Conclusion
Despite the many variants in the clinical trials for biofeedback, most experts agree that biofeedback is an attractive outpatient, conservative treatment option that is cost-effective, relatively noninvasive, easy to tolerate, morbidity free, and does not interfere with any future treatment options that may be recommended by the physician. It is gratifying to note that this simple technique can ameliorate symptoms and improve the quality of life in many patients with functional bowel and bladder symptoms attributed to pelvic muscle dysfunction. It should be available in every pelvic floor physiology unit.
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References
Sonnenberg A, Koch TR. Physician visits in the United States for constipation. Dig Dis Sci 1989;34:606.
Sonnenberg A, Koch TR. Epidemiology of constipation in the United States. Dis Colon Rectum 1989;32:1–8.
Thompson WG, Longstreth GF, Drossman DA, Heaton KW, Irvien EJ, Muller-Lissner SA. Functional bowel disorders and functional abdominal pain. Gut 1999;45:1143–1154.
Jorge JMN, Wexner SD. Physiologic evaluation. In: Wexner SD, Vernava AM III, eds. Clinical Decision Making in Colorectal Surgery. New York: Igaku-Shoin, 1995:11–2.
Wexner SD, Jorge JMN. Colorectal physiological tests: use or abuse of technology? Eur J Surg 1994;160:167–174.
Rao SSC, Welcher KDP, Leistikow JS. Obstructive defecation: a failure of rectoanal coordination. Am J Gastroenterol 1998;93:1042–1050.
Hallan RI, Williams NS, Melling J, Walron DJ, Womack NR, Morrison J. Treatment of anismus in intractable constipation with botulinum toxin. Lancet 1988;2:714–717.
Enck P. Biofeedback training in disordered defecation: a critical review. Dig Dis Sci 1993;38:1953–1959.
Schwartz MS, et al. Biofeedback: A Practitioner’s Guide, 2nd ed. New York: Guilford Press, 1995.
Shellenberger R, Green JA. From the Ghost in the Box to Successful Biofeedback Training. Greeley Co: Health Psychology Publication, 1986.
MacLeod JH. Management of anal incontinence by biofeedback. Gastroenterology 1987;93:291–294.
Rao SSC. The technical aspects of biofeedback therapy for defecation disorders. Gastroenterologist 1998;6:96–103.
Engel AF, Kamm MA. The acute effect of straining on pelvic floor neurological function. Int J Colorectal Dis 1994;9:8–12.
Binnie NR, Kawimbe BM, Papachrysotomou M, Clare N, Smith AN. The importance of the orientation of the electrode plates in recording the external anal sphincter EMG by non-invasive anal plug electrodes. Int J Colorectal Dis 1991;6:8–11.
Hulme JA. Beyond Kegels. Phoenix: Phoenix Publishing, 1997.
Lennard-Jones JE. Constipation. In: Feldman M, Friedman L, Sleisenger MH, eds. Sleisinger and Fordtran’s Gastrointestinal and Liver Disease: Pathophysiology / Diagnosis / Management, 7th ed. Philadelphia: W.B. Saunders, 2002:81–209.
Kegel A. The physiologic treatment of poor tone and function of the genital muscles and of urinary stress incontinence. West J Surg Obstet Gynecol 1949;57:527–535.
Bump RC, Hurt WG, Fantl JA, Wyman JF. Assessment of Kegel pelvic muscle exercise performance after brief verbal instruction. Am J Obstet Gynecol 1991;165:322–329.
Basmajian JV. Biofeedback: Principles and Practice for Clinicians. Baltimore: Williams & Wilkins, 1989.
Charlesworth EA, Nathan RG. Stress Management: A Comprehensive Guide to Wellness. New York: Ballantine, 1985.
Rao SSC, Welcher KD, Happel J. Can biofeedback therapy improve anorectal function in fecal incontinence? Am J Gastroenterol 1996;91:2360–2365.
Emmanuel AV, Kamm MA. Response to a behavioral treatment, biofeedback in constipated patients is associated with improved gut transit and autonomic innervation. Gut 2001;49:214–219.
Hyman S, Jones KR, Ringel Y, Scarlett Y, Whitehead WE. Biofeedback treatment of fecal incontinence. Dis Colon Rectum 2001;44:728–736.
Norton C, Kamm MA. Outcome of biofeedback for faecal incontinence. Br J Surg 1999;86:1159–1163.
Gilliland R, Heymen S, Altomare DF, Park UC, Vickers D, Wexner SD. Outcome and predictors of success of biofeedback for constipation. Br J Surg 1997;84:1123–1126.
Dahl J, Lindquist BL, Leissner P, Philipson L, Jarnerot G. Behavioral medicine treatment in chronic constipation with paradoxical anal sphincter contraction. Dis Colon Rectum 1991;34:769–776.
Enck P, Musial F. Biofeedback in pelvic floor disorders. In: Pemberton JH, Swash M, Henry MM, eds. The Pelvic Floor: Its Function and Disorders. London: W.B. Saunders, 2002:393–404.
Park UC, Choi SK, Piccirillo MF, Verzaro R, Wexner SD. Patterns of anismus and the relation to biofeedback therapy. Dis Colon Rectum 1996;39:768–773.
McKee RF, McEnroe L, Anderson JH, Finaly IG. Identification of patients likely to benefit from biofeedback for outlet obstruction constipation. Br J Surg 1999;86:355–359.
