The clinical effect of balloon dilation training combined with pelvic floor muscle rehabilitation on constipation caused by cerebral stroke
LI Xiaoliu1, ZHAO Jing2, DU Guojun1, JI Jie1, XU Minhuan3, JIANG Lijuan4, MA Li5
1.Department of Rehabilitation, Minhang Hospital, Fudan University, Shanghai 201199,China; 2.Department of Neurology, Minhang Hospital, Fudan University, Shanghai 201199, China; 3.Department of Proctology, the Second Hospital of Haining City, Jiaxing 314419, China; 4.Jiangchuan Community Health Service Center, Minhang District, Shanghai 201111, China; 5.Department of Cardiovascular Medicine, Tianyou Hospital, Wuhan University of Science and Technology, Wuhan 430064, China
LI Xiaoliu,ZHAO Jing,DU Guojun, et al. The clinical effect of balloon dilation training combined with pelvic floor muscle rehabilitation on constipation caused by cerebral stroke[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2020, 50(11): 911-914.
Abstract：Objective: To explore the therapeutic effect of balloon dilation training combined with pelvic floor muscle rehabilitation on constipation after cerebral stroke. Methods: Totally 96 patients with constipation caused by cerebral stroke in the department of neurology of Minhang Hospital Affiliated to Fudan University were randomly divided as the treatment group and the observation group, with 48 cases in each. Both groups received conventional rehabilitation treatment, including pelvic floor muscle training and biofeedback therapy.Patients in the treatment group received balloon dilation training therapy, based on the conventional rehabilitation therapy, while the observation group did not. Before the treatment and 7 days and 15 days after treatment, all patients were evaluated by both defecation integral and RMS/iEMG assessment of anal sphincter. Results: There was no significant difference in the scores of defecation integral and RMS/iEMG of anal sphincter between the two groups before treatment (P>0.05). However, 7 days and 15 days after the balloon dilation training therapy, the scores of defecation integral and iEMG of anal sphincter in the treatment group were better than those in the observation group (P<0.01). The incidence of constipation decreased in both groups, but was higher in the observation group (31.3%) than in the treatment group (10.4%). Conclusion: The pelvic floor muscle rehabilitation combined with balloon dilatation training can significantly improve the constipation caused by cerebral stroke.
