Condition 1: Chronic constipation and dyssynergic defecation. Condition 2: Chronic constipation and dyssynergic defecation. Disorder of muscle, unspecified Other biomechanical lesions
Conditions
Interventions
Intervention 1: For experimental group: biofeedback therapy(to correct the dyssynergic pattern of defecation),Each biofeedback therapy session is performed 60 minutes twice a week for 12 sessions, the
Rehabilitation
For experimental group: biofeedback therapy(to correct the dyssynergic pattern of defecation),Each biofeedback therapy session is performed 60 minutes twice a week for 12 sessions, then, once a week f
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), dieta
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: The patients, who have two or more symptoms of the diagnostic criteria for functional constipation in more than 1/4 of bowel movements, if the diagnosis of paradoxical contraction of the puborectalis muscle during straining is established by digital rectal examination, can participate in this study. Patients are excluded from the study if they have previous anorectal surgery, anorectal tumors or structural anorectal disorders, which need operation intervention. Other exclusion criteria are significant cardiovascular, respiratory, neurologic, psychiatric illnesses, sever psychological problems or endocrine and metabolic diseases that can cause constipation
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pattern of brain activity. Timepoint: before treatment and after its completion (3 months). Method of measurement: by fMRI. | — |
Secondary
| Measure | Time frame |
|---|---|
| Muscle function(paradox index& perinal index). Timepoint: before beginning and after period of treatment(3 mounths). Method of measurement: by dynamic pelvic MRI.;Muscle function(paradox index& perinal index). Timepoint: before beginning and after period of treatment. Method of measurement: dynamic pelvic MRI.;The quality of life. Timepoint: before beginning and after period of treatment. Method of measurement: Sf-36 Questionnaire.;Severity of depression. Timepoint: before beginning and after period of treatment. Method of measurement: BDI-II Questionnaire. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAfsaneh Nikjooy
Iran University of Medical Sciences
Outcome results
None listed