Combined Posterior Tibial Nerve Stimulation with Biofeedback Therapy after Surgical Intervention of Hirschsprung’s Disease: A Case Report.

Document Type : Original research papers

Authors

Abstract

Background: Hirschsprung’s disease is a congenital lower intestinal neuromuscular disorder associated with bowel symptoms that can cause significant distress, with either constipation or fecal incontinence or both. Objective: This study was done to investigate the effect of posterior tibial nerve stimulation by faradic current besides biofeedback therapy on bowel symptoms after surgical treatment of hirschsprung’s disease. Methodology: Ten years old child presented with bowel dysfunction after operation. A physical therapy program was done in form of faradic stimulation on posterior tibial nerve, biofeedback therapy and dietary fibers intake. Results: The results showed that, there was improvement in bowel symptoms as stool frequency increased from 1–2 time/week to 5–6 times/week together with improved stool consistency and the number of incontinence episode decreased from >1/day to complete continence. These results still significant in follow up after three months, also there was a significant change in squeezing and resting pressure between before and after intervention. Conclusion: The outcomes concluded that there was a great improvement in stool frequency and consistency with decreasing the number of incontinence episodes after combined application of faradic stimulation on posterior tibial nerve with biofeedback therapy and had a great satisfaction in improving bowel symptoms after surgery of hirschsprung’s disease.

Keywords

Main Subjects

Delta University Scientific Journal
Volume 5, Issue 2
September 2022
Pages 299-307

Files

Share

How to cite

Statistics