Biofeedback training in disordered defecation

SummaryFor 20 years now, biofeedback applications in the treatment of fecal incontinence and, more recently, chronic constipation in adults have proven that improvement of anorectal function can be achieved in a majority of patients. Despite this evidence, the definitive mode of action of biofeedback training remains obscure but may include improvement of both motor and sensory functions of the anorectum. In addition, behavioral modification of individual defecatory behavior in these patients may be effective as well. The long-term results of such treatment need to be tested in future research (64).

[1]  A. Wald.  Biofeedback for Neurogenic Fecal Incontinence: Rectal Sensation Is a Determinant of Outcome , 1983, Journal of pediatric gastroenterology and nutrition.

[2]  L. Tarler-Benlolo.  The role of relaxation in biofeedback training: a critical review of the literature. , 1978, Psychological bulletin.

[3]  V. Loening-Baucke.  Biofeedback therapy for fecal incontinence. , 1990, Digestive diseases.

[4]  F. Rovetto.  Treatment of chronic constipation by classical conditioning techniques , 1979 .

[5]  W. Whitehead,et al.  Treatment of fecal incontinence in children with spina bifida: comparison of biofeedback and behavior modification. , 1986, Archives of physical medicine and rehabilitation.

[6]  P. Ducrotte,et al.  Biofeedback training for constipation in adults and children , 1987, Diseases of the colon and rectum.

[7]  G. Bleijenberg,et al.  The spastic pelvic floor syndrome , 1985, Diseases of the colon and rectum.

[8]  S. Wexner,et al.  Prospective assessment of biofeedback for the treatment of paradoxical puborectalis contraction , 1992, Diseases of the colon and rectum.

[9]  R. Surwit,et al.  Sensory discrimination training in the treatment of a case of chronic constipation , 1987 .

[10]  G. Reboa,et al.  Biofeedback conditioning for fecal incontinence. , 1988, Archives of physical medicine and rehabilitation.

[11]  P. Miner,et al.  Delayed rectal sensation with fecal incontinence. Successful treatment using anorectal manometry. , 1986, Gastroenterology.

[12]  B. Skinner,et al.  Science and human behavior , 1953 .

[13]  P. Welgan.  Learned Control of Gastric Acid Secretions in Ulcer Patients , 1974, Psychosomatic medicine.

[14]  G Devroede,et al.  Constipation with colonic inertia , 1983, Digestive Diseases and Sciences.

[15]  Miller Ne.  Effect of learning on gastrointestinal functions. , 1977 .

[16]  N. Miller.  Effect of learning on gastrointestinal functions. , 1977, Clinics in gastroenterology.

[17]  B. T. Engel,et al.  Operant conditioning of rectosphincteric responses in the treatment of fecal incontinence. , 1974, The New England journal of medicine.

[18]  D. Olton,et al.  Biofeedback: Clinical Applications in Behavioral Medicine , 1980 .

[19]  L. A. Buie,et al.  The importance of recognizing contracted anus , 1938 .

[20]  T. Hendrix,et al.  SIMULTANEOUS MANOMETRIC RECORDING OF INTERNAL AND EXTERNAL ANAL SPHINCTERIC REFLEXES. , 1965, Bulletin of the Johns Hopkins Hospital.

[21]  A. Steptoe.  Control of Cardiovascular Reactivity and the Treatment of Hypertension , 1982 .

[22]  A. Smith,et al.  Outlet obstruction constipation (anismus) managed by biofeedback. , 1991, Gut.

[23]  W. Whitehead,et al.  PERCEPTION OF RECTAL DISTENSION IS NECESSARY TO PREVENT FECAL INCONTINENCE , 1981 .

[24]  H. Briand,et al.  Anismus and biofeedback: who benefits? , 1995, European journal of gastroenterology & hepatology.

[25]  W. Whitehead,et al.  Perception of gastric contractions and self-control of gastric motility. , 1980, Psychophysiology.

[26]  C. Bartram,et al.  FAILURE OF RECTAL EXPULSION AS A CAUSE OF CONSTIPATION: WHY FIBRE AND LAXATIVES SOMETIMES FAIL , 1986, The Lancet.

