Zubiri, C. E. and Miculan, S. W. and Zosi, A. and Nanfito, G. I. and Guzman, L. and Borobia, P. and Bigliardi, R. and Arregui, C. and Bernedo, V. and Otegui, C. and Valdiviezo, V. and Allende, M. and Savia, M. A. and Menendez, L. and Besga, A. and Morales, S. and Drut, R. and Gonzalez, S. G. Tobia and Dominguez, J. M. and Tortarolo, A. G. and Longuinho, H. A. and Gomez, Y. R. and Gonzalez, T. (2019) Recto-Anal Biofeedback Treatment and Quality of Life in Children with Myelomeningocele. Open Journal of Epidemiology, 09 (03). pp. 202-212. ISSN 2165-7459
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Abstract
Introduction: Myelomeningocele is one of the most complex birth defects that cause physical disability, with consequent fecal incontinence and therefore difficulty in social integration of these patients. Objective: To improve the quality of life and manometric values after biofeedback therapy. Method: Longitudinal, prospective, analytical and experimental study. Patients with myelomeningocele and fecal incontinence who were between 5 to 15 years old and their parents were included in the study. Child and parent reports of PedsQMtm generic questionnaire were collected after obtaining informed consent and assent. Anorectal manometry and first biofeedback sessions were held with each child. Following treatment completion, the PedsQMtm was applied again. Results: 17 children and their parents were included in the study. All the patients presented fecal incontinence and an inability to voluntarily evacuate rectal contents. After biofeedback, the totality of patients improved their fecal incontinence. Nine of them stop using diaper. All reported successful use of the toilet. Statistically significant differences were observed when comparing the quality of life of children and parents at the beginning and at the end of treatment. There was an improvement in quality of life after the treatment with biofeedback for both children and parents, which was more perceived by these. Conclusions: It is highly significant for the improvement both in clinic and manometric values. The improvement in quality of life is more evident in the parents.
Item Type: | Article |
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Subjects: | ScienceOpen Library > Medical Science |
Depositing User: | Managing Editor |
Date Deposited: | 30 May 2023 11:34 |
Last Modified: | 15 Oct 2024 10:25 |
URI: | http://scholar.researcherseuropeans.com/id/eprint/1386 |