Chiotakakou-Faliakou E, Kamm MA, Roy AJ, Storrie JB, Turner IC. Biofeedback provides long term benefit for patients with intractable slow and normal transit constipation. Gut 1998;6:517–521.
Rieger NA, Wattchow DA, Sarre RG, et al. Prospective study of biofeedback for treatment of constipation. Dis Colon Rectum 1997;40:1143–1148.
Wexner SD. Biofeedback for constipation. Dis Colon Rectum 1998;41:670–671.
Smith B. Effect of irritant purgatives on the myenteric plexus in man and the mouse. Gut 1968;9:139–143.
Dailianas A, Skandalis N, Rimikis MN, Koutsomanis D, Kardasi M, Archimandritis A. Pelvic floor study in patients with obstructive defecation. J Clin Gastroenterol 2000;30:176–180.
Lau C, Heymen S, Alabaz O, Iroatulam AJN, Wexner SD. Prognostic significance of rectocele, intussusception, and abnormal perineal descent in biofeedback treatment for constipated patients with paradoxical puborectalis contraction. Dis Colon Rectum 2000;43:478–482.
Mollen RMHG, Salvioli B, Camilleri M, et al. The effects of biofeedback on rectal sensation and distal colonic motility in patients with disorders of rectal evacuation: evidence of an inhibitory rectocolonic reflex in humans. Am J Gastroenterol 1999;94:751–756.
Gila A, Gylin M, Gullberg K, Lindberg G. Biofeedback retraining in patients with functional constipation and paradoxical puborectalis contraction. Dis Colon Rectum 1997;40:889–895.
Ko CY, Tong J, Lehman RE, Shelton AA, Schrock TR, Welton ML. Biofeedback is effective therapy for fecal incontinence and constipation. Arch Surg 1997;132:829–834.
Patankar SK, Ferera A, Larach SW, et al. Electromyographic assessment of biofeedback training for fecal incontinence and chronic constipation. Dis Colon Rectum 1997;40:907–911.
Karlbohm U, Hallden M, Eeg-Olofssson, Pahlman L, Graf W. Results of biofeedback in constipated patients. A prospective study. Dis Colon Rectum 1997;40:1149–1155.
Rao SSC, Welcher KD, Pelsan RE. Effects o f biofeedback therapy on anorectal function in obstructive defecation. Dig Dis Sci 1997;42:2197–2305.
Patankar SK, Ferrera A, Levy JR, Larach SW, Williamson PR, Perozo SE. Biofeedback in colorectal practice. A multi center, statewide, three-year experience. Dis Colon Rectum 1997;40:827–831.
Ho YH, Tan M, Goh HS. Clinical and physiologic effects of biofeedback in outlet obstruction defecation. Dis Colon Rectum 1996;39:520–524.
Leroi AM, Duval V, Roussignol C, Berkelmans I, Reninque P, Denis P. Biofeedback for anismus in 15 sexually abused women. Int J Colorect Dis 1996;11:187–190.
Siproudhis L, Dautreme S, Ropert A, et al. Anismus and biofeedback: who benefits? Eur J Gastroenterol Hepatol 1995;7:547–552.
Koutsomanis D, Lennard-Jones JE, Roy AJ, Kamm MA. Controlled randomized trial of visual biofeedback versus muscle training without a visual display for intractable constipation. Gut 1995;37:95–99.
Koutsomanis D, Lennard-Jones JE, Kamm MA. Prospective study of biofeedback treatment for patients with slow and normal transit constipation. Eur J Gastroenterol Hepatol 1994;6:131–137.
Bleijenberg G, Kuijpers HC. Biofeedback treatment of constipation: comparison of two methods. Am J Gastroenterol 1995;89:1021–1026.
Papachrysostomou M, Smith AN. Effects of biofeedback on obstructed defecation-reconditioning of the defecation reflex. Gut 1994;35:252–256.
Keck JO, Staniunas RJ, Coller YES, et al. Biofeedback training is useful in fecal incontinence but disappointing in constipation. Dis Colon Rectum 1995;37:1271–1276.
Turnbull GK, Ritivo PG. Anal sphincter biofeedback relaxation treatment for women with intractable constipation symptoms. Dis Colon Rectum 1992;35:530–536.
Fleshman JW, Dreznik Z, Meyer K, Fry RD, Carney R, Kodner IJ. Outpatient protocol for biofeedback therapy of pelvic floor outlet obstruction. Dis Colon Rectum 1992;35:1–7.
Wexner SD, Cheape JD, Jorge JMN, Heyman SR, Jagelman DG. Prospective assessment of biofeedback for the treatment of paradoxical puborectalis contraction. Dis Colon Rectum 1992;35:145–150.
Kawimbe BM, Papachrysostomou M, Clare N, Smith AN. Outlet obstruction constipation (anismus) managed by biofeedback. Gut 1991;32:1175–1179.
Lestar B, Penninckx F, Kerremans R. Biofeedback defecation training for anismus. Int J Colorect Dis 1991;6:202–207.
Weber J, Ducrotte P, Touchais JY, Roussignol C, Denis P. Biofeedback training for constipation in adults and children. Dis Colon Rectum 1987;30:844–846.
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Vickers, D.E. (2006). Biofeedback for Constipation. In: Wexner, S.D., Duthie, G.S. (eds) Constipation. Springer, London. https://doi.org/10.1007/978-1-84628-275-1_13
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