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Ebook Anorectal surgery - Made easy: Part 2

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Ebook Anorectal surgery - Made easy: Part 2

Biofeedbackchapter11Dyssynergic defecation is one of the most common forms of functional constipation both in children and adults.It is defined as inc

Ebook Anorectal surgery - Made easy: Part 2complete evacuation of fecal material from the rectum due to paradoxical contraction or failure to relax pelvic floor muscles when straining to defeca

te.Upto one half of patients with constipation suffer from the entity known as dyssynergic defecation.This is an acquired behavioral problem and is ca Ebook Anorectal surgery - Made easy: Part 2

used by the inability to coordinate the abdominal and pelvic floor muscles to evacuate stools.In the current scenario, it is possible to diagnose this

Ebook Anorectal surgery - Made easy: Part 2

problem through:•History•Prospective stool diaries•Anorectal physiologic tests.Biofeedback also known as neuromuscular training is:•The use of electr

Biofeedbackchapter11Dyssynergic defecation is one of the most common forms of functional constipation both in children and adults.It is defined as inc

Ebook Anorectal surgery - Made easy: Part 2ections.Neuromuscular training or biofeedback therapy is an instrumentbased learning process that is based on "operant conditioning" techniques.Thegoa

lof neuromusculartraining using biofeedbacktechniques is to restore a normal pattern of defecation.A Standard Biofeedback Training ProtocolThe mainsta Ebook Anorectal surgery - Made easy: Part 2

y of behavior therapy is to first explain the anorectal dysfunction and discuss its relevance with the patient beforeBiofeedback 233The next step incl

Ebook Anorectal surgery - Made easy: Part 2

udes training the patients on a more effective use of the abdominal muscles to improve pushing effort.Patients are next shown anal manometry or EMG re

Biofeedbackchapter11Dyssynergic defecation is one of the most common forms of functional constipation both in children and adults.It is defined as inc

Ebook Anorectal surgery - Made easy: Part 2ive is first pursued with the help of visual feedback on pelvic floor muscle contraction, accompanied by continuous encouragement from the therapist.W

hen the patient has learned to relax the pelvic floor muscles during straining, the visual and auditory help are gradually withdrawn.Biofeedback is of Ebook Anorectal surgery - Made easy: Part 2

ten recommended for children who have constipation and encopresis.Associated with specific:•Physical•Anatomic•Postsurgical complications.Also recommen

Ebook Anorectal surgery - Made easy: Part 2

ded for children who exhibit:•Pelvic floor dyssynergia•Paradoxical contraction.Biofeedback treatment of constipation and encopresis typically involves

Biofeedbackchapter11Dyssynergic defecation is one of the most common forms of functional constipation both in children and adults.It is defined as inc

Ebook Anorectal surgery - Made easy: Part 2al anal sphincter through electromyography (EMG) training•Training in the synchronization of internal and external anal sphincter responses•Training i

n the coordination of abdominal and pelvic floor musculature for elimination (For those who have pelvic floor dyssynergia or paradoxical contraction). Ebook Anorectal surgery - Made easy: Part 2

Biofeedbackchapter11Dyssynergic defecation is one of the most common forms of functional constipation both in children and adults.It is defined as inc

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