Pelvic floor behavioral treatment for fecal incontinence and constipation in quiescent inflammatory bowel disease.

Background And Aim: Refractory bowel symptoms in quiescent inflammatory bowel disease (IBD) are common but evidence for effective management is limited. We aimed to determine whether behavioral treatment, including pelvic floor muscle training, decreases the severity of functional bowel symptoms in patients with quiescent IBD. Secondary aims were to evaluate the treatment effect on quality of life, psychological well-being and pelvic floor muscle function.

Trunk strength and mobility changes in children with slow transit constipation.

Background And Aim: It appears that there are no published reports on childhood slow transit constipation (STC) that have considered the state of the musculoskeletal components of the trunk in these children. The present study aimed to determine whether children with STC have different trunk musculoskeletal characteristics that might be related to their defecation difficulties, compared to controls.

Methods: With the aid of computer-analyzed photographs and clinical testing, 41 children with STC and 41 age-matched controls were examined for Marfanoid features, sitting posture, spinal joint mobility and trunk muscle strength.

Physiological quadriceps lag: its nature and clinical significance.

A study of the limit of active and passive knee extension in 64 healthy adults revealed a physiological quadriceps lag; that is, in most subjects the active limit of knee extension fell short of the passive limit. With the subjects seated, for the passive test the examiner lifted the heel until the relaxed knee sagged into full extension under its own weight. The active test component comprised maximum active extension held for at least 5 sec.

Functional outcome following Botulinum toxin A injection to reduce spastic equinus in adults with traumatic brain injury.

Primary Objective: The aim of this study was to assess the effect of Botulinum toxin A in the management of spastic equinus resulting from traumatic brain injury.

Research Design: A before-after intervention design was used without controls.

Methods And Procedures: Subjects were seven patients suffering from traumatic brain injury of average duration 14 (4-38) months as a result of motor vehicle trauma, who had spastic equinus interfering with gait.