Effect of Anorectal Biofeedback on Encopresis in School Aged Girls After Sexual Assault
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- anorectal manometrey
研究概览
简要总结
Females who have been sexually abused anally, have a disturbed anorectal motility. They have an increased resting pressure at the lower part of the anal canal. When their rectum is suddenly distended, they tend not to have an initially increased pressure in the anal canal, and the recto-anal inhibitory reflex is markedly decreased amplitude which is caused by reflex contraction of the pelvic floor during the relaxation of the internal anal sphincter.
详细描述
The cause of fecal incontinence after sexual abuse is the improper functioning of anal sphincter muscles, as a result of their damage and/or neurological changes including the disturbance perception of sensory stimuli from the anal canal. Biofeedback therapy using visual and verbal feedback techniques has emerged as an useful option in managing fecal incontinence and levator ani syndrome. The goal of biofeedback training is to improve bowel function by restoring a normal pattern of defecation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 5 Years 至 11 Years（Child）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •absent anal reflex,
- •skin trifles around the anus,
- •funnel shaped anus
- •medically stable and able to follow instructions
排除标准
- •sexual transmitted disease
- •any medical condition that affect the anus potentially such as Crohn's disease,
- •severe chronic constipation,
- •myotonic dystrophy
结局指标
主要结局
anorectal manometrey
时间窗: pre and after 3 months of intervention, increase in the change in the mean of initial parameters of the anal and squeeze pressure indicate improvement while decreases in the mean of first sensation and maximum tolerable volume indicate improvement
measure four variables, anal squeeze and resting pressure , first sensation and maximum tolarble volume
次要结局
未报告次要终点
研究者
hanaa mohsen
lecturer in the deparment of pediatrics and peditaric surgery , faculty of phyical therapy
Badr University