Examination of Musculoskeletal Dysfunction in Patients with Dyssynergic Defecation

Authors : Nuriye Büyüktaş, Melih Zeren

Pages : 411-420

Doi:10.46413/boneyusbad.1549233

View : 62 | Download : 69

Publication Date : 2025-08-07

Article Type : Research Paper

Abstract :Aim: Literature reports relationship between genitourinary system diseases and musculoskeletal dysfunction, this is not investigated in dyssynergic defecation. This study aimed to examine musculoskeletal disorders in dyssynergic defecation. Material and Method: Twenty-five individuals with dyssynergic defecation and twenty-five healthy controls were included. Participants were evaluated for lumbar-hip region symmetry and were applied Pittsburgh Sleep Quality Index, Beck Depression Inventory, Patient Assessment of Constipation Quality of Life Questionnaire, Female Sexual Function Index, International Index of Erectile Function. Posterior Pelvic Pain Provocation Test, Gaenslen\\\'s Test, Trendelenburg Test, FABER test, Piriformis Test were employed to evaluate pelvis and hip pain. Results: Dyssynergic defecation group had lower scores in sleep quality, depression and quality of life evaluations (p<0.05). Men with dyssynergic defecation had more sexual dysfunctions then controls (p<0.05). No difference was found between groups in lumbar region symmetry. Prevalence of asymmetry in hip flexion, abduction, internal and external rotation was higher in dyssynergic defecation group (p<0.05). Pain provocation tests, except Trendelenburg test, were more positive in dyssynergic defecation group (p<0.05). Conclusion: Musculoskeletal dysfunction is common in dyssynergic defecation and dyssynergic defecation also effects sleep quality, quality of life, depression, and sexual functions. Our study suggests that management of dyssynergic defecation requires multidisciplinary approach.
Keywords : Dissinerjik defekasyon, Pelvik taban, Kas-iskelet sistemi, Ağrı, Cinsel disfonksiyon

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