Clinical trial NCT06215924: The Effects of Postisometric Relaxation Technique in Female Patients With Dyssynergic Defecation
Official title: Investigation of the Effects of Postisometric Relaxation Technique Applied to Pelvic Floor Muscles on Constipation Severity, Quality of Life, Anal Pain, Muscle Function and Sexual Function in Female Patients With Dyssynergic Defecation
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Constipation - Functional
Pelvic Floor Disorders
Pelvic Floor Dyssynergia
Keywords: dyssynergic defecation
functional constipation
pelvic floor physiotherapy
pelvic health
postisometric relaxation technique
Lead sponsor: Izmir Bakircay University
Sponsor class: OTHER
First posted: 2024-01-22
Enrollment: 42
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 55
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Functional bowel diseases are defined as chronic disorders of the gastrointestinal tract characterized by abdominal pain, bloating, tension and/or defecation abnormalities. Functional bowel diseases are studied under five headings: functional constipation, functional diarrhea, functional abdominal bloating / tightness and unclassifiable functional bowel disorders. Functional constipation is divided into three categories as normal transition-time constipation, slow transition-time constipation and defecation disorders. Defecation disorders occur due to improper use of pelvic floor muscles and anorectal muscles or anatomical abnormalities and account for 1/3 of all constipation. Defecation disorders characterized by excessive straining, incomplete defecation sensation, difficult and painful defecation are defined as narrowing of the fecal exit path due to involuntary pelvic floor contractions or posterior compartment pelvic organ prolapse. Non-pharmacological treatment in the treatment of functional constipation is considered as the first-line treatment and includes information about the nutrition, fiber-liquid consumption, physical activity and toilet training of patients. Biofeedback therapy is often recommended in patients with defecation disorders in the literature, and there are studies showing that it is superior to laxative use and placebo applications in the studies conducted. However, the fact that it is difficult and costly to achieve Biofeedback treatment, the method used allows movement at a certain angle and does not include the stretching method seems to be a disadvantage. Postisometric Relaxation technique is used in cases of pain, muscle spasm and movement limitations. People with defecation disorders experience spasms, pain and movement limitations in the pelvic floor muscles. For this reason, the investigators think that the Postisometric Relaxation technique may be effective in patients with defecation disorders, and it will also provide advantages due to the fact that the method is easily accessible, does not require extra materials and devices, and has a stretching effect. The aim of this study is to investigate the effect of Postisometric Relaxation technique on constipation severity, quality of life, anal pain, muscle function and sexual function in patients with defecation disorder.


Eligibility criteria: Inclusion Criteria:

* Being the ages between 18-55
* Being a women
* Having been diagnosed with dyssynergic defecation by a physician
* Not using Laxatives

Exclusion Criteria:

* Having undergone anal region surgery in the last 6 months
* Having had Botox in the last 6 months
* Being in the menopause period
* Having been diagnosed with cancer
* Having a mental problem • Having previously received pelvic floor physiotherapy

Primary outcomes:
measure: Constipation Severity
timeFrame: Before treatment, end of the second week, end of the fourth week
Secondary outcomes:
measure: Quality of Life due to Constipation
timeFrame: Before treatment, end of the second week, end of the fourth week
measure: Anal Pain
timeFrame: Before treatment, end of the second week, end of the fourth week
measure: Sexual Function
timeFrame: Before treatment and end of the fourth week
measure: Function of the pelvic floor muscles
timeFrame: Before treatment, end of the second week, end of the fourth week
Other outcomes:
measure: The impact of Dyssynergic Defecation on other pelvic floor disorders
timeFrame: Before treatment, end of the second week, end of the fourth week
Locations:
city: Bursa
country: Turkey
facility: Nuriye Büyüktaş
state: Nilüfer
Study officials:
References: