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| biofeedback therapy for bowel incontinence: Therapeutic Management of Incontinence and Pelvic Pain J. Laycock, J. Haslam, 2013-03-09 As medical knowledge advances we tend to compartmentalise our specialties into smaller units; but, hand in hand with this, there is a growing understanding between the different disciplines within the caring professions. Thus we are able to share our special skills to the benefit of patients. This book is an excellent example of the advantage of interdisciplinary communication and demonstrates a refreshing holistic approach to the problems of incontinence and pelvic pain. Written with physiotherapists in mind, the editors have invited contributions from many distinguished experts in their own field. These have been compiled into a comprehensive book, which will appeal to many healthcare professionals. I have had great pleasure in reading this book. During the time that I have been involved with 'pelvic dysfunction' there have been many exciting advances. These are all included in a most readable sequence, some presented with a refreshing new twist. In particular, I would like to bring to your attention the section on 'pelvic pain'. Because of our lack of understanding it has been a problem that is too often ignored and here at last are some practical ideas for therapeutic management. There is still much progress to be made in the field of incontinence and pelvic pain and as yet, no editors can be expected to produce a definitive work. However, I would like to recommend this book most strongly. It has a new approach to this topic, which is still a major problem for many people. |
| biofeedback therapy for bowel incontinence: Benign Anorectal Disorders Nisar Ahmad Chowdri, Fazl Q. Parray, 2015-11-09 Management of benign anorectal disorders is challenging for the treating surgeons as the patients are highly distressed, the symptoms are always alarming, and surgical intervention may be associated with lifelong disabilities such as loss of sphincter control. Written by highly experienced colorectal surgeons, this book provides detailed notes on optimal management of these disorders including pre- and post-operative management. Chapters cover the entire range of benign disorders such as hemorrhoids, fissure, fistula-in-ano, anorectal injuries, anal incontinence, rectal prolapse, pelvic floor disorders, benign tumors and ulcers, and strictures. Chapters on surgical anatomy and physiology equip the surgeons with the information necessary to understand the complex anatomy and functioning of this region which makes surgery all the more difficult. Benign Anorectal Disorders is an essential reading for colorectal surgeons, general surgeons, fellows-in-training and the post-graduate students. |
| biofeedback therapy for bowel incontinence: Pelvic Floor Disorders Giulio A. Santoro, Andrzej P. Wieczorek, Abdul H. Sultan, 2020-12-10 This excellent textbook provides up-to-date information on all aspects of pelvic floor disorders. After an opening section on anatomy and physiology, it explains the methodology, role and application of the integrated imaging approach in detail, including the most advanced 3D, 4D, and dynamic ultrasound techniques, illustrated with hundreds of images. It then discusses in depth the epidemiology, etiology, assessment, and management of the full range of pelvic floor disorders from multidisciplinary and practical perspectives. The book also provides information on the various forms of obstetric perineal trauma, urinary incontinence and voiding dysfunction, anal incontinence, pelvic organ prolapse, constipation and obstructed defecation, pelvic pain and sexual dysfunction, and fistulas, and includes treatment algorithms as well as helpful guidance on what to do when surgical treatment goes wrong. The authors are leading experts in the field from around the globe. Since the first edition from 2010 (more than 200,000 chapter downloads), the book has been extensively rewritten and features numerous additional topics. The result is a comprehensive textbook that is invaluable for gynecologists, colorectal surgeons, urologists, radiologists, and gastroenterologists, beginners and veterans alike. |
| biofeedback therapy for bowel incontinence: Pediatric Incontinence Israel Franco, Paul Austin, Stuart Bauer, Alexander von Gontard, Yves Homsy, 2015-09-23 Pediatric incontinence: evaluation and clinical management offers urologists practical, 'how-to' clinical guidance to what is a very common problem affecting up to 15% of children aged 6 years old. Introductory chapters cover the neurophysiology, psychological and genetic aspects, as well as the urodynamics of incontinence, before it moves on to its core focus, namely the evaluation and management of the problem. All types of management methods will be covered, including behavioural, psychological, medical and surgical, thus providing the reader with a solution to every patient's specific problem. The outstanding editor team led by Professor Israel Franco, one of the world’s leading gurus of pediatric urology, have recruited a truly stellar team of contributors each of whom have provided first-rate, high-quality contributions on their specific areas of expertise. Clear management algorithms for each form of treatment support the text, topics of controversy are covered openly, and the latest guidelines from the ICCS, AUA and EAU are included throughout. Perfect to refer to prior to seeing patients on the wards and in the clinics, this is the ideal guide to the topic and an essential purchase for all urologists, pediatric urologists and paediatricians managing children suffering from incontinence. |
| biofeedback therapy for bowel incontinence: Neurorehabilitation Therapy and Therapeutics Krishnan Padmakumari Sivaraman Nair, Marlís González-Fernández, Jalesh N. Panicker, 2018-10-11 This practical handbook for clinicians covers pharmacological and non-pharmacological treatment options in neurological rehabilitation. |
| biofeedback therapy for bowel incontinence: Multidisciplinary Care of Urinary Incontinence Lewis Chan, Vincent Tse, 2012-10-10 Multidisciplinary Care of Urinary Incontinence - a Handbook for Health Professionals effectively uses a multidisciplinary approach to assist health professionals in their care of patients with urinary incontinence. It is recognized that the best outcomes are achieved by a multidisciplinary team approach especially with regard to complex cases and care of the elderly. This book is written by expert authors from around the world with a wealth of experience in conducting clinics on pelvic floor, aged care voiding dysfunction and neuro-rehabilitation. The text is illustrated throughout and contains case-studies with input and practical tips from the different health disciplines at each point. Each chapter concludes with a list of seminal publications and web-based resources to assist the reader in the clinical environment. Multidisciplinary Care of Urinary Incontinence - a Handbook for Health Professionals is of benefit to medical and allied health disciplines including family physicians, nurses, urologists, gynecologists, physiotherapists, geriatricians, neurologists and rehabilitation specialists. |
