Abstract
The aim of this study was to evaluate the temporal stability and the situational specificity of the intra-anal EMG-activity, as well as the individual specificity of this response in dyssynergic defecation patients. With this purpose, 26 individuals (13 with dyssynergic defecation and 13 without anorectal pathology) participated in two sessions of psychophysiological assessment, with an inter-session period of 1 week. At each session, the EMG-activity of external anal sphincter was recorded under four different conditions (baseline, voluntary contraction, reflex contraction and simulated defecation). The findings provide empirical evidence about temporal stability of the intra-anal EMG-activity, situational specificity of this response and the existence of a specific profile of intra-anal EMG-activity characteristic of patients with dyssynergic defecation.
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References
American Gastroenterological Association. (1999). American Gastroenterological Association medical position statement on anorectal testing techniques. Gastroenterology, 116, 732–760. doi:10.1016/S0016-5085(99)70194-0.
Bharucha, A. E., Wald, A., Enck, P., & Rao, S. (2006). Functional anorectal disorders. Gastroenterology, 130, 1510–1518. doi:10.1053/j.gastro.2005.11.064.
Drossman, D. A. (2006). The functional gastrointestinal disorders and the Rome III process. In D. A. Drossman, E. Corizziari, M. Delvaux, R. C. Spiller, N. J. Talley, W. G. Thompson, & W. E. Whitehead (Eds.), Rome III: The functional gastrointestinal disorders (3rd ed.). McLean, VA: Degnon Associates.
Fleiss, J. L. (1986). The design and analysis of clinical experiments. New York, NY: Wiley.
Heymen, S., Jones, K. R., Scarlett, Y., & Whitehead, W. E. (2003). Biofeedback treatment of constipation: A critical review. Diseases of the Colon and Rectum, 46, 1208–1217. doi:10.1007/s10350-004-6717-8.
Jones, P. N., Lubowski, D. Z., Swash, M., Path, M. R., & Henry, M. M. (1987). Is paradoxical contraction of puborectalis muscle of functional importance? Diseases of the Colon and Rectum, 30, 667–670. doi:10.1007/BF02561685.
Jorge, J. M., Habr-Gama, A., & Wexner, S. D. (2003). Biofeedback therapy in the colon and rectal practice. Applied Psychophysiology and Biofeedback, 28, 47–61. doi:10.1023/A:1022316900628.
Kuijpers, H. C., & Bleijenberg, G. (1985). The spastic pelvic floor syndrome. A cause of constipation. Diseases of the Colon and Rectum, 28, 669–672. doi:10.1007/BF02553449.
Marwitz, M., & Stemmler, G. (1998). On the status of individual response specificity. Psychophysiology, 35, 1–15. doi:10.1017/S0048577298960164.
Miller, R., Duthie, G. S., Bartolo, D. C., Roe, A. M., Locke-Edmunds, J., & Mortensen, N. J. (1991). Anismus in patients with normal and slow transit constipation. British Journal of Surgery, 78, 690–692. doi:10.1002/bjs.1800780619.
Palsson, O. S., Heymen, S., & Whitehead, W. E. (2004). Biofeedback treatment for functional anorectal disorders: A comprehensive efficacy review. Applied Psychophysiology and Biofeedback, 29, 153–174. doi:10.1023/B:APBI.0000039055.18609.64.
Preston, D. M., & Lennard-Jones, J. E. (1985). Anismus in chronic constipation. Digestive Diseases and Sciences, 30, 413–418. doi:10.1007/BF01318172.
Pucciani, F., Rottoli, M. L., Bologna, A., Cianchi, F., Forconi, S., Cutellè, M., et al. (1998). Pelvic floor dyssynergia and bimodal rehabilitation: Results of combined pelviperineal kinesitherapy and biofeedback training. International Journal of Colorectal Disease, 13, 124–130. doi:10.1007/s003840050149.
Rao, S. S., Tuteja, A. K., Vellema, T., Kempf, J., & Stessman, M. (2004). Dyssynergic defecation: Demographics, symptoms, stool patterns, and quality of life. Journal of Clinical Gastroenterology, 38, 680–685. doi:10.1097/01.mcg.0000135929.78074.8c.
Simón, M. A., & Lara, M. J. (1996). Técnicas de intervención psicológica en los trastornos defecatorios: Nuevas alternativas terapéuticas. Madrid: Biblioteca Nueva.
Simón, M. A., Martínez-Velasco, R., & Salgado, A. (1999). Evaluación y tratamiento del síndrome del suelo pélvico espástico. In M. A. Simón (Ed.), Manual de Psicología de la Salud: Fundamentos, metodología y aplicaciones. Madrid: Biblioteca Nueva.
Simón, M. A., Durán, M., & Salgado, A. (2001). Incontinencia fecal. In M. A. Simón & E. Amenedo (Eds.), Manual de psicofisiología clínica. Madrid: Pirámide.
Turpin, G. (1989). An overview of clinical psychophysiological techniques: Tools or theories? In G. Turpin (Ed.), Handbook of clinical psychophysiology. New York, NY: John Wiley & Sons.
Wald, A., Bharucha, A. E., Enck, P., & Rao, S. S. (2006). Functional anorectal disorders. In D. A. Drossman, E. Corizziari, M. Delvaux, R. C. Spiller, N. J. Talley, W. G. Thompson, & W. E. Whitehead (Eds.), Rome III: The functional gastrointestinal disorders (3rd ed.). McLean, VA: Degnon Associates.
Whitehead, W. E., Wald, A., Diamand, N. E., Enck, P., Pemberton, J. H., & Rao, S. S. C. (2000). Functional disorders of the anus and rectum. In D. A. Drossman, E. Corizziari, N. J. Talley, W. G. Thompson, & W. E. Whitehead (Eds.), Rome II: The functional gastrointestinal disorders (2nd ed.). McLean, VA: Degnon Associates.
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Simón, M.A., Bueno, A.M. Psychophysiological Profile in Dyssynergic Defecation Patients: An Individual and Situational Response Specificity Analysis. Appl Psychophysiol Biofeedback 34, 93–97 (2009). https://doi.org/10.1007/s10484-009-9079-0
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DOI: https://doi.org/10.1007/s10484-009-9079-0