{"id":"https://openalex.org/W1547123723","doi":"https://doi.org/10.3748/wjg.v12.i44.7069","title":"Biofeedback therapy for dyssynergic defecation","display_name":"Biofeedback therapy for dyssynergic defecation","publication_year":2006,"publication_date":"2006-01-01","ids":{"openalex":"https://openalex.org/W1547123723","doi":"https://doi.org/10.3748/wjg.v12.i44.7069","mag":"1547123723","pmid":"https://pubmed.ncbi.nlm.nih.gov/17131466","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/4087765"},"language":"en","primary_location":{"id":"doi:10.3748/wjg.v12.i44.7069","doi":"https://doi.org/10.3748/wjg.v12.i44.7069","is_oa":true,"landing_page_url":"https://doi.org/10.3748/wjg.v12.i44.7069","pdf_url":"https://www.wjgnet.com/1007-9327/full/v12/i44/7069.htm","source":{"id":"https://openalex.org/S181459644","display_name":"World Journal of Gastroenterology","issn_l":"1007-9327","issn":["1007-9327","2219-2840"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","poland-100","russia-white-list-1"],"host_organization":"https://openalex.org/P4310315735","host_organization_name":"Baishideng Publishing Group","host_organization_lineage":["https://openalex.org/P4310315735"],"host_organization_lineage_names":["Baishideng Publishing Group"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"World Journal of Gastroenterology","raw_type":"journal-article"},"volume":null,"type":"review","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://www.wjgnet.com/1007-9327/full/v12/i44/7069.htm","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5082173292","display_name":"Giuseppe Chiarioni","orcid":"https://orcid.org/0000-0002-9183-4750","observed_orcids":["https://orcid.org/0000-0002-9183-4750"]},"institutions":[{"id":"https://openalex.org/I119439378","display_name":"University of Verona","ror":"https://ror.org/039bp8j42","country_code":"IT","type":"education","lineage":["https://openalex.org/I119439378"]},{"id":"https://openalex.org/I4210094363","display_name":"Azienda Ospedaliera Universitaria Integrata Verona","ror":"https://ror.org/00sm8k518","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210094363"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"Giuseppe Chiarioni","raw_affiliation_strings":["Divisione di Riabilitazione Gastroenterologica dell, Universitade Verona, Azienda Ospedaliera di Verona, Centro Ospedaliero Clinicizzato, 37067 Valeggio sul Mincio (VR), Italy. chiarioni@tin.it","Divisione di Riabilitazione Gastroenterologica dell, Universitade Verona, Azienda Ospedaliera di Verona, Centro Ospedaliero Clinicizzato, 37067 Valeggio sul Mincio (VR), Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Divisione di Riabilitazione Gastroenterologica dell, Universitade Verona, Azienda Ospedaliera di Verona, Centro Ospedaliero Clinicizzato, 37067 Valeggio sul Mincio (VR), Italy. chiarioni@tin.it","institution_ids":["https://openalex.org/I119439378","https://openalex.org/I4210094363"]},{"raw_affiliation_string":"Divisione di Riabilitazione Gastroenterologica dell, Universitade Verona, Azienda Ospedaliera di Verona, Centro Ospedaliero Clinicizzato, 37067 Valeggio sul Mincio (VR), Italy","institution_ids":["https://openalex.org/I119439378"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5082173292"],"corresponding_institution_ids":["https://openalex.org/I119439378","https://openalex.org/I4210094363"],"apc_list":null,"apc_paid":null,"fwci":0.4567,"has_fulltext":true,"cited_by_count":98,"citation_normalized_percentile":{"value":0.42178771,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":95,"max":99},"biblio":{"volume":"12","issue":"44","first_page":"7069","last_page":"7069"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10365","display_name":"Gastrointestinal motility and disorders","score":0.9810000061988831,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10365","display_name":"Gastrointestinal motility and disorders","score":0.9810000061988831,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10418","display_name":"Pelvic floor disorders treatments","score":0.018300000578165054,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12237","display_name":"Congenital gastrointestinal and neural anomalies","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/dyssynergic-defecation","display_name":"dyssynergic defecation","score":0.9309999942779541},{"id":"https://openalex.org/keywords/biofeedback","display_name":"biofeedback","score":0.8130000233650208},{"id":"https://openalex.org/keywords/functional-constipation","display_name":"functional constipation","score":0.9509999752044678},{"id":"https://openalex.org/keywords/pelvic-floor-muscle-relaxation","display_name":"pelvic floor muscle relaxation","score":0.9440000057220459},{"id":"https://openalex.org/keywords/electromyographic-biofeedback","display_name":"EMG biofeedback","score":0.7889999747276306},{"id":"https://openalex.org/keywords/laxatives","display_name":"laxatives","score":0.781000018119812},{"id":"https://openalex.org/keywords/slow-transit-constipation","display_name":"slow transit