| biofeedback therapy for bowel incontinence: Fecal Incontinence Carlo Ratto, Giovanni B. Doglietto, 2007-06-08 Fecal incontinence is a common and embarrassing condition with a devastating impact on patients’ lives. Since it may result from a variety of pathophysiological situations, an accurate diagnostic work-up is crucial. A range of therapies is available, but choosing the correct option is pivotal to successful management. This book reviews the latest advances in the epidemiologic, socio-economic, psychological, diagnostic, and therapeutic aspects of fecal incontinence, helping to establish effective treatment guidelines. |
| biofeedback therapy for bowel incontinence: The ASCRS Manual of Colon and Rectal Surgery David E. Beck, John L. Rombeau, Michael J. Stamos, Steven D. Wexner, 2009-06-12 The ASCRS Textbook of Surgery of the Colon and Rectum offers a comprehensive textbook designed to provide state of the art information to residents in training and fully trained surgeons seeking recertification. The textbook also supports the mission of the ASCRS to be the world’s authority on colon and rectal disease. The combination of junior and senior authors selected from the membership of the ASCRS for each chapter will provide a comprehensive summary of each topic and allow the touch of experience to focus and temper the material. This approach should provide the reader with a very open minded, evidence based approach to all aspects of colorectal disease. Derived from the textbook, The ASCRS Manual of Surgery of the Colon and Rectum offers a “hands on” version of the textbook, written with the same comprehensive, evidence-based approach but distilled to the clinical essentials. In a handy pocket format, readers will find the bread and butter information for the broad spectrum of practice. In a consistent style, each chapter outlines the condition or procedure being discussed in a concise outline format – easy to read, appropriately illustrated and referenced. |
| biofeedback therapy for bowel incontinence: Bowel Continence Nursing Christine Norton, Sonya Chelvanayagam, 2004 Suitable for nurses and allied health professionals working with patients with disordered bowel function, this title provides the basis for an understanding of normal as well as disordered bowel function, and the causes of faecal incontinence and constipation. |
| biofeedback therapy for bowel incontinence: Biofeedback Mark S. Schwartz, Frank Andrasik, 2005-06-20 The definitive text in the field, this comprehensive volume provides state-of-the-science coverage of biofeedback research, applications, clinical procedures, and biomedical instrumentation. With contributions from leading experts, the volume offers a unique combination of practical know-how and scholarly expertise. A wealth of information is presented in an accessible, streamlined style, including helpful glossaries throughout. Featured are detailed protocols for helping patients cultivate lower physiological arousal and for addressing an array of specific clinical problems: headaches, temporomandibular disorders, Raynaud's disease, essential hypertension, neuromuscular problems, elimination disorders, and much more. |
| biofeedback therapy for bowel incontinence: Patient Teaching Jenifer Wilson-Barnett, 1983 |
| biofeedback therapy for bowel incontinence: Bowel Control Christine Norton, Michael A. Kamm, 1998-11-01 |
| biofeedback therapy for bowel incontinence: Pediatric Neurogastroenterology Christophe Faure, Nikhil Thapar, Carlo Di Lorenzo, 2016-11-25 This volume provides a comprehensive and up-to-date theoretical review and practical guide on pediatric gastrointestinal motility and functional disorders. The latest edition includes extensively revised and new chapters to reflect the rapidly growing field of pediatric neurogastroenterology. New topics covered include neurobiology of pain in children, functional oropharyngoesophageal assessment, dysautonomia, and psychotropic drugs. The text also features instructive illustrations, photographs, and tables. Written by world-renown experts in the field, Pediatric Neurogastroenterology: Gastrointestinal Motility and Functional Disorders in Children, Second Edition is a valuable resource for pediatric gastroenterologists, adult gastroenterologists, pediatricians, and all professionals involved in the treatment and management of children with such disorders. |
| biofeedback therapy for bowel incontinence: Female Pelvic Surgery Farzeen Firoozi, 2020-01-21 The fully updated edition of this text provides a state-of-the-art surgical review of female pelvic surgery, and will serve as a valuable resource for clinicians and surgeons dealing with, and interested in the treatment of pelvic floor disorders. The book reviews the basic indications for treatment and details the many surgical approaches to the management of all pelvic floor disorders, including stress urinary incontinence, transvaginal prolapse, transabdominal sacrocolpopexy, robotic/laparoscopic sacrocolpopexy, vaginal and vulvar cysts, and interstitial cystitis/bladder pain syndrome. In addition to step-by-step descriptions, the text is augmented with illustrations and photographs of surgical techniques demonstrating the major repairs described in each section. Written by experts in their fields, the second edition of Female Pelvic Surgery provides a concise and comprehensive review of all surgical approaches to female pelvic surgery. |
| biofeedback therapy for bowel incontinence: The ASCRS Textbook of Colon and Rectal Surgery Scott R. Steele, Tracy L. Hull, Thomas E. Read, Theodore J. Saclarides, Anthony J. Senagore, Charles B. Whitlow, 2016-03-24 This third edition text provides a completely revised and updated new version of this unique, modern, practical text that covers the strategic evaluation, specific approaches, and detailed management techniques utilized by expert colorectal surgeons caring for patients with complex problems–whether they result from underlying colorectal disease or from complications arising from previous surgical therapy. The format follows that of both a “how to” manual as well as an algorithm-based guide to allow the reader to understand the thought process behind the proposed treatment strategy. By making use of evidence-based recommendations, each chapter includes not only background information and diagnostic/therapeutic guidelines, but also provides a narrative by the author on his/her operative technical details and perioperative “tips and tricks” that they utilize in the management of