The physiotherapeutic methods applied for the combined treatment of the patients presenting with chronic constipation associated with colonic malformations

The objective of the present study was the development and application of various physiotherapeutic procedures and therapeutic strategies on an individual basis with a view to improving the outcome of the treatment of chronic constipation associated with colonic malformations. The experience in the management of 389 patients with this condition is summarized and reported. Taking into consideration the clinical form of constipation, we used the procedures of electrical stimulation differing in the mode of placement of the electrodes, characteristics of the stimulating current, and total duration. The commercial Endoton 01-B apparatus was employed for the purpose. The therapeutic impact was focused on the restoration of the propulsive properties of the colon. It was shown that the primary role in the combined treatment of chronic constipation belongs to electrical stimulation of the colon and rectal sphincters used in different modifications. The most popular of them is rectal stimulations performed in the form of a few courses. The criterion for the adequacy of the procedure was the achievement of the maximum isolated contraction under effect of the minimal current strength. The application of the above procedures yielded good and satisfactory results. The choice of the physiotherapeutic procedure depended on the clinical form of constipation. We consider the rectal and anal electrical stimulation to be the method of choice for the treatment of chronic constipation associated with colonic malformations. The most pronounced permanent effect of the combined conservative treatment was documented in the patients at the age between 18 and 35 years.

the colon, chronic constipation, rectal electrostimulation