Patients with dysfunctional defecation (dyssynergic defecation). Other constipation
Conditions
Interventions
Intervention 1: The treatment of the "Intervention group" included biofeedback therapy simultaneously with cognitive behavioral therapy. A physiotherapist specialized in pelvic floor dysfunction condu
the physiology of defecation and pathophysiology of dyssynergic defecation were explained to the patients.The biofeedback was done by simulated defecation which synchronized with visual /verbal feedb
then once a week for 6 sessions, that is, 18 sessions in total. Cognitive behavioral therapy was conducted by a psychologist consisting of six sessions, through which the patients were helped to ident
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
25 Years to 60 Years
Inclusion criteria
Inclusion criteria: The patients with functional chronic constipation and strain for defecation The patients who had hard stools, incomplete evacuation and digital manipulation in more than 1/4 of bowel movements The patients with diagnosis of paradoxical contraction of the puborectalis muscle during straining established by digital rectal examination (DRE) and also diagnostic test such as anorectal manometry or defecography or balloon expulsion test
Exclusion criteria
Exclusion criteria: History of anorectal surgery Anorectal tumors Structural anorectal disorders leaded to surgery Constipation because of endocrine diseases Severe cardiovascular problems Severe respiratory problems Severe neurologic problems Severe psychological problems Constipation because of metabolic diseases
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Anxiety. Timepoint: before and after intervention. Method of measurement: Spielberger Inventory.;Depression. Timepoint: before and after intervention. Method of measurement: Beck Inventory.;Constipation. Timepoint: Before and after intervention. Method of measurement: The symptoms of constipation were checked by the Constipation Scoring System (CSS) before and after the treatment, with a 30-point questionnaire, which points to more severity of constipation.;Quality of life. Timepoint: Before and after intervention. Method of measurement: Quality of life questionnaire SF36.;Paradoxical contraction of Puborectalis muscle. Timepoint: Before and after treatment. Method of measurement: Digital rectal examination. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAfsaneh Nikjooy
Iran University of Medical Sciences
Outcome results
None listed