Biofeedback applications in gastroenterology

European Journal of Gastroenterology and Hepatology

Volumn 8, Issue 6, 1996, Pages 534-539

  Enck, Paul ^a   Schäfer, Renate ^a  

^a HEINRICH HEINE UNIVERSITY   (Germany)

Author keywords

Biofeedback; Chronic constipation; Faecal incontinence

Indexed keywords

ADOLESCENT; ADULT; AGED; CHILD; CONSTIPATION; CONTROLLED STUDY; FECES INCONTINENCE; FEEDBACK SYSTEM; FEMALE; GASTROENTEROLOGY; HUMAN; MAJOR CLINICAL STUDY; MALE; MUSCLE FUNCTION; PELVIS FLOOR; PRIORITY JOURNAL; REVIEW;

EID: 0029900682     PISSN: 0954691X     EISSN: None     Source Type: Journal    
DOI: 10.1097/00042737-199606000-00006     Document Type: Review

References (38)

1. Engel BT, Nikoomanesh P, Schuster MM: Operant conditioning of rectosphincteric responses in the treatment of fecal incontinence. N Engl J Med 1974, 290:646-649. The very first paper on biofeedback application in incontinence from the Baltimore group.
2. Cerulli MA, Nikoomanesh P, Schuster MM: Progress in biofeedback conditioning for fecal incontinence. Gastroenterology 1979, 76:742-746. Replication study from the same group showing excellent response with the Schuster balloon probe.
3. Goldenberg DA, Hodges K, Hersh T, Jinich H: Biofeedback therapy for fecal incontinence. Am J Gastroenterol 1980, 74:342-345. A successful biofeedback study in a small sample (n = 10).
4. Wald A: Biofeedback therapy for fecal incontinence. Ann Intern Med 1981, 95:146-149. First controlled study of effective biofeedback application.
5. Wald A, Tunuguntla AK: Anorectal sensorimotor dysfunction in fecal incontinence and diabetes mellitus. N Engl J Med 1984, 310:1282-1287. Study in diabetic patients showing that when visceral perception is impaired it may be improved by biofeedback training.
6. Latimer PR, Campbell D, Kasperski J. A components analysis of biofeedback in the treatment of fecal incontinence. Biofeed Selfregul 1984, 9:311-324. In an ABACADA design (within subject variation of different components: Sensory, voluntary contraction, coordination training) it is shown that sensory training is the most effective one.
7. Whitehead WE, Burgio KL, Engel BT: Biofeedback treatment of fecal incontinence in geriatric patients. J Am Geriatr Soc 1985, 33:320-324. Study showing that geriatric patients up to 97 years may profit from training.
8. Buser WD, Miner PB: Delayed rectal sensation with fecal incontinence. Gastroenterology 1986, 91:1186-1191. Study showing that with biofeedback training delayed rectal sensation can be corrected.
9. MacLeod JH: Management of anal incontinence by biofeedback. Gastroenterology 1987, 93:291-294. Study with the most patients treated, using the anal plug EMG electrode for external anal sphincter training only.
10. Riboli EB, Frascio M, Pitto G, Reboa G: Biofeedback conditioning for fecal incontinence. Arch Phys Med Rehabil 1988, 69:29-31. First and only Italian biofeedback study.
11. Enck P, Kranzle U, Schwiese J, Dietz M, Lubke HJ, Erckenbrecht JF, et al.: Biofeedback - Behandlung bei Stuhlinkontinenz. Dtsch Med Wschr 1988, 113:1789-1794. First and only German study on biofeedback training in incontinence.
12. Loening-Baucke V: Efficacy of biofeedback training in improving faecal incontinence and anorectal physiologic function. Gut 1990, 31:1395-1402. The only negative study with poor outcome (50% improvement).
13. Miner PB, Donnelly TC, Read NW: Investigation of mode of action of biofeedback in treatment of fecal incontinence. Dig Dis Sci 1990, 35:1291-1298. Well controlled study (randomized crossover of two different strategies) showing sensory training to be the most effective part in biofeedback training.
14. Keck JO, Staniunas RJ, Coller JA, Barrett RC, Oster ME, Schoetz DJ, et al.: Biofeedback training is useful in fecal incontinence but disappointing in constipation. Dis Colon Rectum 1995, 37:1271-1276. A study comparing the efficacy of biofeedback training in incontinence and constipation.
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16. Bleijenberg G, Kuijpers HC: Treatment of the spastic pelvic floor syndrome with biofeedback. Dis Colon Rectum 1987, 30:108-111. The very first application of biofeedback in in-patient treatment of chronic constipation.
