Journal of
the Nigeria Society of Physiotherapy

OFFICIAL PUBLICATION OF THE NIGERIA SOCIETY OF PHYSIOTHERAPY
  • Abbreviation: J. Nig. Soc. Physiother.
  • Language: English
  • ISSN: 0331-3735
  • DOI: 10.5897/JNSP
  • Start Year: 2002
  • Published Articles: 55

Review

Relevance of physiotherapy in the management of faecal incontinence

Onigbinde AT
  • Onigbinde AT
  • Medical Rehabilitation Department, Faculty of Basic Medical Sciences, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
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Adedoyin RA
  • Adedoyin RA
  • Medical Rehabilitation Department, Faculty of Basic Medical Sciences, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
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Obembe AO
  • Obembe AO
  • Medical Rehabilitation Department, Faculty of Basic Medical Sciences, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
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Johnson OE
  • Johnson OE
  • Medical Rehabilitation Department, Faculty of Basic Medical Sciences, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
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Emechete AAI
  • Emechete AAI
  • Medical Rehabilitation Department, Faculty of Basic Medical Sciences, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
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Akinwande A
  • Akinwande A
  • Medical Rehabilitation Department, Faculty of Basic Medical Sciences, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
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Aikomo T
  • Aikomo T
  • Physiotherapy Department, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Osun State, Nigeria.
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Awotidebe T
  • Awotidebe T
  • Physiotherapy Department, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Osun State, Nigeria.
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  • Article Number - 24F586365321
  • Vol.15(2), pp. 50-53 , December 2005
  •  Received: 30 October 2005
  •  Accepted: 30 November 2005
  •  Published: 31 December 2005

Abstract

Pelvic floor dysfunction usually results infaecal 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 of pelvic 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 of physical 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 of faecal incontinence.
 
Key words: Faecal incontinence, electrical muscle stimulation, pelvic floor muscles, exercises.