rss
Evid Based Nurs doi:10.1136/eb-2014-101875
  • Primary healthcare
  • Systematic review and meta-analysis

Poor quality evidence to support the use of biofeedback for the treatment of functional constipation in adults

  1. Arnold Wald
  1. Department of Gastroenterology and Hepatology, University of Wisconsin, Madison, Wisconsin, USA
  1. Correspondence to: Professor Arnold Wald, Department of Gastroenterology and Hepatology, University of Wisconsin Medical Foundation Centennial Building, 1685 Highland Ave, Madison, WI 53705-2281, USA; axw{at}medicine.wisc.edu

Commentary on:

Implications for practice and research

  • Currently, there is insufficient evidence to make conclusions regarding the efficacy and safety of biofeedback for patients with chronic constipation.

  • Further, well-designed randomised controlled trials are needed to allow definitive conclusions to be drawn.

Context

Most patients with chronic constipation respond to conservative and pharmacological treatments. However, a minority of patients are refractory to treatment, one of the reasons being abnormalities of defaecation characterised by inability to relax the striated muscles which facilitate defaecation and/or ineffective defaecatory propulsive forces. Biofeedback, which employs instrumental learning through visual or auditory feedback using anorectal manometry or electromyography, has been recommended to improve muscle coordination in selected patients and …

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article