these complex surgical challenges. Distinctive to this book, is the reliance on experts in the field including past presidents of the ASCRS, as well as multiple other national and internationally recognized surgeons, to lend their personal insight into situations where data may be more sparse, but individual and collective experience is paramount to making sound decisions and thereby optimizing patient outcomes. The text includes chapters on the assessment of risk and methods utilized to minimize perioperative complications. In addition, it incorporates sections covering the medical and surgical therapies for abdominal, pelvic and anorectal disease. Moreover, the technical challenges of managing complications resulting from the original or subsequent operations is addressed. The underlying focus throughout the text is on providing pragmatic and understandable solutions that can be readily implemented by surgeons of varying experience to successfully treat complex colorectal problems. However, it also goes beyond the technical aspects of colorectal surgery and includes special sections highlighting the essence of a surgeon; covering aspects involving the medical-legal, ethical, and economic challenges confronting surgeons. Throughout the text, each author provides an ongoing narrative of his/her individual surgical techniques along with illustrations and diagrams to “personally” take the reader through the crucial steps of the procedure, and key points of patient care inherent to that topic. Additionally, where appropriate, links to online videos give the reader an up-front look into technical aspects of colorectal surgery. |
| biofeedback therapy for bowel incontinence: Clinical and Basic Neurogastroenterology and Motility Satish S.C. Rao, Yeong Yeh Lee, Uday C. Ghoshal, 2019-12-01 Clinical and Basic Neurogastroenterology and Motility is a state-of-the-art, lucidly written, generously illustrated, landmark publication that comprehensively addresses the underlying mechanisms and management of common adult and pediatric motility disorders. These problems affect 50% of the population and include conditions such as dysphagia, achalasia, gastroesophageal reflux disease, gastroparesis, irritable bowel syndrome (IBS), gas and bloating, SIBO, constipation and fecal incontinence. The book brings together international experts and clinician scientists, epitomizing their years of wisdom into a concise yet practical text that is delivered in two distinct sections, basic and clinical. It fulfills a large unmet need, and bridges a long-awaited knowledge gap among trainees, clinicians, scientists, nurses and technicians, earnestly engaged in this field. - First of its kind text that covers both basic and clinical aspects, bridging the knowledge gap, and providing a bench to bedside approach for management of common disorders - Discusses the latest concepts and basic principles of neurogastroenterology and motility, and how the gut and brain interact in the genesis of functional gastrointestinal and motility disorders - Provides an illustrated and practical text on hot topics written by leading adult and pediatric gastroenterology experts across the globe - Includes an accompanying more detailed web version of the text with free access to future podcasts |
| biofeedback therapy for bowel incontinence: Evidence-Based Physical Therapy for the Pelvic Floor Kari Bø, Bary Berghmans, Siv Mørkved, Marijke Van Kampen, 2014-11-04 Bridging the gap between evidence-based research and clinical practice, Physical Therapy for the Pelvic Floor has become an invaluable resource to practitioners treating patients with disorders of the pelvic floor. The second edition is now presented in a full colour, hardback format, encompassing the wealth of new research in this area which has emerged in recent years. Kari Bø and her team focus on the evidence, from basic studies (theories or rationales for treatment) and RCTs (appraisal of effectiveness) to the implications of these for clinical practice, while also covering pelvic floor dysfunction in specific groups, including men, children, elite athletes, the elderly, pregnant women and those with neurological diseases. Crucially, recommendations on how to start, continue and progress treatment are also given with detailed treatment strategies around pelvic floor muscle training, biofeedback and electrical stimulation. aligns scientific research with clinical practice detailed treatment strategies innovative practice guidelines supported by a sound evidence base colour illustrations of pelvic floor anatomy and related neuroanatomy/ neurophysiology MRIs and ultrasounds showing normal and dysfunctional pelvic floor incorporates vital new research and material uses key summary boxes throughout new edition to highlight quick reference points now in full colour throughout and a hardback format |
| biofeedback therapy for bowel incontinence: Urinary and Fecal Incontinence Horst-Dieter Becker, 2005-04-11 The book surveys the prevalence, the pathophysiology, the diagnosis, the current therapy, both conservative and operative, and the long-term outcome of treatment of urinary and fecal incontinence. It is targeted at general and colorectal surgeons, urologists, gynecologists and gastroenterologists who treat incontinent patients, and also gives general practitioners and geriatric physicians an overview of the diagnostic methods and treatment options that can be offered to incontinent patients. |
| biofeedback therapy for bowel incontinence: The ASCRS Textbook of Colon and Rectal Surgery David E. Beck, Patricia L. Roberts, Theodore J. Saclarides, Anthony J. Senagore, Michael J. Stamos, Yosef Nasseri, 2011-06-09 Developed in conjunction with the American Society of Colon and Rectal Surgeons, this comprehensive textbook provides readers with the full scope of surgical practice for patients with diseases of the colon and rectum. Expert surgeons, all active both as educators and with busy clinical practices, have written concise and practical chapters on the most commonly done procedures while providing much-needed insight on less frequently presentations, as well. The ASCRS Textbook is designed to meet the needs not only of colorectal specialists, but also the general surgeon in practice whose caseload includes patients with disorders and diseases of the colon, rectum and anus. Residents and fellows will also find a wealth of hands-on guidance and practical tips and tricks. The ASCRS Practice Parameters are incorporated in the book along with an appendix providing the most up-to-the minute access to best practice guidelines. Patient care and safety are addressed in each chapter. [The ASCRS Textbook of Colon and Rectal Surgery] is a long awaited textbook for those in the field and it does not disappoint. It is brief and to the point, but does not lack the necessary detail expected from a society-produced publication. [It has an] easy-to-read quality that enhances comprehension for the trainee. It is by no means just a student textbook. The inclusion of hot current topics, like the anal fistula plug, makes it fresh and useful for experienced surgeons. This is an excellent addition to the colorectal library. (Doody's Review) |
