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Review
. 2021 Jan;34(1):56-61.
doi: 10.1055/s-0040-1714287. Epub 2020 Sep 4.

Biofeedback for Pelvic Floor Disorders

Melissa Hite  1 , Thomas Curran  1
Affiliations
Review

Biofeedback for Pelvic Floor Disorders

Melissa Hite et al. Clin Colon Rectal Surg. 2021 Jan.

Abstract

Defecatory disorders can include structural, neurological, and functional disorders in addition to concomitant symptoms of fecal incontinence, functional anorectal pain, and pelvic floor dyssynergia. These disorders greatly affect quality of life and healthcare costs. Treatment for pelvic floor disorders can include medications, botulinum toxin, surgery, physical therapy, and biofeedback. Pelvic floor muscle training for pelvic floor disorders aims to enhance strength, speed, and/or endurance or coordination of voluntary anal sphincter and pelvic floor muscle contractions. Biofeedback therapy builds on physical therapy by incorporating the use of equipment to record or amplify activities of the body and feed the information back to the patients. Biofeedback has demonstrated efficacy in the treatment of chronic constipation with dyssynergic defecation, fecal incontinence, and low anterior resection syndrome. Evidence for the use of biofeedback in levator ani syndrome is conflicting. In comparing biofeedback to pelvic floor muscle training alone, studies suggest that biofeedback is superior therapy.

Keywords: anismus; biofeedback; fecal incontinence; pelvic floor disorders; pelvic floor dyssynergia; pelvic floor muscle training.

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Conflict of interest statement

Conflict of Interest None.

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References

    1. Rao S S, Benninga M A, Bharucha A E, Chiarioni G, Di Lorenzo C, Whitehead W E. ANMS-ESNM position paper and consensus guidelines on biofeedback therapy for anorectal disorders. Neurogastroenterol Motil. 2015;27(05):594–609. - PMC - PubMed
    1. Norton C, Cody J D. Biofeedback and/or sphincter exercises for the treatment of faecal incontinence in adults. Cochrane Database Syst Rev. 2012;(07):CD002111. - PubMed
    1. Bols E, Berghmans B, de Bie R. Rectal balloon training as add-on therapy to pelvic floor muscle training in adults with fecal incontinence: a randomized controlled trial. Neurourol Urodyn. 2012;31(01):132–138. - PubMed
    1. Chiarioni G, Heymen S, Whitehead W E. Biofeedback therapy for dyssynergic defecation. World J Gastroenterol. 2006;12(44):7069–7074. - PMC - PubMed
    1. Rao S SC, Valestin J A, Xiang X, Hamdy S, Bradley C S, Zimmerman M B. Home-based versus office-based biofeedback therapy for constipation with dyssynergic defecation: a randomised controlled trial. Lancet Gastroenterol Hepatol. 2018;3(11):768–777. - PMC - PubMed