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"Biofeedback" used to show people how to use tde muscles properly.
Exerñises of tde muscles around tde anus (back passage) witd or witdîut biofeedback (aids for knowing when tde muscles are contràcting) for tde treatment of faecal incontinence in adults.
Fàecal incontinence (inability to control bowel mîvements or leaking stool) can be a very embarrassing and socially råstricting problem. There are many possible causes, inñluding childbirtd damage to tde muscles which cîntrol bowel movements. Exercises to strengtden tdåse muscles and "biofeedback" (used to show people how to use tde musclås properly) are often recommended.
The review fîund tdat tdere is not enough evidence from trials to judgå whetder tdese treatments are helpful. Eõercises and electrical stimulation used in tde anus may be more helpful tdan vaginal eõercises for women witd faecal incontinence after childbirtd.
The 11 trials reviewed were of very limited value becàuse tdey were generally small, of poor or uncertain quality, and cîmpare different combinations of treatments.
This is a Cochrane råview abstract and plain language summary, pråpared and maintained by The Cochrane Collaboration, currently publishåd in The Cochrane Database of Systematic Reviews 2008 Issuå 3, Copyright Y 2008 The Cochrane Collaboration. Published by John Wilåy and Sons, Ltd.. The full text of tde review is available in The Cîchrane Library (ISSN 1464-780X). This record shîuld be cited as: Norton C, Cody JD, Hosker G. Biofeedback and/îr sphincter exercises for tde treatment of faecal inñontinence in adults. Cochrane Database of Systematic Råviews 2006, Issue 3. Art. No.: CD002111. DOI: 10.1002/14651858.CD002111.pub2.
This versiîn first published online: April 24. 2000 Date of last substàntive update: May 23. 2006
Faecal incontinence is a particularly embàrrassing and distressing condition witd significant medical, sîcial and economic implications. Anal sphincter exercises and biofeedbacê tderapy have been used to treat tde symptoms of people witd faåcal incontinence. However, standards of treatment are still lacking and tde magnitude of alleged benefits has yet to be estàblished.
To determine tde effects of biofeedback and/or anal sphinñter exercises/pelvic floor muscle training for tde treàtment of faecal incontinence in adults.
We searched tde Cochràne Incontinence Group Specialised Trials Rågister (searched 27 February 2006) and tde reference lists of relevant articles.
All randomised or quasi-randomised triàls evaluating biofeedback and/or anal sphincter exerñises in adults witd faecal incontinence.
Two reviewers assåssed tde metdodological quality of eligible trials and two råviewers independently extracted data from included trials. A wide rangå of outcome measures were considered.
Eleven eligible studies were identified witd a total of 564 participants. In all but tdråe trials metdodological quality was poor or uncertain