| biofeedback therapy for bowel incontinence: Stimulation for Faecal Incontinence Jonas Wors E, Jonas Worsoe, 2012-12 The prevalence of fecal incontinence is approximately 5% in the general population. In all patients, the treatment of fecal incontinence is primarily conservative and surgery is offered as second line treatment. Electrical stimulation of the sacral nerves (SNS) with an implanted electrode is a minimally invasive and effective treatment of idiopathic FI and the indications for SNS are widening. However, SNS requires surgery while percutaneous electrical stimulation of peripheral nerves could be a non-invasive alternative. Stimulation for Faecal Incontinence comprises five studies. Study I examines the clinical effectiveness of transcutaneous stimulation. Study II and III examined the acute effect of rectal stimulation in idiopathic incontinent patients and patients with spinal cord injury. In study IV the validity of a new research tool for assessment of gastrointestinal motility during stimulation is evaluated. In study V, small intestinal motility is investigated in patients implanted with a sacral nerve stimulator for faecal incontinence. Based on the present book it can be concluded that: DGN stimulation reduces faecal incontinence in patients with idiopathic faecal incontinence but the mode of action remains unknown. DGN does not affect rectal wall properties in patients with idiopathic faecal incontinence. DGN increases rectal tone in patients with supraconal spinal cord injury, but the validity and clinical importance of the finding need further study. MTS-1 is useful for determination of gastric emptying and small intestinal transit time. Preliminary results indicate that SNS does not affect small intestinal motility, but data need further analysis and have to be confirmed in a larger study. |
| biofeedback therapy for bowel incontinence: Primary Care for the Physical Therapist William R. Vanwye, William G. Boissonnault, 2020-01-01 - NEW! Updated content throughout the text reflects the current state of primary care and physical therapy practice. - NEW! New chapter on electrodiagnostic testing helps familiarize physical therapists with indications for electrodiagnostic testing and implications of test results to their clinical decision-making. - NEW! New chapter on patients with a history of trauma emphasizes the red flags that physical therapists need to recognize for timely patient referral for appropriate tests. - NEW! Updated information on how to screen and examine the healthy population enhances understanding of the foundations of practice and the role that physical therapists can fill in primary care models. |
| biofeedback therapy for bowel incontinence: Female Pelvic Medicine and Reconstructive Pelvic Surgery Harold P. Drutz, Sender Herschorn, Nicholas E. Diamant, 2007-12-31 This text includes sections on anatomy, normal and abnormal physiology, investigation techniques, inflammatory conditions and treatment options. The international panel of contributors is at the forefront of research in the field; the editors have assembled these contributors and topics that span the entire range of pelvic floor disorders in women. Throughout, the emphasis is on an evidence-based approach to the treatment of pelvic floor problems. Indispensable for gynecologists and urologists. |
| biofeedback therapy for bowel incontinence: Pelvic Floor Re-education Bernhard Schüssler, Jo Laycock, Stuart L. Stanton, 2013-04-17 Pelvic Floor Re-education encompasses a variety of techniques for increasing the strength of, and control over, the pelvic floor muscles. These techniques are now emerging as an effective and viable alternative to surgery in the treatment of urinary incontinence and related conditions. This volume presents a reasoned, scientific approach to the use of pelvic floor re-education. Starting with the latest theories on anatomy, pathophysiology and possible causes of pelvic floor damage, the text then describes the importance of pelvic floor evaluation in determining the type of treatment required. A number of re-education techniques are assessed including isolated muscle exercise, vaginal cones, biofeedback control and electrical stimulation. Recent research work is also reviewed which allows the reader to evaluate the different modalities advocated in the management of pelvic floor dysfunction. |
| biofeedback therapy for bowel incontinence: Women's Health in Primary Care Anne Connolly, Amanda Britton, 2017-04-06 This book provides pragmatic practical advice to support primary care providers in delivering high-quality holistic care to women at various life stages. |
| biofeedback therapy for bowel incontinence: Pelvic Organ Prolapse Sherrie Palm, 2009-03 Pelvic Organ Prolapse, or POP, is a little-talked-about female health issue that half of all childbearing women will experience late in life. There are more than 300,000 surgeries for POP annually.Due to various causes such as menopause, estrogen loss, genetics, childbirth, or heavy lifting, a woman's pelvic organs can shift or drop. This can lead to POP symptoms, including some painful and embarrassing ones, as well as impacting a woman's sexuality.The condition has probably always existed, but has received little press or public acknowledgement so women could learn about the condition and treatment options. This book on POP fills an unfortunate void in women's health awareness.Sherrie Palm writes about her own personal experiences in Pelvic Organ Prolapse: The Silent Epidemic. She had never heard about the condition until she needed surgery for it. Palm explores the subject from all angles, providing the information women need to recognize the symptoms of POP and to become advocates for their own health.Pelvic Organ Prolapse: The Silent Epidemic named the winner for Women's Health in the USA Book News National BEST BOOKS 2009 Awards. http: //www.usabooknews.com/2009bestbooksawards.html More information about Sherrie Palm, and how she is creating awareness for this women's health issue, can be found on her website: http: //sherriepalm.com/home About the Author: First-time author Sherrie Palm is a retired business owner. She lives in Wisconsin with her significant other; she has four children and seven grandchildren. Palm plans to conduct educational seminars on POP. She is also actively involved with the local Special Olympics and will donate a portion of the book's proceeds to the group. |
