Home uroflowmetry biofeedback in behavioral training for dysfunctional voiding in school-age children: a randomized controlled study

PURPOSE: We studied the added value of home uroflowmetry for biofeedback training compared to added attention and standard therapy in a multicomponent behavioral training program for voiding disorders in school-age children. Little is known about the role of biofeedback by home uroflowmetry for dysfunctional voiding due to NNBSD in children. MATERIALS AND METHODS: A randomized controlled study was conducted at an outpatient pediatric incontinence university clinic from January 2000 to June 2003. A total of 192 children 6 to 16 years old who were suffering from recurrent urinary tract infections with or without urge incontinence were screened for NNBSD. Of 143 eligible patients 44 were randomly allocated to receive 8 weeks of standard therapy (outpatient behavioral therapy), 46 to receive 8 weeks of home video instructions together with standard therapy and 53 to receive 8 weeks of home uroflowmetry biofeedback together with standard therapy. After 8 weeks all treatment groups proceeded with standard therapy for 16 weeks, after which prophylaxis with antibiotics was stopped and patients were followed for another 6 months. Main outcome measurement was total relief of complaints, namely urinary tract infections and, if present, incontinence, at 12 months after randomization. RESULTS: At baseline there was no reason to predict major incomparabilities between the groups. In an intent to treat analysis there was no difference in total relief between standard treatment (44%) and added video instruction (42%, RR 0.96, 95% CI 0.59 to 1.56). Total relief in the added home uroflowmetry group (55%) was higher than with standard therapy (RR 1.24, 95% CI 0.80 to 1.93), although the difference was not statistically significant. A per protocol analysis suggested that the groups with added home uroflowmetry showed better total relief than the pooled groups with standard therapy and those with added video (RR 1.40, 95% CI 0.98 to 2.00). CONCLUSIONS: Home uroflowmetry appears to be a useful adjunctive treatment for the reduction of complaints in children with dysfunctional voiding due to nonneurogenic bladder-sphincter dyssynergia.     

Complementary and alternative medicine for chronic prostatitis/chronic pelvic pain syndrome

To discuss challenges concerning treatment for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and review complementary and alternative medical (CAM) therapies being evaluated for this condition, we performed a comprehensive search of articles published from 1990-2005 using the PubMed, Medline databases. Data from the articles were abstracted and pooled by subject. Keywords cross-searched with CP/CPPS included: complementary, alternative, integrative, therapies, interventions, nutrition, antioxidants, herbs, supplements, biofeedback and acupuncture. Listed articles with no abstracts were not included. Various CAM therapies for CP/CPPS exist including biofeedback, acupuncture, hyperthermia and electrostimulation. Additionally, a variety of in vitro and in vivo studies testing herbal and nutritional supplements were found. Saw palmetto, cernilton and quercetin were the most frequently tested supplements for CP/CPPS. Although many CAM therapies demonstrate positive preliminary observations as prospective treatments for CP/CPPS, further exploratory studies including more randomized, controlled trials are necessary for significant validation as treatment options for this complex disorder.     

α脑电生物反馈疗法对提高肿瘤患者生活质量的效果评价

目的 探索提高肿瘤患者生活质量的新方法.方法 对2010年1月-2011年10月在我科住院的137例肿瘤住院患者随机分组,68例行α脑电生物反馈疗法1个疗程为治疗组,69例行常规护理为对照组,应用癌症生命质量核心量表EORTIC-30(version-3)测评两组患者治疗前后各维度分值.结果 α脑电生物反馈疗法治疗组患者总体生活质量、躯体功能(PF)、情绪功能(EF)明显提高,疲乏(FA)、恶心呕吐(NV)、食欲减退、失眠症状有效改善且明显优于对照组(P＜0.01).结论 α脑电生物反馈疗法可有效缓解肿瘤患者的躯体症状,治疗负性情绪,改善生理、心理功能,提高患者的生活质量.     

认知行为疗法结合脑电生物反馈干预对护士亚健康失眠状态的影响

目的探索适合亚健康失眠护士的心理行为干预模式并评价其临床效果,为护士亚健康的防治提供参考。方法采用目的抽样的方法,抽取以失眠为主要症状的59名亚健康护士,随机分为两组。对照组(29名)给予健康教育,观察组(30名)在访谈的基础上给予认知行为疗法结合脑电生物反馈干预。干预前后采用SHSQ-25、PSQI、脑电基线测试评价其疗效。结果观察组与对照组SHSQ-25评分、PSQI评分、α脑电波波幅比较,差异有统计学意义(均P<0.01)。结论认知行为疗法结合脑电生物反馈干预模式有助于改善护士的亚健康状态,提高其睡眠质量。     