[27]  J. Macleod.  Biofeedback in the management of partial anal incontinence: A preliminary report , 1979, Diseases of the colon and rectum.

[28]  R. Carney,et al.  Outpatient protocol for biofeedback therapy of pelvic floor outlet obstruction , 1992, Diseases of the colon and rectum.

[29]  B. Nilsson,et al.  Voluntary relaxation of the external anal sphincter , 1989, Diseases of the colon and rectum.

[30]  A. Wald,et al.  Anorectal sensorimotor dysfunction in fecal incontinence and diabetes mellitus. Modification with biofeedback therapy. , 1984, The New England journal of medicine.

[31]  J. Brudny,et al.  EMG feedback therapy: review of treatment of 114 patients. , 1976, Archives of physical medicine and rehabilitation.

[32]  J. Moore,et al.  Psychic control of gastric acid: response to anticipated feeding and biofeedback training in a man. , 1974, Gastroenterology.

[33]  V. Loening-Baucke.  Efficacy of biofeedback training in improving faecal incontinence and anorectal physiologic function. , 1990, Gut.

[34]  M. Swash,et al.  Anal sphincter dysfunction in Parkinson's disease. , 1989, Archives of neurology.

[35]  H. Jinich,et al.  Biofeedback therapy for fecal incontinence. , 1980, The American journal of gastroenterology.

[36]  P. Arhan,et al.  Mechanisms of idiopathic constipation: outlet obstruction. , 1978, Gastroenterology.

[37]  I. F. Wasserman.  Puborectalis syndrome (rectal stenosis due to anorectal spasm) , 1964, Diseases of the colon and rectum.

[38]  W. Whitehead,et al.  Biofeedback Treatment of Fecal Incontinence in Geriatric Patients , 1985, Journal of the American Geriatrics Society.

[39]  R. Kerremans,et al.  Biofeedback defaecation training for anismus , 1991, International Journal of Colorectal Disease.

[40]  G. Bleijenberg,et al.  Treatment of the spastic pelvic floor syndrome with biofeedback , 1987, Diseases of the colon and rectum.

[41]  D. M. Preston,et al.  Anismus in chronic constipation , 1985, Digestive diseases and sciences.

[42]  J. Salducci,et al.  Manometric and radiologic investigations and biofeedback treatment of chronic idiopathic anal pain , 1991, Diseases of the colon and rectum.

[43]  R. Kohlenberg.  Operant conditioning of human anal sphincter pressure. , 1973, Journal of applied behavior analysis.

[44]  J. Macleod.  Biofeedback in the management of partial anal incontinence , 1983, Diseases of the colon and rectum.

[45]  B. Nilsson,et al.  The effect of yoga on puborectalis paradox , 1991, International Journal of Colorectal Disease.

[46]  L. Schiller,et al.  Fecal incontinence in chronic diarrhea. Report of a case with improvement after training with rectally infused saline. , 1979, Gastroenterology.

[47]  J. Kasperski,et al.  A components analysis of biofeedback in the treatment of fecal incontinence , 1984, Biofeedback and self-regulation.

[48]  N. Read,et al.  Investigation of mode of action of biofeedback in treatment of fecal incontinence , 1990, Digestive Diseases and Sciences.

[49]  M. Cerulli,et al.  Progress in biofeedback conditioning for fecal incontinence. , 1979, Gastroenterology.

[50]  G. Järnerot,et al.  Behavioral medicine treatment in chronic constipation with paradoxical anal sphincter contraction , 1991, Diseases of the colon and rectum.

[51]  J. Richter.  Gastrointestinal Disorders: Behavioral and Physiological Basis for Treatment , 1985 .

[52]  A. Wald,et al.  Contributions of evacuation proctography and anorectal manometry to evaluation of adults with constipation and defecatory difficulty , 1990, Digestive Diseases and Sciences.

[53]  J. Macleod.  Management of anal incontinence by biofeedback. , 1987, Gastroenterology.

[54]  N. Miller.  Learning of visceral and glandular responses. , 1969, Science.

[55]  J. Lennard-jones,et al.  Balloon expulsion from the rectum in constipation of different types. , 1985, Gut.