17. 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. Small scale study in children and adults with little improvement.
18. Lestar B, Penninckx F, Kerremans R: Biofeedback defaecation training for anismus. Int J Colorect Dis 1991, 6:202-207. Study showing that single session out-patient treatment may be effective as well.
19. Kawimbe BM, Papachrysostomou M, Clare N, Smith AN: Outlet obstruction constipation (anismus) managed by biofeedback. Gut 1991, 32:1175-1179. Study using a home training apparatus for training with comparable success.
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21. Wexner SD, Cheape JD, Jorge JMN, Heyman SR, et al.: Prospective assessment of biofeedback for the treatment of paradoxical puborectalis contraction. Dis Colon Rectum 1992, 35:145-150. Effective treatment of patients with an average history of constipation of 26 years.
22. 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. Small scale study with biofeedback including simulated stool expulsion.
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24. Papachrysostomou M, Smith AN: Effects of biofeedback on obstructed defecation - reconditioning of the defecation reflex. Gut 1994, 35:252-256. Study showing that with training not only symptoms but also physiological functions improve.
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26. Enck P: Biofeedback training in disordered defecation. Dig Dis Sci 1993, 38:1953-1969. Extensive review paper on biofeedback application in gastroenterology.
27. Enck P, Daubling G, Lubke HJ, Strohmeyer G: Long-term efficacy of biofeedback training for fecal incontinence. Dis Colon Rectum 1994, 37:997-1001. First long-term results (3-5 years) of biofeedback training in incontinence based on questionnaire data.
28. Scheuer M, Kuijpers HC, Bleijenberg G: Effect of electrostimulation on sphincter function in neurogenic fecal incontinence. Dis Colon Rectum 1994, 37:590-594. Study showing inefficacy of electrical stimulation of pelvic floor muscles as treatment for faecal incontinence.
29. Camilleri M, Phillips SF, Loening-Baucke V, Anuras S, Schuffler MD, Krishnamurthy S: Colectomy for severe constipation. Dig Dis Sci 1988, 33:1196-1198. Long-term results of colectomy for chronic constipation are poor.
30. (Anonymous). Anismus and biofeedback. Lancet 1992, 339:217-218. Review paper on biofeedback applications in chronic constipation.
31. Enck P, Gantke B, Ruhl A: What is a 'spastic pelvic floor syndrome' [abstract]? Gastroenterology 1992, 102:A446. Only paper available addressing the question of sensitivity and specificity of different diagnostic tools in assessing paradoxical sphincter contractions.
32. Badiali D, Coraziari E, Habib FI, Tomei E, Bausano G, Magrini P, et al.: Effect of wheat bran in treatment of chronic nonorganic constipation. A double-blind controlled trial. Dig Dis Sci 1995, 40:349-356. Placebo-controlled trial of the effects of dietary fibres on constipation with significant effects.
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34. Dolk A, Holmstrom B, Johansson C, Frostell C, Nilsson BY: The effect of yoga on puborectalis paradox. Int J Colorect Dis 1991, 6:139-142. Yoga exercises do not improve constipation.
35. McCubbin JA, Surwit RS, Mansbach CM: Sensory discrimination training in the treatment of a case of chronic constipation. Behavior Therapy 1987, 18:273-278. Psychological single case study on effective sensory discrimination training in constipation.
36. Grimaud JC, Bouvier M, Naudy B, Guien C, Salducci J: Manometric and radiologic investigations and biofeedback treatment of chronic idiopathic anal pain. Dis Colon Rectum 1991, 34:690-695. Biofeedback was used to train both contraction and relaxation of the external anal sphincter.
37. Moore, JG, Schenkenberg T: Psychic control of gastric acid response to anticipated feeding and biofeedback training in a man. Gastroenterology 1974 66:954-959.
38. Welgan P: Learned control of gastric acid secretion in ulcer patients. Psychosom Med 1974, 36:411-419.