[Electromyographic activity of the external anal sphincter muscle and the puborectal muscle in the defecation test in patients with obstructive defecation disorders]. 1994

S Athanasiadis, and A Kuprian, and R Stüben
Abteilung für Coloproktologie, St. Joseph-Hospital, Duisburg-Laar.

In a prospective electromyographic and manometric study on 23 women (average age 52 years) with obstructive defecation disorder the activity of the external anal sphincter muscle and the puborectal muscle was investigated at rest and during contraction and straining. The control group consisted of 22 healthy women with an average age of 53 years. The main aim of the study was to investigate the functioning of the two muscles during simulated defecation (maximum strain) and to examine any changes in the pressure ratio in the rectum and the anal canal during this stimulation. There were no significant differences in the resting pressure, the contraction pressure and the straining pressure (in the rectum and the anal canal) between the two groups. The functioning of the puborectal muscle and the external anal sphincter muscle was largely the same in both the study group and the control group. No statistically significant differences were found between the two groups except in the amplitude of contraction. When we tried to list the change in the activity of the muscle as an index of anism, we were not able to objectify such a change for either the external anal sphincter muscle or the puborectal muscle. We therefore conclude that the increase in the activity of the voluntary muscle of the pelvic floor observed on electromyography during defecation does not indicate a pathologic condition but is a functional state.

UI MeSH Term Description Entries
D007415 Intestinal Obstruction Any impairment, arrest, or reversal of the normal flow of INTESTINAL CONTENTS toward the ANAL CANAL. Intestinal Obstructions,Obstruction, Intestinal
D008365 Manometry Measurement of the pressure or tension of liquids or gases with a manometer. Tonometry,Manometries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009119 Muscle Contraction A process leading to shortening and/or development of tension in muscle tissue. Muscle contraction occurs by a sliding filament mechanism whereby actin filaments slide inward among the myosin filaments. Inotropism,Muscular Contraction,Contraction, Muscle,Contraction, Muscular,Contractions, Muscle,Contractions, Muscular,Inotropisms,Muscle Contractions,Muscular Contractions
D012007 Rectum The distal segment of the LARGE INTESTINE, between the SIGMOID COLON and the ANAL CANAL. Rectums
D003248 Constipation Infrequent or difficult evacuation of FECES. These symptoms are associated with a variety of causes, including low DIETARY FIBER intake, emotional or nervous disturbances, systemic and structural disorders, drug-induced aggravation, and infections. Colonic Inertia,Dyschezia
D003672 Defecation The normal process of elimination of fecal material from the RECTUM. Bowel Function,Bowel Movement,Bowel Functions,Bowel Movements,Defecations
D004576 Electromyography Recording of the changes in electric potential of muscle by means of surface or needle electrodes. Electromyogram,Surface Electromyography,Electromyograms,Electromyographies,Electromyographies, Surface,Electromyography, Surface,Surface Electromyographies
D005260 Female Females
D005772 Gastrointestinal Transit Passage of food (sometimes in the form of a test meal) through the gastrointestinal tract as measured in minutes or hours. The rate of passage through the intestine is an indicator of small bowel function. GI Transit,GI Transits,Gastrointestinal Transits,Transit, GI,Transit, Gastrointestinal,Transits, GI,Transits, Gastrointestinal

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