{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T02:03:33Z","timestamp":1783735413939,"version":"3.55.0"},"reference-count":17,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2013,6,19]],"date-time":"2013-06-19T00:00:00Z","timestamp":1371600000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001590","name":"Health Research Board (HRB)","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001590","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare early home biofeedback physiotherapy with pelvic floor exercises (<jats:styled-content style=\"fixed-case\">PFE<\/jats:styled-content>s) for the initial management of women sustaining a primary third\u2010degree tear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Single centre, randomised trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>National <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>aternity <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ospital, <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>ublin, <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>reland.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>A total of 120 women sustaining a primary third\u2010degree tear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Women were randomised in a one to three ratio: 30 to early postpartum home biofeedback physiotherapy and 90 to <jats:styled-content style=\"fixed-case\">PFE<\/jats:styled-content>s.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Differences in anorectal manometry results, <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>leveland <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>linic continence scores and <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>ockwood faecal incontinence quality of life scale scores after 3\u00a0months of postpartum treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean anal resting pressure was 39\u00a0\u00b1\u00a013\u00a0mmHg in the early biofeedback physiotherapy group and 43\u00a0\u00b1\u00a017\u00a0mmHg in the <jats:styled-content style=\"fixed-case\">PFE<\/jats:styled-content> group. The mean anal squeeze pressure was 64\u00a0\u00b1\u00a017\u00a0mmHg in the biofeedback group and 62\u00a0\u00b1\u00a023\u00a0mmHg in the <jats:styled-content style=\"fixed-case\">PFE<\/jats:styled-content> group. There was no significant difference in anal resting and squeeze pressure values between the groups (<jats:italic>P\u00a0<\/jats:italic>=\u00a00.123 and <jats:italic>P\u00a0<\/jats:italic>=\u00a00.68, respectively). There were no differences in symptom score and quality of life measurements between the groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study demonstrates no added value in using early home biofeedback physiotherapy in the management of women sustaining third\u2010degree tears. 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