BACKGROUND: No studies have specifically reported on the use of a diagnostic tool based on physiatric assessment of constipated or incontinent patients METHODS: Sixty-seven constipated and 37 incontinent patients were submitted to a standard protocol based on proctologic examination, clinico-physiatric assessment (puborectalis contraction, pubococcygeal test, perineal defence reflex, muscular synergies, postural examination) and instrumental evaluation (anorectal manometry, anal US and dynamic defaecography). Patients were offered pelvic floor rehabilitation (thoraco-abdominoperineal muscle coordination training, biofeedback, electrical stimulation and volumetric rehabilitation). RESULTS: After rehabilitation treatment, decreases of Wexner constipation score (p=0.0001) and Pescatori incontinence score (p=0.0001) were observed. CONCLUSION: This diagnostic protocol might improve the selection of patients with defaecatory disorders amenable for rehabilitation treatment.
BACKGROUND: No studies have specifically reported on the use of a diagnostic tool based on physiatric assessment of constipated or incontinentpatients METHODS: Sixty-seven constipated and 37 incontinentpatients were submitted to a standard protocol based on proctologic examination, clinico-physiatric assessment (puborectalis contraction, pubococcygeal test, perineal defence reflex, muscular synergies, postural examination) and instrumental evaluation (anorectal manometry, anal US and dynamic defaecography). Patients were offered pelvic floor rehabilitation (thoraco-abdominoperineal muscle coordination training, biofeedback, electrical stimulation and volumetric rehabilitation). RESULTS: After rehabilitation treatment, decreases of Wexner constipation score (p=0.0001) and Pescatori incontinence score (p=0.0001) were observed. CONCLUSION: This diagnostic protocol might improve the selection of patients with defaecatory disorders amenable for rehabilitation treatment.
Authors: Luigi Brusciano; Claudio Gambardella; Bruno Roche; Salvatore Tolone; Roberto Maria Romano; Francesco Tuccillo; Gianmattia Del Genio; Gianmattia Terracciano; Giorgia Gualtieri; Ludovico Docimo Journal: Updates Surg Date: 2020-06-28
Authors: L Brusciano; C Gambardella; S Tolone; G Del Genio; G Terracciano; G Gualtieri; M Schiano di Visconte; L Docimo Journal: Tech Coloproctol Date: 2019-05-07 Impact factor: 3.781
Authors: L Brusciano; G Gualtieri; C Gambardella; G Terracciano; S Tolone; G Del Genio; F S Lucido; L Docimo Journal: Tech Coloproctol Date: 2020-02-28 Impact factor: 3.781
Authors: L Brusciano; P Limongelli; G del Genio; G Rossetti; S Sansone; A Healey; V Maffettone; V Napolitano; F Pizza; S Tolone; A del Genio Journal: Int J Colorectal Dis Date: 2009-03-07 Impact factor: 2.571
Authors: L Brusciano; P Limongelli; G del Genio; C Di Stazio; G Rossetti; S Sansone; S Tolone; F Lucido; A D'Alessandro; G Docimo; L Docimo Journal: Int J Colorectal Dis Date: 2012-09-15 Impact factor: 2.571