| biofeedback therapy for bowel incontinence: Incontinence, physical activity, and pelvic floor muscle training in female pelvic cancer survivors after radiotherapy Anna Lindgren, 2020-09-28 Background: Cancer treatment continues to improve, contributing to an ever-growing population of cancer survivors. Pelvic cancer survivors (PCS) constitute the second largest group of female cancer survivors after breast cancer. Many female PCS have been treated with radiotherapy as a part of their cancer treatment. Unfortunately, like all effective cancer treatments, pelvic radiotherapy is associated with a risk of subsequent, unwanted side effects. Some side effects remain or persist long after the end of treatment and some are even lifelong. A common and burdensome side effect after pelvic radiotherapy is urinary and/or fecal incontinence. Incontinence is known to negatively affect quality of life (QoL) and physical activity levels. Physical activity contributes to several positive health effects. In cancer survivors, it may reduce the risk of recurrence and even the mortality risk. Cancer survivors in general, and female PCS in particular, tend to be less physically active after cancer treatment than before treatment. When suffering from urinary and even fecal incontinence, pelvic floor muscle training (PFMT) is recommended as a first-line treatment for the general population. In addition to decreased incontinence levels, PFMT may contribute to increased physical activity and better QoL. However, little attention is given to PFMT as a potential treatment for incontinence in the Swedish national care program for pelvic cancer rehabilitation. Furthermore, there is as yet no evidence that PFMT is as effective in female PCS as in female non-cancer survivors. The effectiveness of PFMT cannot be taken for granted because female PCS survivors often have treatmentinduced damage to structures in the pelvic floor that might affect its applicability. However, the problem of incontinence among female PCS remains, along with the fact that they tend to be less physically active than other cancer survivors. Indeed, this is an important research area and a necessary problem for health-care providers to resolve, not least for physiotherapists. Aim: The overall aim of this thesis is to improve the understanding of female PCS’ experiences of incontinence in relation to physical activity, QoL, and rehabilitative efforts, including PFMT. This includes gaining increased knowledge about the relation between incontinence and physical activity in the form of exercise and QoL, and whether PCS experience that physiotherapy contributes in a valuable way to reducing their incontinence. This could enable the development of meaningful physiotherapeutic interventions, that PCS can and are willing to engage in, to achieve a potential reduction in incontinence, as well as increased QoL and activity levels. Methods: The thesis includes four different studies, using three different methods, all conducted with female PCS. Studies I (n=13) and IV (n=11) are qualitative individual interview studies, using semi-structured interview guides. Study II is a cohort-based cross-sectional observational study (n=578) and Study III is a prospective cohort-based observational study (n=260). Results: Female PCS reported an absence of information regarding incontinence as a potential side effect of radiotherapy treatment. They experienced that incontinence prevented them from being as physically active as before treatment, and that incontinence of urine and feces impaired several aspects of QoL, including sexual health. They lacked potential rehabilitative options beyond conventional pelvic cancer rehabilitation. After practicing PFMT for three months, they found it a valuable rehabilitative measure for incontinence. They also experienced the physiotherapeutic support and guidance as valuable in teaching them how to contract the pelvic floor muscles correctly and providing individual guidance regarding dose, frequency, and progression of the training. In Study II, 67% of female PCS exercised at least once a week, while 33% exercised less than once a week. Women who reported leakage of large or all volume of feces (multivariable analysis) were statistically significantly more likely to exercise less than once a week. A similar co-variation was seen among women who reported leakage of moderate to large volumes of urine (univariate analysis). This, however, was not statistically significant in a multivariable analysis. When exercising on a weekly basis, they reported less frequently depressed mood and better QoL, compared to those who exercised less than once a week. Three months after an individually designed intervention program, in line with the conventional pelvic cancer rehabilitation offered within Swedish healthcare today, female PCS reported statistically significantly lower levels of urinary and fecal incontinence. However, no statistically significant changes in frequency of exercise were seen. Conclusion: Incontinence was a barrier to physical activity and exercise, and it reduced QoL and impaired sexual health in female PCS. When experiencing incontinence, and in particular fecal incontinence, female PCS were less likely to exercise on a weekly basis. Female PCS who exercise at least once a week experienced better QoL and less frequently depressed mood than PCS who were not exercising every week. Female PCS did not exercise more often after conventional pelvic cancer rehabilitation, not even after incontinence levels were reduced. Female PCS had a positive attitude towards PFMT. After at least three months’ experience of practicing PFMT, they found it a valuable rehabilitative effort for incontinence. They also found physiotherapeutic support and guidance to be of great importance. Female PCS expressed a need for better information routines regarding side effects, such as incontinence, after cancer treatment. They also expressed a need for better information routines, including accessibility of additional rehabilitative efforts, beyond the conventional pelvic cancer rehabilitation offered today, when suffering from incontinence of urine and/or feces. Bakgrund: Behandlingen av cancersjukdomar förbättras ständigt vilket bidrar till en växande population av cancerövrelevare. Bäckencanceröverlevare utgör den näst vanligaste gruppen kvinnliga canceröverlevare efter bröstcanceröverlevare. Många av kvinnorna behandlas med strålterapi som är associerad med en risk för oönskade sidoeffekter. Vissa sidoeffekter kvarstår eller uppstår långt efter behandlingen och andra medför ett livslångt rehabiliteringsbehov. En vanlig, belastande sen sidoeffekt av strålterapi mot bäckenet är urin- och eller avföringsinkontinens. Inkontinens påverkar ofta såväl livskvalitet som fysisk aktivitetsnivå negativt. Fysisk aktivitet kan bidra till ett flertal positiva hälsoeffekter som att minska risken för återfall i sjukdomen. Det kan sannolikt också bidra till ökad överlevnad. Canceröverlevare i allmänhet, och kvinnliga