OBJECTIVE To assess the use of gluteus maximus muscle to recon- struct the anal sphincter for very low rectal cancer. This study aimed to evaluate the local recurrence and function of the new anal sphincter after oper...OBJECTIVE To assess the use of gluteus maximus muscle to recon- struct the anal sphincter for very low rectal cancer. This study aimed to evaluate the local recurrence and function of the new anal sphincter after operation. METHODS Sixteen patients underwent the replacement operation, and then received biofeedback treatments 1 month after the operation. The therapeutic responses were evaluated using the Vaizey and Wexner scoring systems and vectorial manometry. The controls were 30 cases who had undergone a low anterior resection for rectal cancer and 30 healthy people. RESULTS Median follow-up was 4.2 years. No local recurrence was observed. The Vaizey and Wexner scores and vectorial manometry 1 month after operation were significantly lower than those of the healthy and low anterior resection controls （ P 〈0.001） . After biofeedback treatments, the above indexes improved significantly （ P 〈0.001）, especially after 1 year （ P 〈0.001）, but still remained lower than the controls（ P 〈0.001）. The rectoanal reflex only increased to 31.3 % 1 year after operation. CONCLUSION The local recurrence after the replacement operation was low. The defecation function was poor early after operation, but increased markedly after biofeedback treatments and long-term functional exercise. This therapy can be one choice for very low rectal cancer.展开更多
Squatting movements are used frequently in the activities of daily living and squatting exercises are used to strengthen abdominal core and lower limb muscles. However, many individuals cannot perform a traditional sq...Squatting movements are used frequently in the activities of daily living and squatting exercises are used to strengthen abdominal core and lower limb muscles. However, many individuals cannot perform a traditional squat. An alternative is to hire a physical trainer or coach for supervision which can be prohibitively expensive. The DB Method<sup><sup><sup>®</sup></sup></sup> machine is unique and affordable. A product satisfaction descriptive survey to owners of The DB Method machine describes increased gluteal, core, pelvic floor and lower body strength, an improvement in gluteal region shape, and an increase in activity and energy level. A surprising result of the survey was that this DB Method also seemed to strengthen the pelvic floor muscles and, in some cases, to lessen urinary incontinence. In this article, the results of this survey are described as the kinetics of this machine relative to the lower limbs and the pelvic floor muscles. A comparison between traditional squats and The DB Method and the benefits of using The DB Method are discussed.展开更多
基金This work was supported by a grant from thUniversity Science and Technique ResearcProgram of the Education Department of Liaoning Province(No.05L484)
文摘OBJECTIVE To assess the use of gluteus maximus muscle to recon- struct the anal sphincter for very low rectal cancer. This study aimed to evaluate the local recurrence and function of the new anal sphincter after operation. METHODS Sixteen patients underwent the replacement operation, and then received biofeedback treatments 1 month after the operation. The therapeutic responses were evaluated using the Vaizey and Wexner scoring systems and vectorial manometry. The controls were 30 cases who had undergone a low anterior resection for rectal cancer and 30 healthy people. RESULTS Median follow-up was 4.2 years. No local recurrence was observed. The Vaizey and Wexner scores and vectorial manometry 1 month after operation were significantly lower than those of the healthy and low anterior resection controls （ P 〈0.001） . After biofeedback treatments, the above indexes improved significantly （ P 〈0.001）, especially after 1 year （ P 〈0.001）, but still remained lower than the controls（ P 〈0.001）. The rectoanal reflex only increased to 31.3 % 1 year after operation. CONCLUSION The local recurrence after the replacement operation was low. The defecation function was poor early after operation, but increased markedly after biofeedback treatments and long-term functional exercise. This therapy can be one choice for very low rectal cancer.
文摘Squatting movements are used frequently in the activities of daily living and squatting exercises are used to strengthen abdominal core and lower limb muscles. However, many individuals cannot perform a traditional squat. An alternative is to hire a physical trainer or coach for supervision which can be prohibitively expensive. The DB Method<sup><sup><sup>®</sup></sup></sup> machine is unique and affordable. A product satisfaction descriptive survey to owners of The DB Method machine describes increased gluteal, core, pelvic floor and lower body strength, an improvement in gluteal region shape, and an increase in activity and energy level. A surprising result of the survey was that this DB Method also seemed to strengthen the pelvic floor muscles and, in some cases, to lessen urinary incontinence. In this article, the results of this survey are described as the kinetics of this machine relative to the lower limbs and the pelvic floor muscles. A comparison between traditional squats and The DB Method and the benefits of using The DB Method are discussed.
