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- Title
Relato de caso: Incontinência Fecal.
- Authors
Pires, Telma Filipa; Magalhães, Bruno; Rodrigues, Vítor; Barroso, Isabel; Paulo, Marta; Carvalho, Diana; Marques, Maria Elena; Pires, Patricia
- Abstract
The aim of the study was to assess the effectiveness of a pelvic floor muscle (PFM) rehabilitation programme in overcoming faecal incontinence (FI). This was a case study of a 64-year-old, self-employed teacher diagnosed with FI because of rectal prolapse surgery. A Pelvic Floor Muscle Training (PFMT) programme was carried out, one session/week for 16 weeks, supervised by anorectal biofeedback. Each session took 45 minutes, of which 20 minutes was for PFMT and the rest for physical examination, manual therapy, massage and patient teaching/recording: symptom diary, supervision of diet management, bowel training, defecation techniques/postures and emotional support. In the first session (T0) and the last (T1), an anamnesis, Wexner Index, Bristol Stool Form Scale (BSFS) and Fecal Incontinence Quality of Life (FIQL) were also taken. The results showed gains in PFM strength, which went from grade 2 to 4 on the modified Oxford scale; in quality of life (QoL), absence of faecal losses, stools went from consistency type 2 to 4 on the BSFS. The uropelvic rehabilitation programme proved to be effective in re-educating the PFM and significantly improved the participant's QoL.
- Subjects
FECAL incontinence; KEGEL exercises; TREATMENT effectiveness; BIOFEEDBACK training; TREATMENT duration; EXERCISE intensity; MUSCLE strength; QUALITY of life; RECTAL prolapse
- Publication
Motricidade, 2024, Vol 20, Issue 1, p1
- ISSN
1646-107X
- Publication type
Article
- DOI
10.6063/motricidade.33963