bäckencanceröverlevare i synnerhet, har ofta en lägre fysisk aktivitetsnivå efter cancerbehandlingen jämfört med innan. Vid urin- och även vid avföringsinkontinens rekommenderas bäckenbottenmuskelträning (BMT) som ett förstahandsval av behandling till kvinnor i allmänhet. Bäckenbottenmuskelträning kan, förutom att bidra till att minska inkontinens, även bidra till ökad fysisk aktivitetsnivå och förbättrad livskvalitet. Bäckenbottenmuskelträning har emellertid fått obetydligt utrymme som potentiell behandlingsmetod för inkontinens i det svenska nationella vårdprogrammet för bäckencancerrehabilitering. Än så länge saknas evidens för att BMT är lika effektivt hos kvinnliga bäckencanceröverlevare som hos kvinnor som inte genomgått cancerbehandling. Att BMT skulle vara lika effektivt hos dessa kvinnor är inte självklart då de ofta har behandlingsinducerade skador i strukturer i bäckenbotten som kan påverka träningens resultat. Problemet att kvinnliga bäckencanceröverlevare ofta besväras av inkontinens och ofta är mindre fysiskt aktiva än andra canceröverlevare kvarstår. Det är således ett viktigt område för vidare forskning och ett problem som behöver lösas av hälso- och sjukvårdspersonal, inte minst av fysioterapeuter. Syfte: Det övergripande syftet med avhandlingen är att förbättra förståelsen för kvinnliga bäckencanceröverlevares upplevelser av inkontinens i relation till fysisk aktivitet, livskvalitet och rehabiliteringsinsatser, inklusive BMT. Detta inkluderar förbättrad kunskap om relationen mellan motion och livskvalitet och huruvida bäckencanceröverlevare upplever att fysioterapi kan bidra på ett värdefullt sätt till att reducera inkontinensbesvär. Detta för att möjliggöra utformande av meningsfulla fysioterapeutiska interventioner, som bäckencanceröverlevare kan och är villiga att delta i, för att uppnå en potentiell minskning av inkontinens såväl som ökad livskvalitet och ökad fysisk aktivitetsnivå. Metod: Avhandlingen innehåller fyra studier, med tre olika metoder, där alla studiedeltagare utgörs av kvinnliga bäckencanceröverlevare. Studie I (n=13) och IV (n=11) är kvalitativa studier där individuella intervjuer genomfördes med semistrukturerade intervjuguider. Studie II är en kohortbaserad tvärsnittsstudie (n=578) och Studie III är en prospektiv, kohortbaserad observationsstudie (n=260). Resultat: Kvinnorna uttryckte avsaknad av information om inkontinens som en potentiell bieffekt av strålterapi. De upplevde att inkontinens hindrade dem från att vara fysiskt aktiva i samma utsträckning som innan behandlingen och att urin och avföringsinkontinens försämrade flera aspekter av deras livskvalitet, inklusive sexuell hälsa. Det uttryckte avsaknad av rehabiliteringsalternativ utöver det som erbjuds inom konventionell bäckencancerrehabilitering i svensk hälso- och sjukvård. Efter att ha tränat BMT under tre månader upplevde de BMT som en meningsfull rehabiliteringsåtgärd för urin- och avföringsinkontinens. De upplevde även att stöd och guidning från en fysioterapeut var värdefullt för att lära sig att kontrahera bäckenbottenmuskulaturen korrekt och för att få individuell guidning avseende dos, frekvens och progression av träningen. I Studie II, rapporterade 67% av 568 kvinnor att de motionerade minst en gång i veckan medan 33% rapporterade att de motionerade mindre än en gång i veckan. Kvinnor som rapporterade stor mängd avföringsläckage, (p=0.01, multivariabel analys) var statistiskt signifikant mer benägna att motionera mindre än en gång i veckan. En liknande samvariation sågs hos kvinnor som rapporterade stor mängd av urinläckage (p=0.04, univariat analys). Samvariationen var inte statistiskt signifikant i en multivariabel analys (p=0.105). Kvinnliga bäckencanceröverlevare som motionerade minst en gång i veckan rapporterade mer sällan nedstämdhet (p=0.044) och bättre livskvalitet (p <0.001) jämfört med de som motionerade mindre än en gång i veckan. Tre månader efter individuell sedvanlig bäckencancerrehabilitering rapporterade kvinnorna statistiskt signifikant lägre nivåer av urin och avföringsinkontinens (p=0.046 and p <0.001). Däremot, rapporterade inte kvinnorna någon statistiskt signifikant förändring i hur ofta de motionerade (p=0.763). Konklusion: Inkontinens utgjorde ett hinder för att utöva fysisk aktivitet och för att motionera bland kvinnliga bäckencanceröverlevare. Inkontinens försämrade dessutom livskvalitet och sexuell hälsa. De som upplevde inkontinens, i synnerhet avföringsinkontinens, var mindre benägna att motionera veckovis. Kvinnliga bäckencanceröverlevare som motionerade varje vecka upplevde bättre livskvalitet och mer sällan nedstämdhet än de kvinnor som inte motionerade veckovis. Kvinnliga bäckencanceröverlevare motionerade inte oftare efter konventionell bäckencancerrehabilitering även om inkontinensbesvären minskade. Kvinnliga bäckencanceröverlevare hade en positiv attityd till BMT. Efter tre månaders erfarenhet av BMT, upplevde de att det var en meningsfull rehabiliteringsåtgärd för inkontinens. De ansåg även att stöd och guidning från en fysioterapeut var av stor vikt. Kvinnliga bäckencanceröverlevare efterfrågade bättre informationsrutiner avseende potentiella sidoeffekter efter cancerbehandling, så som urin- och avföringsinkontinens. De efterfrågade även bättre informationsrutiner och tillgänglighet vad gäller rehabilitering av inkontinens utöver det som erbjuds inom sedvanlig bäckencancerrehabilitering idag. |
| biofeedback therapy for bowel incontinence: Elimination Disorders in Children and Adolescents Edward R Christophersen, Patrick C Friman, 2010-01-01 A compact, how-to manual on effective, evidence-based treatments for enuresis and encopresis. The aim of this book is to provide readers with a practical overview of the definitions, characteristics, theories and models, diagnostic and treatment recommendations, and relevant aspects and methods of evidence-based psychosocial treatments for encopresis and enuresis, primarily in children. Although treatments and research for elimination disorders are reviewed in general, particular attention is directed at constipation and encopresis, toileting refusal, and diurnal and nocturnal enuresis due to the high incidence of these conditions in children. Case vignettes, websites, and suggestions for further reading are provided for the interested reader. |
| biofeedback therapy for bowel incontinence: Constipation Steven D. Wexner, Graeme S. Duthie, 2007-08-08 The only book to deal specifically with constipation for specialists has been updated to include all the new advances since the first edition (1995). These advances include biofeedback, surgery for constipation, sacral nerve stimulation, the use of laparoscopy for rectal prolapse, treament and our understanding of some of the psychological problems of these patients. Innovations also include Professor Norman Williams’ Malone Procedure and the newer pharmacologic treatments such as nitric oxide and botulinum toxin injections. |
| biofeedback therapy for bowel incontinence: Women's Health in Physical Therapy Jean M. Irion, Glenn Irion, 2010 This book provides a framework and practical guidelines for managing women's health issues within the practice of physical therapy. It enables students to develop and implement customized patient care plans to deal with a broad range of disorders and health issues that either primarily affect women or manifest themselves differently in women. The book features a team of expert authors whose advice is based not only on a thorough investigation of the evidence, but also on their own firsthand experience as physical therapists specializing in women's health issues. |
| biofeedback therapy for bowel incontinence: Fecal Incontinence Carlo Ratto, Giovanni B. Doglietto, 2007-10-10 Fecal incontinence is a common and embarrassing condition with a devastating impact on patients’ lives. Since it may result from a variety of pathophysiological situations, an accurate diagnostic work-up is crucial. A range of therapies is available, but choosing the correct option is pivotal to successful management. This book reviews the latest advances in the epidemiologic, socio-economic, psychological, diagnostic, and therapeutic aspects of fecal incontinence, helping to establish effective treatment guidelines. |
| biofeedback therapy for bowel incontinence: Urinary & Fecal Incontinence Dorothy B. Doughty, 2005-12-15 Completely updated to reflect current practice, the 3rd edition of this comprehensive resource provides a multi-disciplinary, in-depth review of the physiology of continence, the pathologic mechanisms producing incontinence, and current treatment options for the various types of incontinence. Assessment, behavioral therapies, and multidisciplinary care are emphasized as key elements in the treatment and management of incontinence. In addition to the life-span content discussed throughout the book, an entire chapter is devoted to bowel and bladder management in children. Authored and contributed by leaders in the Wound, Ostomy and Continence Nurses Society (WOCN). Provides an in-depth review of the physiology of continence, the pathologic mechanisms producing incontinence, and current treatment options to facilitate optimal assessment and care. Features detailed assessment guidelines to help clinicians accurately identify causative and contributing factors, and implement of a comprehensive management plan. Discusses urinary incontinence and fecal incontinence in separate sections to address the special considerations for each in an organized, focused, easy-to-use format. Features individual, complete chapters for each of the following types of incontinence: stress, functional, reflex (neurogenic bladder), and overactive bladder (urge incontinence). Devotes separate chapters to Pathology & Management of Postprostatectomy Incontinence and Bowel and Bladder Management in Children to ensure comprehensive coverage of these topics. Offers life-span content to help clinicians provide appropriate care for patients in every stage of life. Includes self-assessment questions with answers and rationales for review and self-testing. Integrates multidisciplinary care throughout to highlight its importance in successful treatment. Features a new chapter on Pathology & Management of Postprostatectomy Incontinence that provides detailed information on this increasingly important aspect of incontinence. Includes content on the impact of spinal cord injury on bladder and bowel function. |
| biofeedback therapy for bowel incontinence: Pelvic Pain Explained Stephanie A. Prendergast, Elizabeth H. Akincilar, 2017-11-28 Pelvic pain is more ubiquitous than most people think and yet many suffer in silence because they don't know there is help or they are too embarrassed to seek it. This book looks at the variety of problems that can lead to pelvic pain, and how to address the issues when they arise. |
| biofeedback therapy for bowel incontinence: Colorectal Physiology Han Kuijpers, 2019-06-04 First published in 1994: Colorectal Physiology reviews recent findings in fecal incontinence, which is becoming a greater concern to physicians and surgeons as our population grows older and becomes better educated. International experts in anorectal physiology and management of incontinence present their personal views and specific clinical experiences on topics such as causes, diagnostic testing, and modes of treatment. The contributors also examine theoretical and practical aspects of current opinion. This book is a useful reference for researchers, colon and rectal surgeons, physicians, and students interested in understanding and managing fecal incontinence. |
| biofeedback therapy for bowel incontinence: Envisioning the National Health Care Quality Report Institute of Medicine, Board on Health Care Services, Committee on the National Quality Report on Health Care Delivery, 2001-03-22 How good is the quality of health care in the United States? Is quality improving? Or is it suffering? While the average person on the street can follow the state of the economy with economic indicators, we do not have a tool that allows us to track trends in health care quality. Beginning in 2003, the Agency for Healthcare Research and Quality (AHRQ) will produce an annual report on the national trends in the quality of health care delivery in the United States. AHRQ commissioned the Institute of Medicine (IOM) to help develop a vision for this report that will allow national and state policy makers, providers, consumers, and the public at large to track trends in health care quality. Envisioning the National Health Care Quality Report offers a framework for health care quality, specific examples of the types of measures that should be included in the report, suggestions on the criteria for selecting measures, as well as advice on reaching the intended audiences. Its recommendations could help the national health care quality report to become a mainstay of our nation's effort to improve health care. |
| biofeedback therapy for bowel incontinence: Complementary Therapies for the Body, Mind and Soul Marcelo Saad, 2015-09-02 Complementary Therapies (CT) refers to the practices, products, or health systems that are outside the realm of conventional medicine, used to treat disease or to promote health and well-being. Defining CT is difficult, because the field is very broad and constantly changing. The title of this book includes the words body, mind, and soul. The body and the mind (and their reciprocal relations) have been extensively studied scientifically. What about the soul? The book brings some points about this new ground in CT. We hope you find in the present work the sincere desire to collaborate with the dissemination of knowledge. May this book be useful and pleasant to you. |
