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The effects of biofeedback therapy on the brain pattern activity and pelvic floor motin of the patients with chronic constipation due to paradoxical Puborectalis contraction syndrome

Not Applicable
Conditions
Condition 1: Chronic constipation and dyssynergic defecation. Condition 2: Chronic constipation and dyssynergic defecation.
Disorder of muscle, unspecified
Other biomechanical lesions
Registration Number
IRCT2015050320011N2
Lead Sponsor
Iran University of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
30
Inclusion Criteria

The patients, who have two or more symptoms of the diagnostic criteria for functional constipation in more than 1/4 of bowel movements, if the diagnosis of paradoxical contraction of the puborectalis muscle during straining is established by digital rectal examination, can participate in this study. Patients are excluded from the study if they have previous anorectal surgery, anorectal tumors or structural anorectal disorders, which need operation intervention. Other exclusion criteria are significant cardiovascular, respiratory, neurologic, psychiatric illnesses, sever psychological problems or endocrine and metabolic diseases that can cause constipation

Exclusion Criteria

Not provided

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Pattern of brain activity. Timepoint: before treatment and after its completion (3 months). Method of measurement: by fMRI.
Secondary Outcome Measures
NameTimeMethod
Muscle function(paradox index& perinal index). Timepoint: before beginning and after period of treatment(3 mounths). Method of measurement: by dynamic pelvic MRI.;Muscle function(paradox index& perinal index). Timepoint: before beginning and after period of treatment. Method of measurement: dynamic pelvic MRI.;The quality of life. Timepoint: before beginning and after period of treatment. Method of measurement: Sf-36 Questionnaire.;Severity of depression. Timepoint: before beginning and after period of treatment. Method of measurement: BDI-II Questionnaire.
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