constipation","score":0.8230000138282776},{"id":"https://openalex.org/keywords/children","display_name":"children","score":0.5120000243186951},{"id":"https://openalex.org/keywords/adults","display_name":"adults","score":0.953000009059906}],"concepts":[{"id":"https://openalex.org/C2776377089","wikidata":"https://www.wikidata.org/wiki/Q864329","display_name":"Biofeedback","level":2,"score":0.8437520861625671},{"id":"https://openalex.org/C108797546","wikidata":"https://www.wikidata.org/wiki/Q204015","display_name":"Defecation","level":2,"score":0.7606770396232605},{"id":"https://openalex.org/C2781244320","wikidata":"https://www.wikidata.org/wiki/Q813683","display_name":"Pelvic floor","level":2,"score":0.7469679713249207},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7294710278511047},{"id":"https://openalex.org/C2779607992","wikidata":"https://www.wikidata.org/wiki/Q3704698","display_name":"Defecography","level":3,"score":0.5572112798690796},{"id":"https://openalex.org/C2781112942","wikidata":"https://www.wikidata.org/wiki/Q178436","display_name":"Constipation","level":2,"score":0.5167509913444519},{"id":"https://openalex.org/C3017955636","wikidata":"https://www.wikidata.org/wiki/Q178436","display_name":"Chronic constipation","level":3,"score":0.5123094320297241},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.5002551078796387},{"id":"https://openalex.org/C2780691517","wikidata":"https://www.wikidata.org/wiki/Q2470869","display_name":"Anorectal manometry","level":3,"score":0.4510473906993866},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.42518049478530884},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.4154471755027771},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2244415283203125}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001259","descriptor_name":"Ataxia","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D001259","descriptor_name":"Ataxia","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D001259","descriptor_name":"Ataxia","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D001676","descriptor_name":"Biofeedback, Psychology","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003248","descriptor_name":"Constipation","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D003248","descriptor_name":"Constipation","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D003248","descriptor_name":"Constipation","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D003672","descriptor_name":"Defecation","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016032","descriptor_name":"Randomized Controlled Trials as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.3748/wjg.v12.i44.7069","doi":"https://doi.org/10.3748/wjg.v12.i44.7069","is_oa":true,"landing_page_url":"https://doi.org/10.3748/wjg.v12.i44.7069","pdf_url":"https://www.wjgnet.com/1007-9327/full/v12/i44/7069.htm","source":{"id":"https://openalex.org/S181459644","display_name":"World Journal of Gastroenterology","issn_l":"1007-9327","issn":["1007-9327","2219-2840"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","poland-100","russia-white-list-1"],"host_organization":"https://openalex.org/P4310315735","host_organization_name":"Baishideng Publishing Group","host_organization_lineage":["https://openalex.org/P4310315735"],"host_organization_lineage_names":["Baishideng Publishing Group"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"World Journal of Gastroenterology","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:3093160","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4087765","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:4087765","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4087765","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"World J Gastroenterol","raw_type":"Text"},{"id":"pmid:17131466","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/17131466","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"World journal of gastroenterology","raw_type":"Editorial"}],"best_oa_location":{"id":"doi:10.3748/wjg.v12.i44.7069","doi":"https://doi.org/10.3748/wjg.v12.i44.7069","is_oa":true,"landing_page_url":"https://doi.org/10.3748/wjg.v12.i44.7069","pdf_url":"https://www.wjgnet.com/1007-9327/full/v12/i44/7069.htm","source":{"id":"https://openalex.org/S181459644","display_name":"World Journal of Gastroenterology","issn_l":"1007-9327","issn":["1007-9327","2219-2840"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","poland-100","russia-white-list-1"],"host_organization":"https://openalex.org/P4310315735","host_organization_name":"Baishideng Publishing Group","host_organization_lineage":["https://openalex.org/P4310315735"],"host_organization_lineage_names":["Baishideng Publishing Group"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"World Journal of Gastroenterology","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G2663739070","display_name":"BIOFEEDBACK FOR FECAL INCONTINENCE AND CONSTIPATION","funder_award_id":"R01DK057048","funder_id":"https://openalex.org/F4320337357","funder_display_name":"National Institute of Diabetes and Digestive and Kidney