Mechanisms of Improving Fecal Continence Muscles Motor Function

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorMedical College of Wisconsin

About this trial

The investigators hypothesize that different continence muscles have different fatigue characteristics and fatigue induced by resisted contractions will result in significant increase in contractility of the continence muscles and improvement of fecal incontinence severity.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Healthy volunteers without past or present history of fecal incontinence

Patients age 18 years and older with reduced anal resting and or squeeze pressure, reflecting weakness of the anal sphincters who can perform the study

Disqualifiers

Any one less than 18 years old

Neurological disorders like dementia, cerebrovascular diseases

Muscle diseases like muscular dystrophy, myopathies

Inflammatory bowel disease or celiac disease

Trial design

Design model

Parallel

Treatments tested in this trial

  • continence muscles resistance device

    Device

    The c-RED consists of a noncompliant cylindrical balloon (intra-anal balloon) that is connected to a small compliant balloon (external balloon) by a 2 mm diameter tube and a stopcock to allow for air to be filled and sealed in the system. The system is prefilled with air to determine the amount of air needed for a given internal pressure, or desired resistance of the intra-anal balloon. This is determined using a sphygmomanometer gauge in a sealed system.

Treatment groups

340 Participants
are divided into 2 treatment groups
Group A: fatigability of various striated continence muscles healthy adultsActive comparator 1 intervention
Group B: contribution of continence muscles motor function enhancement in improving fecal incontinenceActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

anal pressure

Maximum squeeze pressure, mean squeeze pressure and anal squeeze contractile integral

Time frame
during kegel like exercise
2

anal pressure

Maximum squeeze pressure, mean squeeze pressure and anal squeeze contractile integral

Time frame
after 6 weeks' exercise, during kegel like exercise
3

Vaginal pressure

Maximum squeeze pressure, mean squeeze pressure and vaginal squeeze contractile integral

Time frame
during kegel like exercise
4

Vaginal pressure

Maximum squeeze pressure, mean squeeze pressure and vaginal squeeze contractile integral

Time frame
after 6 weeks' exercise, during kegel like exercise

Secondary outcomes

Other outcomes

Sponsors and contacts

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