Abstract
In general, rehabilitation to improve continence focuses on behavioral training associated with activities in daily life rather than that specifically directed at good continence.In this study 10 patients with rectal constipation undergoing training for improving defecation at the Coloproctology Center, Takano Hospital were examined and assessed the relation of defecation and posture on a portable toilet observed with defecometry during straining.
Patients with bad defecatory posture showed low rectal pressure and high anal pressure resulting in defecatory difficulties.By a physiotherapist's guidance for proper defecatory posture, their rectal pressure increased and anal pressure was reduced which suggests that improvement of pelvic function and abdominal pressure due to the changes in defecatory posture can lead to smoother defecation.
