Đào tạo hồi tiếp sinh học ở trẻ em bị táo bón chức năng

Digestive Diseases and Sciences - Tập 41 - Trang 65-71 - 1996
Vera Loening-Baucke1
1Department of Pediatrics, University of Iowa Hospitals and Clinies, Iowa City

Tóm tắt

Nhiều nghiên cứu không kiểm soát cho thấy rằng đào tạo hồi tiếp sinh học là một liệu pháp hỗ trợ hiệu quả trong việc cải thiện kết quả điều trị táo bón chức năng và/hoặc tình trạng không điều khiển (encopresis) ở trẻ em. Tuy nhiên, điều này không thể được xác nhận trong các nghiên cứu có kiểm soát. Việc thêm đào tạo hồi tiếp sinh học sau khi điều trị thông thường không thành công đã không mang lại lợi ích. Kết quả điều trị hồi tiếp sinh học ở trẻ em mắc táo bón chức năng và/hoặc tình trạng không điều khiển là đáng thất vọng.

Từ khóa

#thực trạng táo bón chức năng #hồi tiếp sinh học #trẻ em #encopresis #liệu pháp hỗ trợ

Tài liệu tham khảo

Loening-Baucke V: Modulation of abnormal defecation dynamics by biofeedback treatment in chronically constipated children with encopresis. J Pediatr 116:214–222, 1990 Loening-Baucke V: Persistence of chronic constipation in children after biofeedback treatment. Dig Dis Sci 36:153–160, 1991 Wald A, Chandra R, Gabel S, Chiponis D: Evaluation of biofeedback in childhood encopresis. J Pediatr Gastroenterol Nutr 6:554–558, 1987 Benninga MA, Büller HA, Taminiau JAJM: Biofeedback training in chronic constipation. Arch Dis Child 68:126–129, 1993 Louis D, Valancogne G, Loras O, Meunier P: Techniques et indications du bio-feedback dans les constipations chez Tenfant, Psychol Med 17:1625–1627, 1985 Dahl J, Lindquist BL, Tysk C, Leissner P, Philipson L, Järnerot G: Behavioral medicine treatment in chronic constipation with paradoxical anal sphineter contraction. Dis Colon Rectum 34:769–776, 1991 Wexner SD, Cheape JD, Jorge JMN, Heymen S, Jagelman DG: Prospective assessment of biofeedback for the treatment of paradoxical puborectalis contraction. Dis Colon Rectum 35:145–150, 1992 Keren S, Wagner Y, Heldenberg D, Golan M: Studies of manometric abnormalities of the rectoanal region during defecation in constipated and soiling children: Modification through biofeedback therapy. Am J Gastroenterol 83:827–831, 1988 Veyrac M, Granel D, Parelon G, Michel H: Constipation idiopathique de l'enfant. Intérét du traitement par biofeedback. Pediatrie 42:719–721, 1987 Shepherd K, Hickstein R, Rose V, Nasser C, Cleghorn GJ, Shepherd RW: Faccal incontinence in childhood: a multidisciplinary approach including biofeedback. Aust Paediatr J 25:351–355, 1989 Emery Y, Descos L, Meunier P, Louis D, Valancogne G, Weil G: Constipation terminale par asynchronisme abdominopelvien: Analyse des données étiologiques, cliniques, manométriques, et des résultats thérapeutiques après rééducation par biofeedback. Gastroenterol Clin Biol 12:6–11, 1988 Olness, K, McParland FA, Piper J: Biofeedback: A new modality in the management of children with fecal soiling. J Pediatr 96:505–509, 1980 Weber J, Ducrotte P, Touchais JY, Roussignol C, Denis P: Biofeedback training for constipation in adults and children. Dis Colon Rectum 30:844–846, 1987 Cox DJ, Sutphen J, Borowitz S, Dickens MN, Singles J: Simple electromyographic biofeedback treatment for chronic pediatric constipation encopresis: Preliminary report. Biofeedback Self Regul 19:41–50, 1994 Rosenberg AJ, Whitehead T: Achieving anal relaxation: The key to continence for encopretic children. Gastroenterology 99:1229A, 1990 Berquist W, Valmassoi D, Spence S, Fitzsimmons M, Rich E, DeVries P, Cox K: Interactive computer assisted EMG-biofeedback for treatment of childhood encopresis. Gastroenterology 106:466A, 1994 Lestár B, Penninekx F, Kerremans R: Biofeedback defaccation training for anismus. Int J Colorectal Dis 6:202–207, 1991 Kawimbe BM, Papachrysostomou M, Binnie NR, Clare N, Smith AN: Outlet obstruction constipation (anismus) managed by biofeedback. Gut 32:1175–1179, 1991 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 35:1–7, 1992 Bleijenberg G, Kuijpers HC: Treatment of spastic pelvic floor syndrome with biofeedback. Dis Colon Rectum 30:108–111, 1987 Papachrysostomou M, Smith AN: Effects of biofeedback on obstructive defecation—reconditioning of the defecation reflex? Gut 35:252–256, 1994 Loening-Baucke V: Biofeedback treatment for chronic constipation and encopresis in childhood: Long-term outcome. Pediatrics 96:105–110, 1995 Enck P: Biofeedback training in disordered defectation: A critical review. Dig Dis Sci 38:1953–1960, 1993 Nolan T, Catto-Smith A, Coffey C, Wells J: EMG biofeedback training in anismus-related encopresis does not produce sustained continence. Arch Pediatr Adolese Med 149:48A, 1995 Loening-Baucke V: Chronie constipation in children. Gastroenterology 105:1557–1564, 1993 Arhan P, Faverdin C, Devroede G, Besancon-Lecointe I, Fekete C, Goupil G, Black R, Jan D, Martelli H, Pellerin D: Biofeedback re-education of faccal continence in children. Int J Colorectal Dis 9:128–133, 1994 Whitehead WE, Parker L, Bosmajian L, Morrill-Corbin D, Middaugh S, Garwood M, Cataldo MF, Freeman J: Treatment of fecal incontinence in children with spina bifida: Comparison of biofeedback and behavior modification. Arch Phys Med Rehab 67:218–224, 1986 De Lorimer AA: Guest editor's note. Semin Pediatr Surg 4:53, 1995 Gaarder KR: Clinical Biofeedback: A Procedure Manual. Baltimore. The Williams and Wilkins Company, 1977 Devroede G, Duguay-Perron C: Biofeedback: The light at the end of the tunnel? Maybe for constipation. Gastroenterology 80:1089–1090. 1981 (letter) Denis P: Biofeedback for constipation.In Constipation. MA Kamm, JE Lennard-Jones (eds). Bristol. Pennsylvania. Wrighton Biomedical Publishing. 1994. pp. 349–353