Biofeedback therapy combined with diet to treating ODS (Anismus): 2 years outcome
Object: The advantages of biofeedback therapy along with diet in patients with constipation are among the issues discussed nowadays. The aim of this study was to evaluate 2 years outcome of biofeedback therapy along with diet in patients with obstructed defecation syndrome (ODS) (Anismus). Methodolo...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Revinter Publicações Ltda.
2017-04-01
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| Series: | Journal of Coloproctology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2237936316300958 |
| _version_ | 1818621920574177280 |
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| author | Fakhryalsadat Anaraki Tahereh Foroughifar Reza Bagherzadeh Saba Elaheh Miri Ashtiani Zinat Ghanbari |
| author_facet | Fakhryalsadat Anaraki Tahereh Foroughifar Reza Bagherzadeh Saba Elaheh Miri Ashtiani Zinat Ghanbari |
| author_sort | Fakhryalsadat Anaraki |
| collection | DOAJ |
| description | Object: The advantages of biofeedback therapy along with diet in patients with constipation are among the issues discussed nowadays. The aim of this study was to evaluate 2 years outcome of biofeedback therapy along with diet in patients with obstructed defecation syndrome (ODS) (Anismus). Methodology: The focus of this prospective study is a group of 129 patients with ODS constipation, who were referred to two tertiary-care referral academic centers from 2013 to 2016. Patients received biofeedback therapy combined with appropriate diet in cases group and received diet in controls group. Good response was defined as a subject with at least 50 percent improvement from before to after biofeedback therapy on a Cleveland Clinic Florida Constipation Scoring System (CCF). Factors associated with better outcome were analyzed using SPSS 20 software. Results: Out of the 129 patients, 112 patients (86.8%) were female. The mean age of patients was 42.44 ± 15.05 years. The mean CCF score of the patients before and after biofeedback therapy was 12.41 ± 4.39 and 6.00 ± 3.28 respectively in case group (p-value < 0.001). In addition, the mean CCF score of the patients before and after diet therapy was 12.82 ± 4.85 and 9.43 ± 3.79 respectively in control group (p-value < 0.001). While CCF score in both case and control groups reduced significantly after therapy, the rate of this reduction was higher in case group (p < 0.001). Conclusion: Our findings suggest that biofeedback therapy combined with diet will improve patients outcome in ODS constipation. Prospective clinical trials with larger sample sizes are recommend allowing for causal correlations. Resumo: Objetivo: As vantagens da terapia por biofeedback, juntamente com a dieta, em pacientes com constipação se situam entre os tópicos atualmente em discussão. O objetvo desse estudo foi avaliar os resultados, após 2 anos, da terapia por biofeedback associada à dieta em pacientes com síndrome da defecação obstruída (SDO) (Anismus). Metodologia: O enfoque desse estudo prospectivo é um grupo de 129 pacientes com constipação por SDO, encaminhados a dois centros acadêmicos de referência para atendimento terciário entre os anos de 2013 e 2016. Os pacientes receberam terapia por biofeedback em combinação com dieta apropriada no grupo de estudo (casos), e apenas dieta no grupo de controle. Boa resposta foi deinida como o paciente com pelo menos 50% de melhora desde antes até após a terapia por biofeedback, com o uso de um Sistema de Pontuação para Constipação do Centro Médico Cleveland Clinic Florida (CCF). Os fatores associados a melhor desfecho foram analisados com o uso do programa SPSS 20. Resultados: Dos 129 pacientes, 112 (86,8%) eram mulheres. A média de idade dos pacientes era de 4244 ± 15,05 years. O escore CCF médio dos pacientes antes e depois da terapia por biofeedback foi 12,41 ± 4,39 e 6,00 ± 3,28 respectivamente no grupo de casos (P < 0,001). Além disso, o escore CCF médio dos pacientes antes e depois da dietoterapia foi 12,82 ± 4,85 e 9,43 ± 3,79 respectivamente no grupo de controle (P < 0,001). Embora o escore CCF tanto no grupo de casos como no grupo de controle tenha apresentado redução significativa após a terapia, o grau dessa redução foi mais elevado no grupo de casos (P < 0,001). Conclusão: Nossos achados sugerem que a terapia por biofeedback em combinação com a dieta melhora o resultado para os pacientes apresentando constipação por SDO. Recomendamos a realização de estudos clínicos prospectivos com amostras mais expressivas, que permitam o estabelecimento de correlações causais. Keywords: Obstructed defecation syndrome, Anismus, Biofeedback therapy, Diet, Palavras-chave: Síndrome da defecação obstruída, Anismus, Terapia por biofeedback, Dieta |
| first_indexed | 2024-12-16T18:16:56Z |
| format | Article |
| id | doaj.art-e95fadcc59294d1687399fb108299d7c |
| institution | Directory Open Access Journal |
| issn | 2237-9363 |
| language | English |
| last_indexed | 2024-12-16T18:16:56Z |
| publishDate | 2017-04-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Journal of Coloproctology |
