[en] Introduction. Fecal incontinence (FI) is a symptom or sign of variable etiology. In Spain the incidence of postpartum FI is 7,3%, which main causes of appearance are instrumentals or traumatics deliveries. It is considered a major public health problem that can lead to depression, anxiety, or social isolation and impairs sexual function Objective. To determine the efficacy of physical therapy treatment based on performing pelvic floor exercises combined with biofeedback compared to treatment based on pelvic floor exercises, in women who have postpartum FI and maintain it at 3 months after delivery, so that the time for a probable spontaneous recovery has hassed. Material and methods. The design of an experimental study of a controlled and randomized clinical trial, in addition to a single blind study, will be carried out in five hospitals in Galicia. In each of them there will be a total of 36 women who suffered postpartum fecal incontinence and maintain it 3 months after delivery, randomly divided into two groups of 18 patients each one. The intervention group will receive physical therapy treatment based on pelvic floor exercises plus biofeedback and the control group on pelvic floor exercises alone. A total of 8 separate interventions will be performed each for 15 days and patients should perform the exercises proposed in the physiotherapy sessions daily, 3 times a day. The variables to be studied in this project will be: the degree of fecal incontinence (Wexner Scale), the strength of the pelvic floor muscles (Oxford Modified Scale and PERFECT Protocol), the mean and maximum rectal pressure measured by biofeedback, quality of life (FIQL) and the degree of urinary incontinence that they can present (ICIQSF).

[gl] Introdución. A incontinencia fecal (IF) é un síntoma ou signo de etioloxía variable. En España a incidencia de IF no postparto é dun 7,3%, sendo as súas causas principais de aparición os partos instrumentais ou traumáticos. Considérase un gran problema de saúde pública que pode derivar en depresión, ansiedade ou illamento social e deteriora a función sexual. Obxectivo. Determinar a eficacia do tratamento de fisioterapia baseado na realización de exercicios do chan pélvico combinado con biorretroalimentación en comparación co tratamento baseado en exercicios do chan pélvico, en mulleres que presentan IF postparto e a manteñen aos 3 meses do parto, de forma que pasara o tempo dunha probable recuperación espontánea. Material e métodos. Exponse o deseño dun estudo experimental de tipo ensaio clínico controlado e aleatorizado, ademais de simple cego, que se levará a cabo en cinco hospitais de Galicia. En cada un deles haberá un total de 36 mulleres que sufriron incontinencia fecal tras o parto e a manteñen aos 3 meses desta, divididas aleatoriamente en dous grupos de 18 pacientes cada un. O grupo de intervención recibirá un tratamento de fisioterapia baseada en exercicios do chan pélvico máis biorretroalimentación e o grupo control exercicios do chan pélvico sós. Realizaranse un total de 8 intervencións separadas cada unha por 15 días e as pacientes deberán realizar diariamente os exercicios propostos nas sesións de fisioterapia, 3 veces ao día. As variables a estudar neste proxecto serán: o grao de incontinencia fecal (Escala de Wexner), a forza dos músculos de piso pélvico (Escala Modificada de Oxford e Protocolo de PERFECT), a presión media e máxima rectal medida pola biorretroalimentación, a calidade de vida (FIQL) e o grado de incontinencia urinaria que poden presentar (ICIQSF).