Most Read Articles
Elvira Manzano, 5 days ago
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.
2 days ago
Breast cancer patients have notably different microbiomes in the local breast tissue and urinary tract, a recent study reveals. Particularly, species in the Methylobacterium genus are reduced in the local breast tissue while the urinary tract is enriched in gram-positive bacteria.
Tristan Manalac, 2 days ago
Statin use, particularly in smokers, obese patients and nondiabetics, has a strong and dose-dependent association with decreasing risk of pancreatic ductal adenocarcinoma (PDAC), according to a new study.
15 Oct 2017
Second eye cataract surgery provides greater improvement in visual function and quality of life compared with first eye cataract surgery alone, a recent study claims.

Biofeedback therapy improves dyssynergic defecation in elderly women

12 Oct 2017
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]

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Doctor - Malaysia digital copy today!
DOWNLOAD
Editor's Recommendations
Most Read Articles
Elvira Manzano, 5 days ago
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.
2 days ago
Breast cancer patients have notably different microbiomes in the local breast tissue and urinary tract, a recent study reveals. Particularly, species in the Methylobacterium genus are reduced in the local breast tissue while the urinary tract is enriched in gram-positive bacteria.
Tristan Manalac, 2 days ago
Statin use, particularly in smokers, obese patients and nondiabetics, has a strong and dose-dependent association with decreasing risk of pancreatic ductal adenocarcinoma (PDAC), according to a new study.
15 Oct 2017
Second eye cataract surgery provides greater improvement in visual function and quality of life compared with first eye cataract surgery alone, a recent study claims.