Fecal Incontinence in Children Clinical Trial
Official title:
Effect of Biofeedback Training on Functional Non-Retentive Fecal Incontinence in Children
Fecal incontinence (FI) is the inability to control bowel movements, causing stool to leak
from rectum it ranges from an occasional leakage of stool while passing gas to a complete
loss of bowel control after the age of 4 years1. Functional non-retentive fecal incontinence
(FNRFI) is fecal incontinence in a child with a mental age of more than 4 years with no
evidence of metabolic, inflammatory, or anatomical cause2.
The long-term result of biofeedback therapy is one of the most important subjects of
controversy, and few studies have extended to 2 years of follow-up 11. So, the purpose of
this study was to evaluate quantitatively the short-term and long-term efficacy of
biofeedback training as a treatment tool designed to control functional non-retentive fecal
incontinence in children and its long term impact on the quality of life.
Functional non-retentive fecal incontinence (FNRFI) is fecal incontinence in a child with a
mental age of more than 4 years with no evidence of metabolic, inflammatory, or anatomical
cause2.
It is an extremely embarrassing and psychologically frustrating shameful problem with a bad
impact on children3. It can lead to social isolation, loss of self-confidence, depression,
and behavioral problems4. The underlying mechanism of functional non-retentive fecal
incontinence is largely unknown. The pathophysiology seems to be complex and it is considered
to be a multifactorial disorder5. Approximately 95% of the children had no organic cause and
these children are considered to have a functional defecation disorder. Of this, in
approximately 80% of these children FI is results of constipation and is treated with
laxatives, the remaining 20% without signs of fecal retention is classified as FNRFI6 The
negative psychological and social impact for these children is high, however, and requires
adequate intervention7. Biofeedback therapy is a feasible option that has been used for fecal
incontinence over several decades8. The underlying premise of biofeedback, as with learning
any physical activity, is that "practice makes perfect" if the learner is provided with
accurate feedback to make adjustments to optimize performance So, the purpose of this study
was to evaluate quantitatively the short-term and long-term efficacy of biofeedback training
as a treatment tool designed to control functional non-retentive fecal incontinence in
children and its long term impact on the quality of life.
Methods:
The present study included 100 children of both sexes that were included with an age ranged
from (5-14 years) with FNRFI with normal bowel habits, normal defecation frequency, and
normal stool consistency with incontinence score ranging from 6-24 according to Vaizey score
12. Exclusion criteria included; children who have traumatic sphincter injury, fecal
impaction, spinal diseases causing incontinence, anorectal malformation, and children who
were not cooperative. Patients included in this study were randomly divided and allocated
into two groups Control group and Study group. Written informed consent was obtained from
parents of all included children.
A detailed history was taken including bowel habits, duration history of trauma. Complete
physical examination to exclude patients requiring surgical correction.
;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Recruiting |
NCT05570318 -
Effect of MiniGo as add-on to Oral Laxatives for Children With Constipation and Fecal Incontinence
|
N/A | |
| Completed |
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Biofeedback Intervention in Rehabilitation of Adolescence With Posterior Sagittal Anorectoplasty
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N/A |