Evaluating the effectiveness of rehabilitation and behavioral therapy for fecal incontinence and soiling in pediatric patients with rare congenital MAR and HSCR: study protocol and preliminary results


Submitted: 15 June 2023
Accepted: 6 September 2023
Published: 6 February 2024
Abstract Views: 141
PDF: 91
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Authors

  • Enrica Cantone SS. Antonio e Biagio e Cesare Arrigo Hospital, Alessandria, Italy, Italy.
  • Roberta Di Matteo SC Research Training Innovation Infrastructure, Research and Innovation Department (DAIRI), Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy. https://orcid.org/0000-0001-8249-8284
  • Silvia Camillo FT SOC MFR Borsalino Degenza, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • Rossella Raffo FT SOC MFR Ospedale Civile, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • Elena Grassi SC Directorate of Nursing and Allied Health Professions, SS. Antonio e Biagio e Cesare Arrigo Hospital, Alessandria, Italy.
  • Tatiana Bolgeo SC Research Training Innovation Infrastructure, Research and Innovation Department (DAIRI), Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • Antonio Maconi Research and Innovation Department (DAIRI), SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.

Background and Aims: to evaluate the effectiveness of rehabilitation combined with behavioral therapy for fecal incontinence and soiling in children with rare congenital MAR and HSCR disorders. Materials and Methods: single-centre prospective interventional study with assessment of soiling and fecal incontinence outcomes using rating scales (Wexner Scale, Rintala Scale) at T0 (before treatment), T1 (at the end of treatment), and T2 (12 months later). Results: the collection of data is currently still ongoing, statistical analysis has started on the subset of results associated with enrolment between January 2021 and December 2021. To date, 15 patients have been enrolled, and an initial analysis has shown improvements in scale scores. Conclusions: the results to date demonstrate the efficacy of rehabilitation combined with behavioral therapy in the management of fecal incontinence and soiling in pediatric patients with MAR and HSCR.


Wood RJ, Levitt MA. Anorectal Malformations. Clin Colon Rectal Surg. 2018;31:61-70. DOI: https://doi.org/10.1055/s-0037-1609020

Mundt E, Bates MD. Genetics of Hirschsprung disease and anorectal malformations. Semin Pediatr Surg. 2010;19:107-17. DOI: https://doi.org/10.1053/j.sempedsurg.2009.11.015

Le MAR - cenni di embriologia. Available from: https://www.aimar.eu/le-mar/

Martucciello G. Regressione caudale e malformazioni anorettali - tecnica chirurgica. 2012. Available from: www.chirurgiapediatrica.eu

Le MAR – la prognosi funzionale. Available from: www.aimar.eu

Wetherill C, Sutcliffe J. Hirschsprung disease and anorectal malformation. Early Hum Dev. 2014;90:927-32. DOI: https://doi.org/10.1016/j.earlhumdev.2014.09.016

Chhabra, K. Hirschsprung’s disease. Pediatric Surgery. 2016;34:628-32. DOI: https://doi.org/10.1016/j.mpsur.2016.10.002

Butler Tjaden NE, Trainor PA. The developmental etiology and pathogenesis of Hirschsprung disease. Transl Res. 2013;162:1-15. DOI: https://doi.org/10.1016/j.trsl.2013.03.001

Moore SW. Advances in understanding the association between Down syndrome and Hirschsprung disease (DS–HSCR). Pediatr Surg Int. 2018;34:1127-37. DOI: https://doi.org/10.1007/s00383-018-4344-z

Bortolami A. Riabilitazione del pavimento pelvico. Elsevier, Amsterdam, The Netherlands. 2009. 320 pp.

Rossetti P, Travan T, Favaro F, et al. Patologie colorettali e riabilitazione. Società Italiana Urodinamica. 2003.

Paquette IM, Varma MG, Kaiser AM, et al. The American Society of Colon and Rectal Surgeons’ Clinical Practice Guideline for the Treatment of Fecal Incontinence. Dis Colon Rectum. 2015;58:623-36. DOI: https://doi.org/10.1097/DCR.0000000000000397

Enrica Cantone, SS. Antonio e Biagio e Cesare Arrigo Hospital, Alessandria, Italy

Physiotherapist

SOC MFR Borsalino Outpatient Clinic

 

Roberta Di Matteo, SC Research Training Innovation Infrastructure, Research and Innovation Department (DAIRI), Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria

PhD st. MsN RN Research nurse Health Professions Research Unit - Research Training Innovation Infrastructure - Department of Research and Innovation

 

Silvia Camillo, FT SOC MFR Borsalino Degenza, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria

Physiotherapist

SOC MFR Borsalino Inpatient Unit

 

 

Rossella Raffo, FT SOC MFR Ospedale Civile, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria

Physiotherapist

SOC MFR General Hospital

 

Elena Grassi, SC Directorate of Nursing and Allied Health Professions, SS. Antonio e Biagio e Cesare Arrigo Hospital, Alessandria

MsN RN Nurse in charge of organisational functions,
SC Directorate of Nursing and Allied Health Professions

 

 

Tatiana Bolgeo, SC Research Training Innovation Infrastructure, Research and Innovation Department (DAIRI), Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria

PhD MsN RN Head of the Health Professions Research Study Center

Referent of the Health Professions Research Unit

Department of Research and Innovation

 

 

Antonio Maconi, Research and Innovation Department (DAIRI), SS. Antonio e Biagio e Cesare Arrigo, Alessandria

MD Director - Research and Innovation Department (DAIRI) 

 

Cantone, E., Di Matteo, R., Camillo, S., Raffo, R., Grassi, E., Bolgeo, T., & Maconi, A. (2024). Evaluating the effectiveness of rehabilitation and behavioral therapy for fecal incontinence and soiling in pediatric patients with rare congenital MAR and HSCR: study protocol and preliminary results. Working Paper of Public Health, 11(1). https://doi.org/10.4081/wpph.2023.9772

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