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Biofeedback training in chronic constipation

M A Benninga1, H A Büller, J A Taminiau

  • 1Department of Paediatrics, Academic Medical Centre, University of Amsterdam, The Netherlands.

Archives of Disease in Childhood
|January 1, 1993
PubMed
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Biofeedback training effectively treats childhood chronic constipation and encopresis. This therapy improved bowel function and rectal sensation in most children, with sustained results at 12 months.

Area of Science:

  • Pediatric Gastroenterology
  • Behavioral Therapy

Background:

  • Chronic constipation and encopresis are common in children.
  • These conditions can stem from physiological issues like external anal sphincter dysfunction and altered rectal sensation.

Purpose of the Study:

  • To evaluate the efficacy of biofeedback training for pediatric chronic constipation and encopresis.
  • To assess clinical outcomes at six weeks and 12 months post-intervention.

Main Methods:

  • Twenty-nine children (aged 5-16) with chronic constipation and encopresis underwent an average of five biofeedback sessions.
  • Manometry was used to identify pre-existing physiological abnormalities.

Main Results:

  • Biofeedback training enabled 90% of patients to relax the external anal sphincter and 63% to normalize rectal sensation.

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  • Significant improvements were observed in defecation frequency and encopresis reduction.
  • At six weeks, 55% of patients were symptom-free, with sustained results at 12 months.

    • Conclusions:

    • Biofeedback training is a promising therapeutic approach for children suffering from chronic constipation and encopresis.
    • The treatment demonstrates significant efficacy and long-term benefits for pediatric patients.