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Title

MR DEFECOGRAPHY: A DIAGNOSTIC TEST FOR THE EVALUATION OF PELVIC FLOOR MOTION IN PATIENTS WITH DYSSYNERGIC DEFECATION AFTER BIOFEEDBACK THERAPY

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Abstract

 Background: DYSSYNERGIC DEFECATION is a major cause of chronic FUNCTIONAL CONSTIPATION as a common digestive complaint. We clinically evaluated the effects of BIOFEEDBACK THERAPY on the pelvic floor motion indices through magnetic resonance (MR) defecography, quality of life and depression in patients with DYSSYNERGIC DEFECATION.Methods: In this clinical trial study, among patients referring to the Colorectal Clinic of Hazrat Rasoul Hospital, 22 subjects were randomly assigned into two equal groups (n=11) to receive either standard only or biofeedback and standard therapy. Dynamic changes of the pelvic floor were measured by MR DEFECOGRAPHY. During the simulated defecation, two MR DEFECOGRAPHY dynamic indices including abnormal anorectal angle change and perineal descent were measured before and after treatment. The effects of BIOFEEDBACK THERAPY on patients’ symptoms, quality of life and severity of depression were assessed and compared with the standard therapy. Statistical analysis was carried out using independent _t-test and Mann-Whitney test.Results: Paradox index (p<0.001), perineal descent index (p<0.001), depression (p<0.1), physical function (p<0.001), vitality (p<0.001) and role emotion (p<0.001) significantly improved in the BIOFEEDBACK THERAPY group in contrast to the standard therapy SDT group.Conclusion: BIOFEEDBACK THERAPY appears to be effective in improving symptoms of FUNCTIONAL CONSTIPATION and dysfunction of pelvic floor motion as well as patient’s quality of life and depression state. MR DEFECOGRAPHY is able to show the changes in dynamic indices of the pelvic floor through BIOFEEDBACK THERAPY.

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    APA: Copy

    NIKJOOY, AFSANEH, MAROUFI, NADER, EBRAHIMI TAKAMJANI, ISMAEIL, HADIZDEH KHARAZI, HOMAYOUN, MAHJOUBI, BAHAR, AZIZI, RASOUL, & HAGHANI, HAMID. (2015). MR DEFECOGRAPHY: A DIAGNOSTIC TEST FOR THE EVALUATION OF PELVIC FLOOR MOTION IN PATIENTS WITH DYSSYNERGIC DEFECATION AFTER BIOFEEDBACK THERAPY. MEDICAL JOURNAL OF THE ISLAMIC REPUBLIC OF IRAN (MJIRI), 29(1), 0-0. SID. https://sid.ir/paper/294709/en

    Vancouver: Copy

    NIKJOOY AFSANEH, MAROUFI NADER, EBRAHIMI TAKAMJANI ISMAEIL, HADIZDEH KHARAZI HOMAYOUN, MAHJOUBI BAHAR, AZIZI RASOUL, HAGHANI HAMID. MR DEFECOGRAPHY: A DIAGNOSTIC TEST FOR THE EVALUATION OF PELVIC FLOOR MOTION IN PATIENTS WITH DYSSYNERGIC DEFECATION AFTER BIOFEEDBACK THERAPY. MEDICAL JOURNAL OF THE ISLAMIC REPUBLIC OF IRAN (MJIRI)[Internet]. 2015;29(1):0-0. Available from: https://sid.ir/paper/294709/en

    IEEE: Copy

    AFSANEH NIKJOOY, NADER MAROUFI, ISMAEIL EBRAHIMI TAKAMJANI, HOMAYOUN HADIZDEH KHARAZI, BAHAR MAHJOUBI, RASOUL AZIZI, and HAMID HAGHANI, “MR DEFECOGRAPHY: A DIAGNOSTIC TEST FOR THE EVALUATION OF PELVIC FLOOR MOTION IN PATIENTS WITH DYSSYNERGIC DEFECATION AFTER BIOFEEDBACK THERAPY,” MEDICAL JOURNAL OF THE ISLAMIC REPUBLIC OF IRAN (MJIRI), vol. 29, no. 1, pp. 0–0, 2015, [Online]. Available: https://sid.ir/paper/294709/en

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