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Related Experiment Videos

Biofeedback training in disordered defecation. A critical review

P Enck1

  • 1Department of Gastroenterology, Heinrich Heine University Hospitals, Düsseldorf, Germany.

Digestive Diseases and Sciences
|November 1, 1993
PubMed
Summary

Biofeedback therapy has successfully treated fecal incontinence and chronic constipation for 20 years, improving anorectal function in most adult patients. Further research is needed to understand its exact mechanisms and long-term effectiveness.

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Area of Science:

  • Gastroenterology
  • Pelvic Floor Rehabilitation

Background:

  • Biofeedback has been used for 20 years to treat fecal incontinence and chronic constipation in adults.
  • A majority of patients experience improved anorectal function with biofeedback therapy.
  • The precise mechanisms of biofeedback remain unclear but may involve motor and sensory improvements.

Purpose of the Study:

  • To review the effectiveness of biofeedback in treating fecal incontinence and chronic constipation.
  • To explore potential mechanisms of action for biofeedback therapy.
  • To highlight the need for future research on long-term outcomes.

Main Methods:

  • Review of biofeedback applications in adult patients with fecal incontinence and chronic constipation.
  • Analysis of potential improvements in motor and sensory anorectal functions.

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  • Consideration of behavioral modification as a complementary approach.

    • Main Results:

    • Biofeedback therapy has demonstrated efficacy in improving anorectal function for most patients with fecal incontinence and chronic constipation.
    • Potential mechanisms include enhanced motor and sensory functions of the anorectum.
    • Behavioral modification may also contribute to treatment success.

    Conclusions:

    • Biofeedback is an established treatment for fecal incontinence and chronic constipation, improving function in many adults.
    • Further research is required to elucidate the exact mode of action and long-term results of biofeedback training.