Abstract
Objective To assess the efficacy and benefits of pelvic rehabilitation programs in terms of functional outcomes and quality of life for patients with fecal incontinence and defecation disorders after rectal cancer surgery. Design Prospective, observational study. Setting University hospital physiotherapy clinics. Participants Patients (N=32) who experienced fecal incontinence after sphincter-saving surgery with the intersphincteric resection (ISR) technique and could follow and cooperate with the treatment schedule were included in the present study. Interventions Pelvic rehabilitation programs included electrical stimulation (ES) and biofeedback (BF). Main Outcome Measures Functional results, Wexner score, and anorectal manometry were used to assess the clinical outcomes of rehabilitation treatment. Results Maximum squeeze pressure improved after rehabilitation training (P=.014). There were no statistical differences in resting pressure, resting muscle electromyography, and maximum squeeze electromyography (P=.061, P=.76, and P=.99, respectively). The mean stool frequency was 18.8 per 24 hours before the pelvic intervention program and 7.8 per 24 hours after ES and BF training (P<.001). Of the 32 patients, 27 required antidiarrheal medications before treatment, and after completion of the training, only 9 patients still needed antidiarrheal medications (P<.001). Significant improvements were observed in the Wexner score (17.74 vs 12.93; P<.001). Conclusions Our data show that ES and BF are effective in the treatment of fecal incontinence, leading to improvement of quality of life for patients with low rectal cancer after ISR.
| Original language | English |
|---|---|
| Pages (from-to) | 1442-1447 |
| Number of pages | 6 |
| Journal | Archives of Physical Medicine and Rehabilitation |
| Volume | 96 |
| Issue number | 8 |
| DOIs | |
| Publication status | Published - 2015 Jan 1 |
| Externally published | Yes |
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All Science Journal Classification (ASJC) codes
- Physical Therapy, Sports Therapy and Rehabilitation
- Rehabilitation
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Improvement of Fecal Incontinence and Quality of Life by Electrical Stimulation and Biofeedback for Patients with Low Rectal Cancer after Intersphincteric Resection. / Kuo, Li Jen; Lin, Yu-Ching; Lai, Chien Hung; Lin, Yen Kuang; Huang, Yu Shih; Hu, Chia Chen; Chen, Shih Ching.
In: Archives of Physical Medicine and Rehabilitation, Vol. 96, No. 8, 01.01.2015, p. 1442-1447.Research output: Contribution to journal › Article
TY - JOUR
T1 - Improvement of Fecal Incontinence and Quality of Life by Electrical Stimulation and Biofeedback for Patients with Low Rectal Cancer after Intersphincteric Resection
AU - Kuo, Li Jen
AU - Lin, Yu-Ching
AU - Lai, Chien Hung
AU - Lin, Yen Kuang
AU - Huang, Yu Shih
AU - Hu, Chia Chen
AU - Chen, Shih Ching
PY - 2015/1/1
Y1 - 2015/1/1
N2 - Objective To assess the efficacy and benefits of pelvic rehabilitation programs in terms of functional outcomes and quality of life for patients with fecal incontinence and defecation disorders after rectal cancer surgery. Design Prospective, observational study. Setting University hospital physiotherapy clinics. Participants Patients (N=32) who experienced fecal incontinence after sphincter-saving surgery with the intersphincteric resection (ISR) technique and could follow and cooperate with the treatment schedule were included in the present study. Interventions Pelvic rehabilitation programs included electrical stimulation (ES) and biofeedback (BF). Main Outcome Measures Functional results, Wexner score, and anorectal manometry were used to assess the clinical outcomes of rehabilitation treatment. Results Maximum squeeze pressure improved after rehabilitation training (P=.014). There were no statistical differences in resting pressure, resting muscle electromyography, and maximum squeeze electromyography (P=.061, P=.76, and P=.99, respectively). The mean stool frequency was 18.8 per 24 hours before the pelvic intervention program and 7.8 per 24 hours after ES and BF training (P<.001). Of the 32 patients, 27 required antidiarrheal medications before treatment, and after completion of the training, only 9 patients still needed antidiarrheal medications (P<.001). Significant improvements were observed in the Wexner score (17.74 vs 12.93; P<.001). Conclusions Our data show that ES and BF are effective in the treatment of fecal incontinence, leading to improvement of quality of life for patients with low rectal cancer after ISR.
AB - Objective To assess the efficacy and benefits of pelvic rehabilitation programs in terms of functional outcomes and quality of life for patients with fecal incontinence and defecation disorders after rectal cancer surgery. Design Prospective, observational study. Setting University hospital physiotherapy clinics. Participants Patients (N=32) who experienced fecal incontinence after sphincter-saving surgery with the intersphincteric resection (ISR) technique and could follow and cooperate with the treatment schedule were included in the present study. Interventions Pelvic rehabilitation programs included electrical stimulation (ES) and biofeedback (BF). Main Outcome Measures Functional results, Wexner score, and anorectal manometry were used to assess the clinical outcomes of rehabilitation treatment. Results Maximum squeeze pressure improved after rehabilitation training (P=.014). There were no statistical differences in resting pressure, resting muscle electromyography, and maximum squeeze electromyography (P=.061, P=.76, and P=.99, respectively). The mean stool frequency was 18.8 per 24 hours before the pelvic intervention program and 7.8 per 24 hours after ES and BF training (P<.001). Of the 32 patients, 27 required antidiarrheal medications before treatment, and after completion of the training, only 9 patients still needed antidiarrheal medications (P<.001). Significant improvements were observed in the Wexner score (17.74 vs 12.93; P<.001). Conclusions Our data show that ES and BF are effective in the treatment of fecal incontinence, leading to improvement of quality of life for patients with low rectal cancer after ISR.
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U2 - 10.1016/j.apmr.2015.03.013
DO - 10.1016/j.apmr.2015.03.013
M3 - Article
VL - 96
SP - 1442
EP - 1447
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
SN - 0003-9993
IS - 8
ER -