RELEVANCE OF PHYSIOTHERAPY IN THE MANAGEMENT OF FAECAL INCONTINENCE

Ayodele Teslim Onigbinde, Rufus A Adedoyin, A O Obembe, O E Johnson, A AI Emechete, T Aikomo, T Awotidebe, A Akinwande

Abstract


Pelvic floor dysfunction usually results in faecal incontinence. The dysfunctions are decreased rectal sensation, impaired anal sensation, rectal prolapse, and weakness of the pelvic muscles due to complicated birth delivery or prolonged labour. Trauma to the perineum or the sacral nerve roots is also a cause ofpelvic dysfunction. The management involves medical, surgical and physiotherapy interventions. Referrals for physical therapy are however very rare, probably due to low awareness of the role ofphysical therapists in the management of faecal incontinence. The management includes programmes for strengthening the pelvic floor muscles using Kegel exercises and electrical muscle stimulation using faradic current. This article highlights the role of physical therapy in the management offaecal incontinence.

Keywords


faecal incontinence, electrical muscle stimulation, pelvic floor muscles, exercises

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