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Biofeedback and Cortical Excitability
This study is currently recruiting participants.
Verified by University Hospital, Rouen, April 2008
Sponsors and Collaborators: University Hospital, Rouen
Coloplast A/S
Information provided by: University Hospital, Rouen
ClinicalTrials.gov Identifier: NCT00653887
  Purpose

Looking for a modification of the cortical excitability of the motor area corresponding to the external anal sphincter after biofeedback sessions.


Condition Intervention
Incontinence
Constipation
Other: Biofeedback
Other: Placebo

MedlinePlus related topics: Constipation Urinary Incontinence
U.S. FDA Resources
Study Type: Interventional
Study Design: Randomized, Single Blind (Caregiver), Placebo Control, Parallel Assignment
Official Title: Modifications of the Anal Muscle Cortical Excitability Area After Biofeedback Training

Further study details as provided by University Hospital, Rouen:

Primary Outcome Measures:
  • external anal sphincter motor threshold silent period double-pulse stimulation: inter-stimulus interval amplitude and duration of external anal sphincter contraction [ Time Frame: final ] [ Designated as safety issue: No ]

Estimated Enrollment: 24
Study Start Date: January 2008
Estimated Study Completion Date: April 2011
Estimated Primary Completion Date: January 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
A: Active Comparator
biofeedback (active group)
Other: Biofeedback
4 sessions of biofeedback one session each week
B: Placebo Comparator
discussion about digestive tract (placebo group)
Other: Placebo
4 sessions, one each week, of discussion about anorectal disease

Detailed Description:

Introduction: Nervous control of pelvic floor is not much known. The dysfunction of this musculature, and particularly of the external anal sphincter, is a frequent cause of anal incontinence and/or dyschesia. Biofeedback training is often offered to patients suffering from incontinence or constipation. However, its mechanisms of action is still controversial.

Objective of the study: to compare excitability of the cortical area responsible for control volunteer of the external anal sphincter in healthy subjects before and after 4 biofeedback sessions.

Subjects and methodology: we offer to perform two groups of 12 healthy subjects (one active and one control group) without any neurological or digestive disease and having never performed biofeedback. In each group, cortical excitability will be evaluated by cortical magnetic stimulation (curve intensity/amplitude, silent period, inter-stimulus period, motor threshold) before and after 4 biofeedback sessions (one session by week) in active group or 4 placebo sessions (placebo group).

We hope to show a modification of cortical excitability in subjects performing biofeedback compared to others.

  Eligibility

Ages Eligible for Study:   18 Years to 35 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Healthy volunteers between 18 years old and 35 years old
  • Right handed*

Exclusion Criteria:

  • Pregnancy
  • Pace-maker or other metallic piece implanted in the body
  • Neurological disease
  • Epilepsy
  • Digestive disease
  • Traumatic delivery
  • Anorectal surgery
  • Biofeedback
  • Psychiatric disease
  • Treatment anti-epileptic, hypnotic, psychotropic
  • Participation to a previous protocol within 1 month
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00653887

Contacts
Contact: Anne-Marie LEROI, PhD 00-33-2-32-88-80-39 anne-marie.leroi@chu-rouen.fr

Locations
France
Physiology Unit - Rouen university Hospital Recruiting
rouen, France, 76031
Principal Investigator: Anne-marie leroi, PhD            
Sponsors and Collaborators
University Hospital, Rouen
Coloplast A/S
Investigators
Principal Investigator: Anne-Marie LEROI, PhD CHU Rouen
  More Information

Responsible Party: Physiology unit ( Leroi )
Study ID Numbers: 2007/054HP, 2007- A00652-51
Study First Received: April 2, 2008
Last Updated: April 4, 2008
ClinicalTrials.gov Identifier: NCT00653887  
Health Authority: France: Direction Générale de la Santé

Keywords provided by University Hospital, Rouen:
Biofeedback
anal sphincter
cortical excitability
magnetic stimulation
incontinence
constipation

Study placed in the following topic categories:
Signs and Symptoms
Urologic Diseases
Signs and Symptoms, Digestive
Urination Disorders
Constipation
Urinary Incontinence

Additional relevant MeSH terms:
Urological Manifestations

ClinicalTrials.gov processed this record on January 16, 2009