Case report: Faecal Incontinence

Authors

  • Telma Filipa Pires Universidade de Trás-os-Montes e Alto Douro, Vila Real, Portugal https://orcid.org/0000-0002-1937-9167
  • Bruno Magalhães Academic and Clinical Centre of Trás-os-Montes and Alto Douro, CACTMAD, IPO Porto Research Centre, CI-IPOP, School of Health, University of Trás-os-Montes and Alto Douro, UTAD https://orcid.org/0000-0001-6049-8646
  • Vítor Rodrigues Academic and Clinical Centre of Trás-os-Montes and Alto Douro, CACTMAD, Research Centre for Sport, Health and Human Development, CIDESD, School of Health, University of Trás-os-Montes and Alto Douro, UTAD https://orcid.org/0000-0002-2795-685X
  • Isabel Barroso Academic and Clinical Centre of Trás-os-Montes and Alto Douro, CACTMAD, School of Health, University of Trás-os-Montes and Alto Douro, UTAD https://orcid.org/0000-0001-5112-6015
  • Marta Paulo Academic and Clinical Centre of Trás-os-Montes and Alto Douro, CACTMAD, Hospital Centre of Trás-os-Montes and Alto Douro, CHTMAD https://orcid.org/0000-0001-9679-8667
  • Diana Carvalho Hospital Centre of Trás-os-Montes and Alto Douro, CHTMAD https://orcid.org/0009-0008-4532-6166
  • Maria Elena Marques Hospital Centre of Trás-os-Montes and Alto Douro, CHTMAD https://orcid.org/0009-0005-3678-2539
  • Patrícia Pires Academic and Clinical Centre of Trás-os-Montes and Alto Douro, CACTMAD, School of Health, University of Trás-os-Montes and Alto Douro, UTAD https://orcid.org/0000-0003-1539-6936

DOI:

https://doi.org/10.6063/motricidade.33963

Keywords:

pelvic floor muscle training, pelvic rehabilitation, Faecal incontinence

Abstract

The aim of the study was to assess the effectiveness of a pelvic floor muscle (PFM) rehabilitation programme in overcoming faecal incontinence (FI). This was a case study of a 64-year-old, self-employed teacher diagnosed with FI because of rectal prolapse surgery. A Pelvic Floor Muscle Training (PFMT) programme was carried out, one session/week for 16 weeks, supervised by anorectal biofeedback. Each session took 45 minutes, of which 20 minutes was for PFMT and the rest for physical examination, manual therapy, massage and patient teaching/recording: symptom diary, supervision of diet management, bowel training, defecation techniques/postures and emotional support. In the first session (T0) and the last (T1), an anamnesis, Wexner Index, Bristol Stool Form Scale (BSFS) and Fecal Incontinence Quality of Life (FIQL) were also taken. The results showed gains in PFM strength, which went from grade 2 to 4 on the modified Oxford scale; in quality of life (QoL), absence of faecal losses, stools went from consistency type 2 to 4 on the BSFS. The uropelvic rehabilitation programme proved to be effective in re-educating the PFM and significantly improved the participant's QoL.

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Published

2024-03-31

Issue

Vol. 20 No. 1 (2024): Continuing and Palliative Care: New Challenges in Health

Section

Case Report

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