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Erschienen in: Digestive Diseases and Sciences 3/2022

12.05.2021 | Original Article

Comparative Efficacy of Transcutaneous Functional Electrical Stimulation With or Without Biofeedback Therapy on Functional Non-retentive Fecal Incontinence in Children: A Randomized Clinical Trial

verfasst von: Seyedeh-Sanam Ladi-Seyedian, Lida Sharifi-Rad, Hosein Alimadadi, Behnam Nabavizadeh, Navid Manouchehri, Bahar Allahverdi, Farzaneh Motamed, Gholam-Hossein Fallahi

Erschienen in: Digestive Diseases and Sciences | Ausgabe 3/2022

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Abstract

Background

We compared the effects of transcutaneous functional electrical stimulation (TFES) and biofeedback therapy with TFES alone in a cohort of children with functional non-retentive fecal incontinence (FNRFI).

Methods

This prospective, single-center randomized clinical trial was performed on 40 children with FNRFI. Patients were randomly allocated into two equal treatment groups. Group A (n = 20) underwent TFES + biofeedback therapy, and group B (n = 20) received TFES alone. All patients were assessed with a pediatric fecal incontinence (FI) score questionnaire, a visual pain score, and a bowel habit diary both before and at the end of treatment sessions and also at 6 months of follow-up. In addition, a FI quality-of-life (QoL) questionnaire was recorded for all patients before and 6 months after the treatment.

Results

FI significantly improved in 13/20 (65%) patients in group A and 11/20 (55%) patients in group B (P < 0.05). A significant reduction in FI score was seen in each group at the end of treatment sessions and maintained at 6 months of follow-up (P < 0.05). A significant improvement in FI-QoL scores was seen in both groups at 6 months of follow-up in which there was no significant difference in terms of FI-QoL scores improvement between both groups after treatment.

Conclusions

The use of electrical stimulation in combination with other treatment methods improves symptoms in patients with FNRFI who are refractory to conventional treatment.
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Metadaten
Titel
Comparative Efficacy of Transcutaneous Functional Electrical Stimulation With or Without Biofeedback Therapy on Functional Non-retentive Fecal Incontinence in Children: A Randomized Clinical Trial
verfasst von
Seyedeh-Sanam Ladi-Seyedian
Lida Sharifi-Rad
Hosein Alimadadi
Behnam Nabavizadeh
Navid Manouchehri
Bahar Allahverdi
Farzaneh Motamed
Gholam-Hossein Fallahi
Publikationsdatum
12.05.2021
Verlag
Springer US
Erschienen in
Digestive Diseases and Sciences / Ausgabe 3/2022
Print ISSN: 0163-2116
Elektronische ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-021-07012-3

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