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- Title
Fekal inkontinansı olan erkek hastada pelvik taban kas eğitimi ile ekstrakorporeal manyetik stimülasyonun etkisi: vaka raporu.
- Authors
BARAN, Emine; ORHAN, Ceren; UZELPASACI, Esra; ÖZGÜL, Serap; NAKİP, Gülbala; AKBAYRAK, Türkan
- Abstract
The aim of this study was to investigate the effects of Pelvic Floor Muscle Training (PFMT) combined with extracorporeal magnetic stimulation (ExMS) on fecal incontinence (FI) symptoms in a male patient with FI due to internal anal sphincter insufficiency. A male patient with FI (26 years of age) was included to the study. Subjective perception of improvement was assessed with Likert-type scale and severity of incontinence was assessed with Wexner Incontinence Rating Scale. The Visual Analog Scale (VAS) was used for quality of life assessment. An anal perineometric measurement was performed to assess the pelvic floor muscle strength (PFMS) and endurance. All outcome measures were assessed at baseline, immediately after the treatment, and at 6thmonth. PFMT started with 5 sets of exercises per day (1set exercise= 10 fast+10 slow contractions) in the first week, increased 5 sets per week to 20 sets in the 4thweekand 20 sets per day for 6 months were performed as a homebased program. ExMS was administered for 3 sessions per week for 8 weeks, each session lasting 20 min (10min 10Hz, 10min 50Hz). The subjective perception of improvement was reported as "better" at 8th week and 6th month compared to the baseline. PFMS and endurance was found as 2.06-4.2-4.1 kPa and 1-3.7-3.5 s at the baseline, immediately after the treatment and 6 months follow-up; respectively. Wexner and VAS scores were improved from 7-3-3 to 3.7-0.5-0.6, respectively. The exercise adherence of the patient at the 8th week and 6thmonth was 5.9-4.7 cm by VAS. This case report showed that PFMT and ExMS were effective treatments for this patient with FI. Further randomized controlled trials with larger sample size and long-term follow-up are needed.
- Publication
Journal of Exercise Therapy & Rehabilitation, 2018, Vol 5, Issue 1, p59
- ISSN
2148-8819
- Publication type
Article