Abdominal functional electrical stimulation for bowel management in multiple sclerosis.

Neurodegener Dis Manag

Birmingham Community Healthcare NHS Foundation Trust, UK.

Published: April 2019

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Article Abstract

Functional constipation is common in multiple sclerosis (MS) and first line treatments are frequently ineffective. The current study explored the use of abdominal functional electrical stimulation (ABFES) for treating constipation in MS. 20 people with MS and constipation (ROME IV criteria). The patient assessment of constipation-related quality of life questionnaire was administered at baseline and after 6 weeks of ABFES treatment alongside semi-structured interviews. All patient assessment of constipation-related quality of life subscales were significant: satisfaction (p = 0.003), psychosocial discomfort (p = 0.008), physical discomfort (p = 0.001) and worries and concerns (p = 0.003). A long-term therapeutic effect, reduction in laxative use and improved sexual functioning were also reported. ABFES provides a potential alternative treatment intervention for people with MS and constipation.

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http://dx.doi.org/10.2217/nmt-2018-0043DOI Listing

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