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首页> 外文期刊>Physiotherapy theory and practice >Physiotherapist management of a patient with spastic perineal syndrome and subsequent constipation: a case report
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Physiotherapist management of a patient with spastic perineal syndrome and subsequent constipation: a case report

机译：痉挛性会阴综合征和随后便秘的患者的物理治疗师管理：案例报告

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Background and Purpose: The purpose of this case report is to describe the benefits of manual therapy techniques, including mobilization and stretching, in the management of a patient with chronic constipation. Case Description: A 17-year-old male with an 8-month history of constipation and complaint of incomplete evacuation after defecation was referred for therapy. The patient was diagnosed with a spastic perineal syndrome. Isolated puborectalis relaxation exercise was not successful in alleviating constipation. Physical examination showed tightness of left side piriformis, thoracic kyphosis, apparent limb shortening on the left side, and a right-on-right sacrum forward torsion. The patient was treated with stretching of left piriformis and mobilization of thoracic and lumbar vertebrae and sacroiliac joints along with puborectalis relaxation exercises. Outcomes: After 4 weeks of treatment, there was a reduction in Bowel Function Index (BFI) from 74.6 to 27.2. The patient also reported spending less time (<3 minutes) during defecation. The patient maintained his improvement at 7 months. Discussion: A detailed neuromuscular examination assisted in identifying the pathophysiology related to obstructive defecation for this patient. Controlled studies regarding the effectiveness of various physiotherapy interventions in the treatment of obstructive constipation are warranted.
机译：背景和目的：本病例报告的目的是描述手法治疗技术（包括活动和伸展）在慢性便秘患者管理中的益处。病例描述：一名17岁男性，有8个月的便秘史，主诉排便后不完全排空，被转诊接受治疗。患者被诊断为痉挛性会阴综合征。单独的耻骨直肠肌放松运动在缓解便秘方面并不成功。体格检查显示左侧梨状肌紧密，胸部后凸，左侧肢体明显缩短，右侧骶骨向前扭转。患者接受了左侧梨状肌拉伸、胸腰椎和骶髂关节松动以及耻骨直肠肌放松训练。结果：治疗4周后，肠功能指数（BFI）从74.6降至27.2。患者还报告排便时间减少（<3分钟）。患者在7个月时保持好转。讨论：详细的神经肌肉检查有助于确定与该患者排便障碍相关的病理生理学。关于各种物理疗法干预治疗阻塞性便秘的有效性的对照研究是有必要的。

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