Abstract
Objective: To assess biofeedback training as treatment in a consecutive series of patients with idiopathic constipation. Design: Symptomatic and physiological assessment before and after treatment. Methods: Assessment included a record of symptoms by diary card, measurement of whole gut transit time, defecation proctography and anorectal function tests. During training sessions, muscular activity of the pelvic floor was displayed to the patient as an electromyographic trace. The patient was taught to recognize resting electrical activity and the increase associated with voluntary contraction of the pelvic floor. If there was an increase (rather than the normal decrease) in activity during defecation straining, the patient was encouraged to strain while maintaining relaxation of the anal sphincter muscles. Patients were assessed at the end of treatment, after 6 weeks and after 6-12 months
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