| spelling | doaj.art-e95fadcc59294d1687399fb108299d7c2022-12-21T22:21:40ZengThieme Revinter Publicações Ltda.Journal of Coloproctology2237-93632017-04-01372109115Biofeedback therapy combined with diet to treating ODS (Anismus): 2 years outcomeFakhryalsadat Anaraki0Tahereh Foroughifar1Reza Bagherzadeh Saba2Elaheh Miri Ashtiani3Zinat Ghanbari4Shahid Beheshti University of Medical Science, Taleghani Hospital, Department of Surgery, Tehran, IranTehran University of Medical Sciences, Imam Khomeini Hospital Complex, Department of Pelvic Floor, Tehran, Iran; Corresponding author.Iran University of Medical Sciences, Rasool-e-Akram Hospital, Department of Surgery, Tehran, IranShahid Beheshti University of Medical Sciences, Department of Rehabilitation Sciences, Tehran, IranTehran University of Medical Sciences, Imam Khomeini Hospital Complex, Department of Pelvic Floor, Tehran, IranObject: The advantages of biofeedback therapy along with diet in patients with constipation are among the issues discussed nowadays. The aim of this study was to evaluate 2 years outcome of biofeedback therapy along with diet in patients with obstructed defecation syndrome (ODS) (Anismus). Methodology: The focus of this prospective study is a group of 129 patients with ODS constipation, who were referred to two tertiary-care referral academic centers from 2013 to 2016. Patients received biofeedback therapy combined with appropriate diet in cases group and received diet in controls group. Good response was defined as a subject with at least 50 percent improvement from before to after biofeedback therapy on a Cleveland Clinic Florida Constipation Scoring System (CCF). Factors associated with better outcome were analyzed using SPSS 20 software. Results: Out of the 129 patients, 112 patients (86.8%) were female. The mean age of patients was 42.44 ± 15.05 years. The mean CCF score of the patients before and after biofeedback therapy was 12.41 ± 4.39 and 6.00 ± 3.28 respectively in case group (p-value < 0.001). In addition, the mean CCF score of the patients before and after diet therapy was 12.82 ± 4.85 and 9.43 ± 3.79 respectively in control group (p-value < 0.001). While CCF score in both case and control groups reduced significantly after therapy, the rate of this reduction was higher in case group (p < 0.001). Conclusion: Our findings suggest that biofeedback therapy combined with diet will improve patients outcome in ODS constipation. Prospective clinical trials with larger sample sizes are recommend allowing for causal correlations. Resumo: Objetivo: As vantagens da terapia por biofeedback, juntamente com a dieta, em pacientes com constipação se situam entre os tópicos atualmente em discussão. O objetvo desse estudo foi avaliar os resultados, após 2 anos, da terapia por biofeedback associada à dieta em pacientes com síndrome da defecação obstruída (SDO) (Anismus). Metodologia: O enfoque desse estudo prospectivo é um grupo de 129 pacientes com constipação por SDO, encaminhados a dois centros acadêmicos de referência para atendimento terciário entre os anos de 2013 e 2016. Os pacientes receberam terapia por biofeedback em combinação com dieta apropriada no grupo de estudo (casos), e apenas dieta no grupo de controle. Boa resposta foi deinida como o paciente com pelo menos 50% de melhora desde antes até após a terapia por biofeedback, com o uso de um Sistema de Pontuação para Constipação do Centro Médico Cleveland Clinic Florida (CCF). Os fatores associados a melhor desfecho foram analisados com o uso do programa SPSS 20. Resultados: Dos 129 pacientes, 112 (86,8%) eram mulheres. A média de idade dos pacientes era de 4244 ± 15,05 years. O escore CCF médio dos pacientes antes e depois da terapia por biofeedback foi 12,41 ± 4,39 e 6,00 ± 3,28 respectivamente no grupo de casos (P < 0,001). Além disso, o escore CCF médio dos pacientes antes e depois da dietoterapia foi 12,82 ± 4,85 e 9,43 ± 3,79 respectivamente no grupo de controle (P < 0,001). Embora o escore CCF tanto no grupo de casos como no grupo de controle tenha apresentado redução significativa após a terapia, o grau dessa redução foi mais elevado no grupo de casos (P < 0,001). Conclusão: Nossos achados sugerem que a terapia por biofeedback em combinação com a dieta melhora o resultado para os pacientes apresentando constipação por SDO. Recomendamos a realização de estudos clínicos prospectivos com amostras mais expressivas, que permitam o estabelecimento de correlações causais. Keywords: Obstructed defecation syndrome, Anismus, Biofeedback therapy, Diet, Palavras-chave: Síndrome da defecação obstruída, Anismus, Terapia por biofeedback, Dietahttp://www.sciencedirect.com/science/article/pii/S2237936316300958 |
| spellingShingle | Fakhryalsadat Anaraki Tahereh Foroughifar Reza Bagherzadeh Saba Elaheh Miri Ashtiani Zinat Ghanbari Biofeedback therapy combined with diet to treating ODS (Anismus): 2 years outcome Journal of Coloproctology |
| title | Biofeedback therapy combined with diet to treating ODS (Anismus): 2 years outcome |
| title_full | Biofeedback therapy combined with diet to treating ODS (Anismus): 2 years outcome |
| title_fullStr | Biofeedback therapy combined with diet to treating ODS (Anismus): 2 years outcome |
| title_full_unstemmed | Biofeedback therapy combined with diet to treating ODS (Anismus): 2 years outcome |
| title_short | Biofeedback therapy combined with diet to treating ODS (Anismus): 2 years outcome |
| title_sort | biofeedback therapy combined with diet to treating ods anismus 2 years outcome |
| url | http://www.sciencedirect.com/science/article/pii/S2237936316300958 |
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