Chronic costipation and dyssynergic defecation. Disorder of muscle, unspecified
Conditions
Interventions
Intervention 1: For control group
standard therapy [The instructions regarding bowel habit, daily exercise (walking for 20 minutes), diaphragmatic breathing exercises (daily for 15 minutes, three times a day), dietary fiber and fluid
biofeedback therapy(to correct the dyssynergic pattern of defecation, the patients should learn how to appropriately contract or relax anal and pelvic floor muscles, by visual and verbal feedback. A s
Rehabilitation
For experimental group
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: The Patients participate in this study, with chronic constipation who fulfill “ Rome diagnostic criteria” for functional constipation for at least 12 weeks: they need to strain in defecation, have lumpy or hard stools, sensation of incomplete evacuation, and need manual maneuvers to facilitate defecation in more than 1/4 of bowel movements. They have a dyssynergic pattern of defecation. The patients also have diagnostic testing evidence (anorectal manometry or defecography or balloon expulsion test) of dyssynergic defecation. The diagnosis of paradoxical contraction of puborectalis muscle during straining is established by digital rectal examination. Patients were excluded from the study if they had previous anorectal surgery, anorectal tumors, or structural anorectal disorders, which needed operation intervention. Other exclusion criteria were significant cardiovascular, respiratory, neurologic, psychiatric illnesses, sever psychological problems, or endocrine and metabolic diseases that could cause constipation
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Muscle function((Paradox index & perinal descend index ). Timepoint: before treatment and after its completion (3 months). Method of measurement: MR defecography. | — |
Secondary
| Measure | Time frame |
|---|---|
| Symptomatic changes. Timepoint: before tretment and after its completion. Method of measurement: costipation scoring questionnaire.;The quality of life. Timepoint: before tretment and after its completion. Method of measurement: the culturally adapted version of Short Form-36.;Severity of depression. Timepoint: before tretment and after its completion. Method of measurement: , the culturally adapted version of Beck Depression Inventory questionnaires. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAfsaneh Nikjooy
Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences
Outcome results
None listed