Kegel Exercises, Biofeedback, Electrostimulation, and Peripheral Neuromodulation Improve Clinical Symptoms of Fecal Incontinence and Affect Specific Physiological Targets: An Randomized Controlled Trial.

Changes from grave clinical severity before treatment (Cleveland ≥ 9) to mild or moderate severity (Cleveland < 9) as a positive response seems to us more reasonable as the impact on QoL in one range or another is highly significant. 2 In these terms, the percentage of responders was higher for ES + K (65.5%) and tNM + K (56.3%) than for the other 2 treatments.

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Patients treated with tNM also showed improvement in the first perception (near to statistical significance), the results being in line with those obtained in previous studies with SNS, 40 changes that must also be linked to neuroplasticity phenomena.

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Regarding sensitivity in response to rectal distention, the threshold for the first perception in patients in the BF + K and ES + K groups was significantly reduced after treatment ( P < 0.05) (differences in the tNM + K group near statistical significance).

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