{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T14:58:08Z","timestamp":1784991488422,"version":"3.55.0"},"reference-count":16,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2012,3,5]],"date-time":"2012-03-05T00:00:00Z","timestamp":1330905600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2012,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aim\u2002<\/jats:bold> The study was designed to evaluate the results of rehabilitative treatment in patients suffering from obstructed defaecation.<\/jats:p><jats:p><jats:bold>Method\u2002<\/jats:bold> Between January 2008 and July 2010, 39 patients (37 women, age range 25\u201373\u2003years; and two men, aged 57 and 67\u2003years) affected by obstructed defaecation were included in the study. After a preliminary clinical evaluation, including the Obstructed Defaecation Syndrome (ODS) score, defaecography and anorectal manometry were performed. All 39 patients underwent rehabilitative treatment according to the \u2018multimodal rehabilitative programme\u2019 for obstructive defaecation. At the end of the programme, all 39 patients were reassessed by clinical evaluation and anorectal manometry. Postrehabilition ODS scores were used to categorize patients arbitrarily into three classes, as follows: class\u2003I, good (score \u2264\u20034); class\u2003II, fair (score &gt;\u20034 to \u2264\u20038); and class\u2003III, poor (score &gt;\u20038).<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> After rehabilitation, there was significant improvement in the overall mean ODS score (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.001). Thirty (76.9%) patients were included as class\u2003I (good results), of whom eight (20.5%) were symptom free. Five (12.8%) patients were considered class\u2003III. A significant postrehabilitative direct correlation was found between ODS score and pelvic surgery (<jats:italic>\u03c1<\/jats:italic><jats:sub>s<\/jats:sub>\u2003=\u20030.54; <jats:italic>P<\/jats:italic>\u2003&lt;\u20030.05). Significant differences were found between pre\u2010 and postrehabilitative manometric data from the straining test (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.001), duration of maximal voluntary contraction (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.001) and conscious rectal sensitivity threshold (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.02).<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> After rehabilitation, some patients become symptom free and many had an improved ODS score.<\/jats:p>","DOI":"10.1111\/j.1463-1318.2011.02644.x","type":"journal-article","created":{"date-parts":[[2011,4,16]],"date-time":"2011-04-16T03:08:24Z","timestamp":1302923304000},"page":"474-479","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Obstructed defaecation: what is the role of rehabilitation?"],"prefix":"10.1111","volume":"14","author":[{"given":"F.","family":"Pucciani","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Reggioli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. N.","family":"Ringressi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,3,5]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"228","article-title":"Obstructed defaecation","volume":"35","author":"Bartolo D","year":"1986","journal-title":"Br J Hosp Med"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v12.i20.3168"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1746.2006.04333.x"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/gut.2009.199653"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s003840050149"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2005.11.014"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-006-0814-9"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2982.2009.01345.x"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181c188e8"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02237190"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2005.11.064"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)70243-0"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2007.01262.x"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00418847"},{"key":"e_1_2_6_16_2","first-page":"612","article-title":"Some parameters of large bowel motility in normal man","volume":"75","author":"Martelli H","year":"1978","journal-title":"Gastroenterology"},{"key":"e_1_2_6_17_2","first-page":"784","article-title":"National working team report on defecography [article in Italian]","volume":"85","author":"Piloni V","year":"1993","journal-title":"Radiol Med"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1463-1318.2011.02644.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1463-1318.2011.02644.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T11:11:42Z","timestamp":1698750702000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1463-1318.2011.02644.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,3,5]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2012,4]]}},"alternative-id":["10.1111\/j.1463-1318.2011.02644.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1463-1318.2011.02644.x","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,3,5]]},"assertion":[{"value":"2012-03-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}