Researchers after a randomized trial has concluded that combination therapy for fecal incontinence is more effective than the current standard treatment.
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The standard treatment to date, low-frequency electric stimulation, is painful for patients and is shown in the present study to yield no demonstrable therapeutic benefit. In contrast, the combination therapy devised by the authors, which they call "triple-target treatment" (3T), restored continence in 50% of the patients who received it.
In one component of 3T, the phasic voluntary musculature is trained with EMG-biofeedback so that patients can learn to activate the correct muscle groups to achieve continence.
In a separate component, the smooth muscle (which cannot be voluntarily contracted) is treated with medium-frequency stimulation, which is less painful than low-frequency stimulation.
Source-Eurekalert