group had significant improvements in psychophysiological measures (EMG-activity during straining to defecate and Anismus index), as well as in clinical variables (frequency of defecations per week, sensation of incomplete evacuation, difficulty evacuation level and perianal pain at defecation). These benefits were maintained at the follow-up period 2 months later.

One of the most common forms of functional constipation, dyssynergic defecation refers to an incomplete evacuation of faecal material from the rectum due to paradoxical contraction or failure to relax pelvic floor muscles when straining to defecate. It is said to be a behavioural disorder because there are no associated morphological or neurological abnormalities. [World J Gastroenterol 2006;12:7069-74]

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Most Read Articles
Elvira Manzano, Yesterday
Bisphosphonates have proven antifracture efficacy and remain to be the cornerstone of osteoporosis treatment. However, a drug holiday is of particular importance with bisphosphonates due to some signals with long-term use of the drug, including rare incidence of atypical femoral fracture (AFF) and osteonecrosis of the jaw (ONJ), says a leading endocrinologist at AFOS 2017.
07 Oct 2017
Women who follow a low-fat dietary pattern appear to have reduced breast cancer mortality, according to data from the Earlier Women’s Health Initiative Dietary Modification trial.
Pearl Toh, 5 days ago
Women with higher plasma tryptophan concentrations were less likely to have poor sleep quality during pregnancy, especially among those with anxiety symptoms, according to the GUSTO* study.
Pearl Toh, 11 Oct 2017
Clinical practice is an art guided by good science, and clinical practice guideline (CPG) is meant to guide in integrating the art and science of clinical practice for the long-term benefits of patients, said Dr Abdul Rashid Abdul Rahman, a consultant cardiovascular physician at An-Nur Specialist Hospital in Bangi, Malaysia, during the 13th Asian-Pacific Congress of Hypertension (APCH) held in Singapore.