Physiotherapy for Prevention and Treatment of Fecal Incontinence in Women-Systematic Review of Methods

Fecal incontinence (FI) affects approximately 0.25-6% of the population, both men and women. The most common causes of FI are damage to/weakness of the anal sphincter muscle and/or pelvic floor muscles, as well as neurological changes in the central or peripheral nervous system. The purpose of this study is to report the results of a systematic review of the possibilities and effectiveness of physiotherapy techniques for the prevention and treatment of FI in women. For this purpose, the PubMed, Embase, and Web of Science databases were searched for 2000-2020. A total of 22 publications qualified for detailed analysis. The studies showed that biofeedback (BF), anal sphincter muscle exercises, pelvic floor muscle training (PFMT), and electrostimulation (ES) are effective in relieving FI symptoms, as reflected in the International Continence Society recommendations (BF: level A; PFMT and ES: level B). Research has confirmed that physiotherapy, by improving muscle strength, endurance, and anal sensation, is beneficial in the prevention of FI, both as an independent method of conservative treatment or in pre/post-surgery treatment. Moreover, it can significantly improve the quality of life of patients. In conclusion, physiotherapy (in particular, BF, PFMT, or ES, as effective methods) should be one of the key elements in the comprehensive therapy of patients with FI.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:9

Enthalten in:

Journal of clinical medicine - 9(2020), 10 vom: 12. Okt.

Sprache:

Englisch

Beteiligte Personen:

Mazur-Bialy, Agnieszka Irena [VerfasserIn]
Kołomańska-Bogucka, Daria [VerfasserIn]
Opławski, Marcin [VerfasserIn]
Tim, Sabina [VerfasserIn]

Links:

Volltext

Themen:

Biofeedback
Electrostimulation
Fecal incontinence
Journal Article
Pelvic floor rehabilitation
Physiotherapy
Review

Anmerkungen:

Date Revised 03.11.2020

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3390/jcm9103255

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM316233420