Authors: L Brusciano P Limongelli G del Genio G Rossetti S Sansone A Healey V Maffettone V Napolitano F Pizza S Tolone A del Genio
Publish Date: 2009/03/07
Volume: 24, Issue: 8, Pages: 961-967
Abstract
The aims of this study were to evaluate several clinical and instrumental parameters in a large number of patients with constipation and incontinence as well as in healthy controls and discuss their potential implications in the functional aspects of these disordersConstipated and incontinent patients had significantly worse lumbar lordosis as well as lower rate in the presence of perineal defense reflex than controls Constipated but not incontinent patients had a lower rate of puborectalis relaxation than controls Furthermore worse pubococcygeal tests and a higher rate of muscle synergies presence either agonist or antagonist were observed in both constipated and incontinent patients compared to controlsThis study has demonstrated strong correlations between physiatric disorders and the symptoms of constipation and incontinence Further studies designed to demonstrate a causal relationship between these parameters and the success of a specific treatment of the physiatric disorders on the proctology symptoms are warranted
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