Effects of pelvic floor muscle exercise on faecal incontinence in rectal cancer patients after stoma closure

Citations Over TimeTop 20% of 2015 papers

Abstract

The purpose of this study was to examine the effects of pelvic floor muscle exercise (PFME) on the faecal incontinence (FI) of rectal cancer patients following stoma closure. Participants were randomly distributed into an exercise group (n = 27) and non-exercise group (n = 26). An experimental design and longitudinal approach were implemented for data collection. Baseline data were collected at 1 day before discharge, and then PFME was taught before the patients were discharged from the hospital. We collected data and followed up with the patients at their pre-discharge visit and at 1, 2, 3, 6 and 9 months after discharge. The Cleveland Clinic Faecal Incontinence (CCI) score was used to measure patient outcome. PFME proved to effectively decrease the degree of FI in stoma closure recipients. The FI score of the exercise group significantly decreased from 8.37 to 2.27 after PFME compared with that of the non-exercise group (from 8.54 to 2.58). The generalised estimation equation tests showed that both group and time were significantly different. The tests also indicated that although PFME appeared to hasten the decline of incontinence, this effect was no longer detectable at 9 months; thus, it may be an effective intervention for FI when implemented up to half a year after discharge.

Related Papers

• → The effect of pelvic floor muscle training on pelvic floor function and sexuality postpartum. A randomized study including 300 primiparous(2022)31 cited
• → Restoring pelvic floor function in men: review of RCTs(2005)28 cited
• → Pelvic Pain of Myofascial Origin in Women: Correlation with Lower Urinary Tract Symptoms(2024)2 cited
• → Complete Pelvic Floor Repair in Treating Fecal Incontinence(2005)3 cited
• Evidence-based physiotherapy for the pelvic floor : bridging science and clinical practice(2007)