Diseases"},{"id":"https://openalex.org/G4970008064","display_name":"Gastrointestinal Biopsychosocial Research Center","funder_award_id":"R24DK067674","funder_id":"https://openalex.org/F4320337357","funder_display_name":"National Institute of Diabetes and Digestive and Kidney Diseases"}],"funders":[{"id":"https://openalex.org/F4320337357","display_name":"National Institute of Diabetes and Digestive and Kidney Diseases","ror":"https://ror.org/00adh9b73"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W1547123723.pdf","grobid_xml":"https://content.openalex.org/works/W1547123723.grobid-xml"},"referenced_works_count":33,"referenced_works":["https://openalex.org/W63929106","https://openalex.org/W97451870","https://openalex.org/W179025579","https://openalex.org/W196318749","https://openalex.org/W1964206449","https://openalex.org/W1969549273","https://openalex.org/W1981803524","https://openalex.org/W1986512377","https://openalex.org/W2013512904","https://openalex.org/W2017757754","https://openalex.org/W2023167937","https://openalex.org/W2029153499","https://openalex.org/W2029558920","https://openalex.org/W2034783885","https://openalex.org/W2035001225","https://openalex.org/W2039373896","https://openalex.org/W2041140040","https://openalex.org/W2041197871","https://openalex.org/W2050769859","https://openalex.org/W2053616856","https://openalex.org/W2064201279","https://openalex.org/W2076662276","https://openalex.org/W2079019311","https://openalex.org/W2085522776","https://openalex.org/W2096371238","https://openalex.org/W2106220193","https://openalex.org/W2140627544","https://openalex.org/W2142856213","https://openalex.org/W2158275873","https://openalex.org/W2169063511","https://openalex.org/W2172096314","https://openalex.org/W2611380183","https://openalex.org/W2978800645"],"related_works":["https://openalex.org/W7099090319","https://openalex.org/W325678589","https://openalex.org/W2068537101","https://openalex.org/W3023275564","https://openalex.org/W2033464077","https://openalex.org/W1584102271","https://openalex.org/W1995645893","https://openalex.org/W2732014088","https://openalex.org/W7162310270","https://openalex.org/W4362713573"],"abstract_inverted_index":{"Dyssynergic":[0],"defecation":[1,164,204],"is":[2,18,45,99,135,157],"one":[3],"of":[4,9,23,74,133],"the":[5,27,72,82,104,116,191,199],"most":[6],"common":[7],"forms":[8],"functional":[10],"constipation":[11],"both":[12],"in":[13,171,190,205],"children":[14],"and":[15,61,114,148,165],"adults;":[16],"it":[17],"defined":[19],"by":[20],"incomplete":[21],"evacuation":[22],"fecal":[24],"material":[25],"from":[26],"rectum":[28],"due":[29],"to":[30,35,42,47,85,89,96,150,159,179,197],"paradoxical":[31],"contraction":[32],"or":[33,58,77],"failure":[34],"relax":[36,90,151],"pelvic":[37,91],"floor":[38,92],"muscles":[39,93],"when":[40,94],"straining":[41,95,110],"defecate.":[43,97],"This":[44,98],"believed":[46],"be":[48,198],"a":[49,120],"behavioral":[50],"disorder":[51],"because":[52],"there":[53],"are":[54],"no":[55,173],"associated":[56],"morphological":[57],"neurological":[59],"abnormalities,":[60],"consequently":[62],"biofeedback":[63,134,177,195],"training":[64],"has":[65,181],"been":[66,182],"recommended":[67],"for":[68,109,176,202],"treatment.":[69],"Biofeedback":[70],"involves":[71],"use":[73],"pressure":[75],"measurements":[76],"averaged":[78],"electromyographic":[79],"activity":[80],"within":[81],"anal":[83],"canal":[84],"teach":[86],"patients":[87,160],"how":[88],"often":[100],"combined":[101],"with":[102],"teaching":[103],"patient":[105,117],"more":[106,136],"appropriate":[107],"techniques":[108],"(increasing":[111],"intra-abdominal":[112],"pressure)":[113],"having":[115],"practice":[118],"defecating":[119],"water":[121],"filled":[122],"balloon.":[123],"In":[124],"adults,":[125],"randomized":[126,187],"controlled":[127,188],"trials":[128],"show":[129],"that":[130],"this":[131],"form":[132],"effective":[137],"than":[138],"laxatives,":[139],"general":[140],"muscle":[141],"relaxation":[142],"exercises":[143],"(described":[144],"as":[145],"sham":[146],"biofeedback),":[147],"drugs":[149],"skeletal":[152],"muscles.":[153],"Moreover,":[154],"its":[155],"effectiveness":[156],"specific":[158],"who":[161],"have":[162],"dyssynergic":[163,203],"not":[166],"slow":[167],"transit":[168],"constipation.":[169],"However,":[170],"children,":[172],"clear":[174],"superiority":[175],"compared":[178],"laxatives":[180],"demonstrated.":[183],"Based":[184],"on":[185],"three":[186],"studies":[189],"last":[192],"two":[193],"years,":[194],"appears":[196],"preferred":[200],"treatment":[201],"adults.":[206]},"counts_by_year":[{"year":2026,"cited_by_count":6},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":6},{"year":2021,"cited_by_count":6},{"year":2020,"cited_by_count":8},{"year":2019,"cited_by_count":7},{"year":2017,"cited_by_count":3},{"year":2016,"cited_by_count":7},{"year":2015,"cited_by_count":5},{"year":2014,"cited_by_count":5},{"year":2013,"cited_by_count":4},{"year":2012,"cited_by_count":6}],"updated_date":"2026-11-01T11:40:01.658920","created_date":"2016-06-24T00:00:00"}
