Combined Posterior Tibial Nerve Stimulation with Biofeedback Therapy after Surgical Intervention of Hirschsprung’s Disease: A Case Report. | ||||
| Delta University Scientific Journal | ||||
| Volume 5, Issue 2, September 2022, Page 299-307 | ||||
| Document Type: Original research papers | ||||
| DOI: 10.21608/dusj.2022.275444 | ||||
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| Authors | ||||
Mohamed Nader Alkhouli; Ibrahim Ahmed Abo Al Ela* ; Ahmed Mahmoud Nasr Tolba  
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| 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 | ||||
| Biofeedback; Faradic; Hirschsprung’s Disease; Incontinence | ||||
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