Biofeedback Intervention in Rehabilitation of Adolescence with Posterior Sagittal Anorectoplasty

Abstract

Background: Most children undergo Posterior Sagittal Anorectoplasty complain from fecal incontinence and fecal soiling which negatively impacts the social life of these children prohibiting their participation with their bears.
Objectives: This study aims to investigate the effect of biofeedback intervention on incontinence in teenager females diagnosed with encopresis following anal reconstruction surgery so be able to continue lifetime without interference with social life and activities.
Methods: Data were gathered from 30 Teenage females (age 10-13 females) were diagnosed with encopresis following anal reconstruction surgery, they were assigned into a single group and underwent biofeedback electrical stimulation training program twice a week for four months, in addition to pelvic floor exercises. They were evaluated before and after the program by using by Electromyography (EMG) biofeedback to measure the anal sphincter pressure and The Abbreviated Baylor Social Continence Scale (BCS) to measure social continence after surgical correction of anorectal malformations (ARMs).
Results: Results showed significant improvements in all measured variables with a substantial increase (P < 0.05). Biofeedback training workouts resulted is a 76.03% improvement with a mean difference of 600.83 µV. Baylor Social Continence Scale scores decreased producing a rising percentage of 65.870% and a mean difference of 13.80.
Conclusion: Biofeedback is a beneficial treatment for teenage girls experiencing encopresis following posterior sagittal anorectoplasty, however, extending the therapy duration may further enhance its effectiveness.

Keywords: Biofeedback, Fecal incontinence, Anorectal malformation, teenager females, rehabilitation.

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