{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T06:19:54Z","timestamp":1767853194680,"version":"3.49.0"},"reference-count":37,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2012,11,6]],"date-time":"2012-11-06T00:00:00Z","timestamp":1352160000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurogastroenterology Motil"],"published-print":{"date-parts":[[2013,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Background\u2002<\/jats:bold> Guidelines recommend instruction and motivation during anorectal manometry; however, its impact on findings has not been reported. This study assessed the effects of standard versus enhanced instruction and verbal feedback on the results of anorectal manometry.<\/jats:p><jats:p><jats:bold>Methods\u2002<\/jats:bold> High\u2010resolution manometry was performed by a solid\u2010state catheter with 10 circumferential sensors at 6\u2003mm separation across the anal canal and two rectal sensors. Measurements were acquired first with standard instruction and then with enhanced instruction and verbal feedback. On both occasions, squeeze pressure and duration during three voluntary contractions and intra\u2010rectal pressure and recto\u2010anal pressure gradient (RAPG) during three attempts at simulated defecation were assessed.<\/jats:p><jats:p><jats:bold>Key Results\u2002<\/jats:bold> A total of 70 consecutive patients (54 female; age 25\u201382\u2003years) referred for investigation of fecal incontinence (<jats:italic>n<\/jats:italic>\u2003=\u200331), constipation, and related disorders of defecation (<jats:italic>n<\/jats:italic>\u2003=\u200339) were studied. Enhanced instruction and verbal feedback increased maximum squeeze pressure (\u039410\u2003\u00b1\u200328.5\u2003mmHg; <jats:italic>P<\/jats:italic>\u2003&lt;\u20030.0038) and duration of contraction (\u03943\u2003\u00b1\u20034\u2003s; <jats:italic>P<\/jats:italic>\u2003&lt;\u20030.0001). During simulated defecation, it increased intra\u2010rectal pressure (\u039412 \u00b1 14\u2003mmHg; <jats:italic>P<\/jats:italic>\u2003&lt;\u20030.003) and RAPG (\u039411\u2003\u00b1\u200320\u2003mmHg; <jats:italic>P<\/jats:italic>\u2003&lt;\u20030.0001). Using standard diagnostic criteria, the intervention changed manometric findings from locally validated \u2018pathologic\u2019 to \u2018normal\u2019 values in 14\/31 patients with incontinence and 12\/39 with disorders of defecation.<\/jats:p><jats:p><jats:bold>Conclusions &amp; Inferences\u2002<\/jats:bold> Enhanced instruction and verbal feedback significantly improved voluntary anorectal functions and resulted in a clinically relevant change of manometric diagnosis in some patients. Effective explanation of procedures and motivation during manometry is required to ensure consistent results and to provide an accurate representation of patient ability to retain continence and evacuate stool.<\/jats:p>","DOI":"10.1111\/nmo.12038","type":"journal-article","created":{"date-parts":[[2012,11,7]],"date-time":"2012-11-07T02:46:29Z","timestamp":1352256389000},"page":"230","source":"Crossref","is-referenced-by-count":47,"title":["The effect of standard compared to enhanced instruction and verbal feedback on anorectal manometry measurements"],"prefix":"10.1111","volume":"25","author":[{"given":"H.","family":"Heinrich","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Fruehauf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Sauter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Steing\u00f6tter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Fried","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W.","family":"Schwizer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Fox","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,11,6]]},"reference":[{"key":"e_1_2_14_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2982.2009.01345.x"},{"key":"e_1_2_14_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/gut.37.1.95"},{"key":"e_1_2_14_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-005-0198-2"},{"key":"e_1_2_14_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2011.04653.x"},{"key":"e_1_2_14_6_2","doi-asserted-by":"publisher","DOI":"10.1023\/A:1022316900628"},{"key":"e_1_2_14_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-6718-7"},{"key":"e_1_2_14_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02251969"},{"key":"e_1_2_14_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02050212"},{"key":"e_1_2_14_10_2","first-page":"444","article-title":"Normal values in anal manometry and rectal sensation: a problem of range","volume":"38","author":"Felt\u2010Bersma RJ","year":"1991","journal-title":"Hepatogastroenterology"},{"key":"e_1_2_14_11_2","first-page":"102","article-title":"Defecatory disorders, anorectal and pelvic floor dysfunction: a polygamy?","volume":"7","author":"Siproudhis L","year":"1992","journal-title":"Radiologic and manometric studies in 41 patients"},{"key":"e_1_2_14_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01536923"},{"key":"e_1_2_14_13_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2982.2002.00352.x"},{"key":"e_1_2_14_14_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-963099"},{"key":"e_1_2_14_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2002.05450.x"},{"key":"e_1_2_14_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2009.01787.x"},{"key":"e_1_2_14_17_2","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1016\/S0016-5085(99)70194-0","article-title":"American Gastroenterological Association medical position statement on anorectal testing techniques","volume":"116","author":"Barnett JL","year":"1999","journal-title":"Gastroenterology"},{"key":"e_1_2_14_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gtc.2008.06.010"},{"key":"e_1_2_14_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-005-0251-1"},{"key":"e_1_2_14_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gastro.2003.09.039"},{"key":"e_1_2_14_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2006.12.023"},{"key":"e_1_2_14_22_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD002111"},{"key":"e_1_2_14_23_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.1998.00326.x"},{"key":"e_1_2_14_24_2","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2010.53"},{"key":"e_1_2_14_25_2","doi-asserted-by":"publisher","DOI":"10.1136\/gut.34.11.1576"},{"key":"e_1_2_14_26_2","doi-asserted-by":"publisher","DOI":"10.1152\/ajpgi.00384.2007"},{"key":"e_1_2_14_27_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2982.2011.01834.x"},{"key":"e_1_2_14_28_2","doi-asserted-by":"publisher","DOI":"10.1136\/gut.2007.127993"},{"key":"e_1_2_14_29_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2007.01069.x"},{"key":"e_1_2_14_30_2","doi-asserted-by":"crossref","first-page":"S897","DOI":"10.1016\/S0016-5085(12)63487-8","article-title":"Tu2000 high resolution manometry in healthy women: normal values and effects of age","volume":"142","author":"Bharucha AE","year":"2012","journal-title":"Gastroenterology"},{"key":"e_1_2_14_31_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02050417"},{"key":"e_1_2_14_32_2","first-page":"243","article-title":"Intraindividual variability of anorectal manometry parameters","volume":"30","author":"Goke M","year":"1992","journal-title":"Z Gastroenterol"},{"key":"e_1_2_14_33_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2982.2004.00499.x"},{"key":"e_1_2_14_34_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800760628"},{"key":"e_1_2_14_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5085(84)80118-3"},{"key":"e_1_2_14_36_2","doi-asserted-by":"publisher","DOI":"10.1136\/gut.28.10.1234"},{"key":"e_1_2_14_37_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2982.2011.01733.x"},{"key":"e_1_2_14_38_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2982.2011.01782.x"}],"container-title":["Neurogastroenterology &amp; Motility"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fnmo.12038","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nmo.12038","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T19:31:01Z","timestamp":1698694261000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nmo.12038"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,11,6]]},"references-count":37,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2013,3]]}},"alternative-id":["10.1111\/nmo.12038"],"URL":"https:\/\/doi.org\/10.1111\/nmo.12038","archive":["Portico"],"relation":{},"ISSN":["1350-1925","1365-2982"],"issn-type":[{"value":"1350-1925","type":"print"},{"value":"1365-2982","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,11,6]]}}}