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Evidence-Based Complementary and Alternative Medicine
Volume 2015, Article ID 959734, 5 pages
Research Article

Efficacy of Adaptive Biofeedback Training in Treating Constipation-Related Symptoms

1Division of Gastroenterology, Affiliated Hospital of Hainan Medical College, Haikou 571000, China
2Ningbo Pace Translational Medical Research Center, Beilun, Ningbo 315000, China
3Department of Gastroenterology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310000, China
4Divison of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210000, China
5Ningbo Medkinetic Inc., Ningbo 315000, China

Received 18 July 2014; Accepted 26 August 2014

Academic Editor: Jiande Chen

Copyright © 2015 Jing Tang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Biofeedback therapy is a well-known and effective therapeutic treatment for constipation. A previous study suggested that adaptive biofeedback (ABF) training was more effective than traditional (fixed training parameters) biofeedback training. The aim of this study was to verify the effectiveness of ABF in relieving constipation-related symptoms. We noticed that in traditional biofeedback training, a patient usually receives the training twice per week. The long training sessions usually led to poor compliance. This study proposes an intensive biofeedback therapy and compares intensive therapy with nonintensive therapy in patients with constipation-related symptoms. Methods. 63 patients with constipation-related symptoms were treated with ABF between 2012 and 2013. These patients were further divided into the intensive therapy and nonintensive therapy groups. Results. A total of 63 patients were enrolled in the study, including 24 in the nonintensive therapy group and 39 in the intensive therapy group. 100% of constipation patients achieved the primary efficacy endpoint (≥3 bowel movements/week). There was significant improvement in constipation-related symptoms after adaptive biofeedback. The intensive biofeedback therapy did not show better performance compared to nonintensive biofeedback therapy. Conclusions. This investigation provides support for the efficacy of biofeedback for constipation-related symptoms. The efficacy of intensive therapy is similar to nonintensive therapy.