Pelvic Floor Physiotherapy in chronic anal fissure
Completed
- Conditions
- anal gap10002112
- Registration Number
- NL-OMON50721
- Lead Sponsor
- Proctos Kliniek Bilthoven
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 140
Inclusion Criteria
all patients above 18 years old with a chronic anal fissure with pelvic floor
dysfunction
Exclusion Criteria
Patients presenting with perianal abces or fistula
Patients presenting with Chrohns disease or colitis ulcerosa
Patients who received prior anal radiation therapy
Patients with anorectal malignancy
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>- The tone at rest during EMG registration of the pelvic floor before and after<br /><br>therapy</p><br>
- Secondary Outcome Measures
Name Time Method <p>- Prevalence of pelvic floor dysfunction in chronic anal fissure measured by<br /><br>physical examination, balloon expulsion test<br /><br>- Relation between anal fissure and other pelvic floor dysfunctions<br /><br>- Proctoprom at the start of the study, after 8 weeks, 20 weeks and one year<br /><br>follow up<br /><br>- Difference in EMG signals of the pelvic floor after pelvic floor<br /><br>physiotherapy for tone at rest, MVC and Endurance at the start of the study,<br /><br>after weeks, 20 weeks and one year follow up<br /><br>- Quality of life as measured by scores of the domains of the RAND-36<br /><br>questionnaire, at the start of the study, after 8 weeks, 20 weeks and one<br /><br>year follow up<br /><br>- The efficacy of PFPT with biofeedback and/or electro stimulation<br /><br>- VAS- pain score at the start of the study, after 8 weeks, 20 weeks and one<br /><br>year follow up</p><br>