肌电生物反馈疗法结合部分减重平板运动疗法对脑卒中恢复期患者下肢运动功能的影响

目的:观察肌电生物反馈疗法结合部分减重平板运动疗法对脑卒中偏瘫患者下肢运动功能的影响。方法:脑卒中恢复期偏瘫患者40例随机分为治疗组和对照组各20例。两组患者均给予常规神经内科治疗、综合康复治疗及部分减重平板运动疗法,治疗组加用AM-800神经功能重建仪进行下肢肌电生物反馈疗法,共治疗4周。治疗前后进行功能评估,评估项目包括临床神经功能缺损评分、Fugl-Meyer评定、功能独立性评定(FIM量表)。结果:经治疗后,两组患者神经功能缺损评分均有下降,FIM量表得分及Fugl-Meyer下肢得分均上升,其中治疗组相比对照组神经功能缺损评分下降更显著,Fugl-Meyer下肢得分上升更显著(P均<0.05)。结论:肌电生物反馈疗法结合部分减重平板运动疗法,能有效改善脑卒中患者下肢运动功能,并可降低患者神经缺损程度。     

ADHD患儿脑电生物反馈治疗前、后脑电图变化情况分析

目的:分析注意力缺陷多动障碍(attention deficit hyperactivist order,ADHD)患儿脑电生物反馈治疗前、后脑电图变化情况.方珐:24名ADHD儿童行脑电生物反馈治疗,每周3～4次,20次为一疗程,治疗前、后未使用药物治疗,对治疗前、后脑电波检查结果进行统计分析.结果:与治疗前相比,治...     

肌电生物反馈对痉挛型脑瘫患儿下肢运动功能影响的Meta分析

目的:应用Meta分析评价肌电生物反馈治疗痉挛型脑瘫的作用。方法:检索PubMed、Embase、Cochrane图书馆及中国生物医学文献数据库、CNKI、维普、万方数据库中2009年1月~2019年6月关于肌电生物反馈治疗痉挛型脑瘫的随机对照试验,利用RevMan 5.3软件进行Meta分析。结果:纳入10项随机对照试验,共613个病例;肌电生物反馈可以改善脑瘫患儿踝关节活动度(MD=5.06,95%CI=4.01~6.10,P<0.01),改善粗大运动功能(GMFM D区MD=3.75,95%CI=2.75~4.75,P<0.01;GMFM E区MD=6.04,95%CI=4.82~7.26,P<0.01),改善腓肠肌痉挛程度(MD=5.19,95%CI=-0.52^-0.39,P<0.01)。结论:肌电生物反馈在改善脑瘫患儿下肢运动功能方面具有一定效果,但所纳入研究的方法有局限性,还需更严格的设计和高质量的研究方法进一步证明。     

生物反馈电刺激联合补中益气汤对产妇产后盆底康复效果的影响

目的探讨生物反馈电刺激联合补中益气汤对产妇产后盆底康复效果的影响。方法将56例初产妇按随机数字表法分成对照组与研究组各28例。对照组给予补中益气汤治疗;研究组在对照组基础上联合生物反馈电刺激治疗,两组均治疗6周。观测盆底肌相关电压、盆底肌力、尿失禁率、性生活质量。结果治疗后,两组盆底电位均值均显著升高,研究组高于对照组(P<0.05);治疗后,研究组尿失禁发生率显著降低,且显著低于对照组(P<0.05);研究组Ⅱ、Ⅲ、IV级肌力显著低于对照组(P<0.05);研究组性生活质量高水平显著高于对照组(P<0.05)。结论生物反馈电刺激联合补中益气汤可有效促进产妇产后盆底康复,效果显著优于单独补中益气汤。     

Efficacy of anorectal biofeedback in scleroderma patients with fecal incontinence: a case–control study

Objective: To determine whether anorectal biofeedback therapy can improve the symptoms of fecal incontinence (FI) in patients with scleroderma when compared to patients with functional FI, and also whether there is any effect on anorectal physiology or quality of life (QOL). FI in patients with scleroderma is highly prevalent and is associated with significant loss of QOL. Biofeedback has been proven to be an effective treatment for functional FI, but there are no data to support its use in scleroderma.

Materials and methods: 13 consecutive female patients (median age 59, IQR 47–65 years) with scleroderma, and 26 age- and parity-matched female patients with functional FI (disease controls, 2:1), underwent biofeedback therapy for management of FI. Fecal incontinence severity index (FISI), anorectal physiology, feeling of control and QOL were collected before and after 6 weeks of biofeedback therapy, with additional scoring repeated at 6-month follow-up.

Results: After biofeedback treatment FISI, feeling of control and QOL significantly improved in both groups (p?p?Conclusions: Patients with scleroderma benefit from biofeedback therapy to the same extent as that achieved in patients with functional FI. There are significant improvements in symptoms, physiology and QOL. Biofeedback is an effective, low-risk treatment option in this patient group.     

Bilateral skin temperature,handedness, and the biofeedback control of skin temperature

There are differences in physiological variables when they are recorded from the left and right side of the body simultaneously. In some cases, handedness has been found to have a significant relationship to bilateral differences. The present study examined the relationship between handedness and baseline heart rate and skin temperature, as well as bilateral differences in skin temperature during visual and auditory biofeedback. Subjects were 32 college females, 24 right-handed and 8 left-handed. Recordings of heart rate and skin temperature from both the dominant and the nondominant hand were made during baseline and during the 10-min experimental session while subjects attempted to warm their dominant hand. Both groups showed significantly increased skin temperature during the experimental session. No prominent bilateral differences in skin temperature were found. These results do not support bilateral differences as a generalizable construct.This work was supported in part by funds provided by The University of North Carolina at Charlotte.