COST-EFFECTIVENESS OF THE APPLICATION OF BOTULINUM TOXIN VERSUS BIOFEEDBACK AS TREATMENT IN PATIENTS WITH ANISMUS

INTRODUCTION Anismus is a pathology that is responsible for up to 50% of constipation cases, there are mainly 2 treatments: biofeedback and the use of botulinum toxin, with similar results. Does the application of botulinum toxin have a better cost-effectiveness index compared to biofeedback as a treatment in patients with anismus? The objective is to establish whether the application of botulinum toxin as a treatment in patients with anismus represents a better cost-effectiveness index compared to biofeedback. MATERIAL AND METHODS A randomized prospective cost-effectiveness trial was conducted evaluating the effectiveness of biofeedback treatment compared to the application of botulinum toxin in patients with anismus. Patients were followed up at month 1, 3, and 6 after management. RESULTS A total of 9 patients were included, 4 in the botulinum toxin group and 5 in the biofeedback group. The efficacy of botulinum toxin was 75% at month 1 and 3 and 50% at month 6. The efficacy of biofeedback remained at 80% at 6 months. The expense for biofeedback treatment was $ 17,458.32 MXN compared to $ 7,846.08 MXN for botulinum toxin. CONCLUSION A decrease in the average cost of $ 9,612.24 MXN was obtained in favor of the use of botulinum toxin for the treatment of anismus.

The Influence of Biofeedback in Postural Rehabilitation of Athletes

"ABSTRACT. Background. A balanced posture allows sports movements PERFORMANCE with optimal consumption of energy and minimal stress on the musculoskeletal system with of the technology offered by the posturograph, we can identify the center of gravity deviations, the points of support, the load, the weight distribution in the soles, the anterior posteriorized or compressed posture, the asymmetries of the body. by an interpretation in biomechanical context, any compensations or decompensations can be identified. Aim. The aim of the study is to improve posture through biofeedback treatment using the GPS 600 device. Materials. The Posturograph or Global Postural System (GPS) is an advanced postural analysis system that uses techniques and methods of noninvasive diagnosis and evaluation in the field of medical recovery. Posturography includes 2 diagnostic units and software. Methods. We used the following methods: bibliographic study methods, method of observation, measurement method, experimental method, statistical method. Applied treatments. The treatments for re-educating the posture with the GPS 600 device took place for 2 weeks. During the treatment, the subjects had to maintain their body position / posture as indicated by the device. Results. From the 12 athletes, the anteriority of the head improved, the center of gravity, loading on the right and left lower limbs. At the end of the 2 weeks, the athletes reached a perfect balance of the center of gravity and the weight distribution on the lower limbs. Conclusion. Biofeedback treatments with the GPS 600 device help to improve POSTURE and maintain the results over time."

The Effectiveness of Postural Biofeedback in the Physical Therapy of Patients With Cervical Spondylosis

"ABSTRACT. Background. The influence of biofeedback treatment with the help of the Global Postural System GPS 600 device combined with a physiotherapy program for the cervical spine proved to be beneficial. The presence of headaches and the sensitivity of the cervical spine given by arthrosis, require that the movements at this level must be done very carefully. Aim. The aim of this study is to prove the importance and benefits of biofeedback treatment using the Global Postural System GPS 600 combined with a physical therapy program in degenerative diseases of the cervical spine for adults involved in work activities that require maintaining a sitting position at the office Subjects. This study included 30 patients with the age between 28 to 59 years old, the mean age was 38 years. Methods. The methods used for evaluation were joint and muscle balance as well as the visual analogue scale of pain, and the evaluation data provided by the GPS 600 system. Results. At the end of the 14 days of biofeedback treatment and physical therapy program, all patients had a relief of symptoms and the alignment of the spine was significantly corrected. Conclusion. Biofeedback treatment using the Global Postural System GPS 600 combined with physical therapy is important in the recovery of degenerative diseases of the cervical spine both for the effect on the joints and for the general effect of postural balance."