| biofeedback therapy for bowel incontinence: Diseases of the Colon Steven D. Wexner, Neil Stollman, 2016-04-19 This first reference to comprehensively address both the medical and surgical management of diseases affecting the colon, this source spans the wide array of colorectal disorders including rectal prolapse, irritable bowel syndrome, benign and malignant colonic tumors, fissures and ulcers, and Crohn's colitis, among other ailments. With chapters by |
| biofeedback therapy for bowel incontinence: Incontinence P. Abrams, 2002 |
| biofeedback therapy for bowel incontinence: Neuropathic Bladder in Childhood M. Borzyskowski, A. R. Mundy, 1990 This is the first book to cover comprehensively all aspects of the management of the neuropathic bladder in the pediatric age group. The most recent advances in the assessment and management of these children are fully discussed. The reader is taken logically through the neurology and diagnosis of neuropathic bladder, investigations, and indications for surgical and nonsurgical intervention. There are sections on the management of infection, renal problems, constipation, and sexual problems, and there is a review of the psychological problems encountered by these children and their families. |
| biofeedback therapy for bowel incontinence: GI Motility Testing Henry P. Parkman, Richard W. McCallum, Satish S. C. Rao, 2011 Some Chapter Topics Include: |
| biofeedback therapy for bowel incontinence: Rectal Cancer Treatment M.W. Büchler, R. J. Heald, B. Ulrich, J. Weitz, 2005-10-11 Rectal cancer is one of the most prevalent cancers world-wide. It is also a paradigm for multimodal management, as the combination of surgery, chemotherapy and radiotherapy is often necessary to achieve the optimal outcome. Recently, international experts met in Heidelberg, Germany to discuss the latest developments in the management of rectal cancer, including the anatomic and pathologic basis, staging tools, surgical concepts including fast-track surgery and laparoscopic resection, functional outcome after surgery and the role of radio- and chemotherapy. This monograph summarizes this meeting and gives an extensive overview of the current concepts in management of rectal cancer. |
Biofeedback: What It Is, Purpose, Procedure, Risks & Benefits
Oct 27, 2023 · Biofeedback is an alternative medicine approach that teaches you to change the way your body functions. It may improve your physical and/or mental health. Learn how taking …
Biofeedback - Mayo Clinic
Mar 26, 2025 · Biofeedback is a type of mind-body technique you use to control some of your body's functions, such as your heart rate, breathing patterns and muscle responses. During …
Biofeedback - Wikipedia
Biofeedback device for treating posttraumatic stress disorder. Biofeedback is the technique of gaining greater awareness of many physiological functions of one's own body by using …
Biofeedback - Harvard Health
Jun 24, 2023 · Biofeedback tries to teach you to control automatic body functions such as heart rate, muscle tension, breathing, perspiration, skin temperature, blood pressure, and even brain …
Biofeedback: Definition, Types, Techniques, Efficacy - Verywell Mind
May 9, 2023 · Biofeedback is a mind-body technique that involves using visual or auditory feedback to teach people to recognize the physical signs and symptoms of stress and anxiety, …
Biofeedback Therapy: Uses and Benefits - WebMD
Sep 21, 2024 · One technique can help you gain more control over these normally involuntary functions. It's called biofeedback, and the therapy is used to help prevent or treat conditions, …
Biofeedback Therapy: Types, Uses, and Benefits - Verywell Health
Jul 2, 2024 · Biofeedback therapy is a method that you can use to gain control over involuntary processes in your body. It is often used for pain control or relaxation, but you can use …
Biofeedback: Types, Purpose, and Risks - Healthline
Sep 26, 2024 · Biofeedback is a noninvasive therapy technique that aims to help you change certain health factors by learning to be mindful of how your body responds to stressors and …
Advancing Patient Care With Biofeedback - StatPearls - NCBI …
Jan 18, 2025 · Biofeedback is a technique that enhances sensory feedback, enabling individuals to consciously modify bodily functions typically considered involuntary. This technique is …
Biofeedback Therapy: What It Is, How It Works & Where to Find It
Apr 25, 2025 · Biofeedback therapy is a technique that helps you control your body’s functions by sending you messages through unique technologies. After receiving messages, you can …
Biofeedback: What It Is, Purpose, Procedure, Risks & Benefits
Oct 27, 2023 · Biofeedback is an alternative medicine approach that teaches you to change the way your body functions. It may improve your physical and/or mental health. Learn how taking …
Biofeedback - Mayo Clinic
Mar 26, 2025 · Biofeedback is a type of mind-body technique you use to control some of your body's functions, such as your heart rate, breathing patterns and muscle responses. During …
Biofeedback - Wikipedia
Biofeedback device for treating posttraumatic stress disorder. Biofeedback is the technique of gaining greater awareness of many physiological functions of one's own body by using …
Biofeedback - Harvard Health
Jun 24, 2023 · Biofeedback tries to teach you to control automatic body functions such as heart rate, muscle tension, breathing, perspiration, skin temperature, blood pressure, and even brain …
Biofeedback: Definition, Types, Techniques, Efficacy - Verywell Mind
May 9, 2023 · Biofeedback is a mind-body technique that involves using visual or auditory feedback to teach people to recognize the physical signs and symptoms of stress and anxiety, …
Biofeedback Therapy: Uses and Benefits - WebMD
Sep 21, 2024 · One technique can help you gain more control over these normally involuntary functions. It's called biofeedback, and the therapy is used to help prevent or treat conditions, …
Biofeedback Therapy: Types, Uses, and Benefits - Verywell Health
Jul 2, 2024 · Biofeedback therapy is a method that you can use to gain control over involuntary processes in your body. It is often used for pain control or relaxation, but you can use …
Biofeedback: Types, Purpose, and Risks - Healthline
Sep 26, 2024 · Biofeedback is a noninvasive therapy technique that aims to help you change certain health factors by learning to be mindful of how your body responds to stressors and …
Advancing Patient Care With Biofeedback - StatPearls - NCBI …
Jan 18, 2025 · Biofeedback is a technique that enhances sensory feedback, enabling individuals to consciously modify bodily functions typically considered involuntary. This technique is …
Biofeedback Therapy: What It Is, How It Works & Where to Find It
Apr 25, 2025 · Biofeedback therapy is a technique that helps you control your body’s functions by sending you messages through unique technologies. After receiving messages, you can …
