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Behavioral medicine treatment in chronic constipation with paradoxical anal sphincter contraction
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health.
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1991 (English)In: Diseases of the Colon & Rectum, ISSN 0012-3706, E-ISSN 1530-0358, Vol. 34, no 9, 769-776 p.Article in journal (Refereed) Published
Abstract [en]

Nine women and five children with severe chronic constipation received behavioral medicine therapy. Before treatment, all patients had a paradoxical contraction of the external anal sphincter at defecation attempts as demonstrated with electromyography and/or anorectal manometry. An electromyographic biofeedback device connected to an anal probe was used for the training that was performed on a regular toilet seat during five 1-hour sessions. Thirteen of the patients improved considerably and could learn to defecate spontaneously, and the use of laxatives ceased or diminished. Simultaneously with improvement, the paradoxical anal contraction disappeared. The results remained after 6 months, although two of the patients had received booster sessions of biofeedback training during follow-up.

Place, publisher, year, edition, pages
1991. Vol. 34, no 9, 769-776 p.
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Medical and Health Sciences
URN: urn:nbn:se:uu:diva-68583DOI: 10.1007/BF02051068PubMedID: 1914742OAI: oai:DiVA.org:uu-68583DiVA: diva2:96494
Available from: 2005-03-03 Created: 2005-03-03 Last updated: 2010-11-05Bibliographically approved

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