Responsiveness of the Persian version of the patient assessment of constipation quality of life and Wexner…

StudyGastroenterology and hepatology from bed to bench· 2026

Responsiveness of the Persian version of the patient assessment of constipation quality of life and Wexner constipation scoring system questionnaires in individuals with dyssynergia defecation following physiotherapy intervention.

Fatemeh Oraki Koohshoori, Nahid Pirayeh, Abazar Parsi, Neda Orakifar

Musculoskeletal RehabilitationStudyClinical practiceQ3IF 1.6

Persian Wexner questionnaire accurately detects symptom change after pelvic floor physiotherapy

Responsiveness of the Persian version of the patient assessment of constipation quality of life and Wexner constipation scoring system questionnaires in individuals with dyssynergia defecation following physiotherapy intervention.

Fatemeh Oraki Koohshoori … Neda Orakifar

Gastroenterology and hepatology from bed to bench · 2026

Background

Dyssynergic defecation, a common functional disorder, impairs quality of life.

Purpose

To investigate the responsiveness of the Persian version of the Patient Assessment of Constipation Quality Of Life (PAC-QOL) and Wexner questionnaires in individuals with dyssynergia defecation (dyssynergia defecation) following physiotherapy intervention.

Methods

The responsiveness of the PAC-QOL and Wexner questionnaires were evaluated in 95 patients with dyssynergic defecation following physiotherapy intervention.

n = 95 patients

Results

correctly flags symptom improvement in nearly all patients, 1.0 is perfect

0.92AUC

PAC-QOL

0.97AUC

Wexner

More results

Both questionnaires showed excellent responsiveness.

The corresponding MICs were 34.5 and 3.5.

Internal responsiveness indices were large (PAC-QOL effect size = 2.19; standardized response mean = 1.63; GRI = 1.45 / Wexner effect size = 2.03; standardized response mean = 1.85; GRI = 1.60).

“

Conclusion · 1 of 2

The Persian PAC-QOL and Wexner questionnaires are highly responsive and capable of detecting clinically meaningful changes in dyssynergia defecation after physiotherapy.

Conclusion · 2 of 2

These tools can reliably monitor treatment outcomes in Persian speaking populations and inform clinical and research practice in Persian-speaking populations.

Responsiveness of the Persian version of the patient assessment of constipation quality of life and Wexner constipation scoring system questionnaires in individuals with dyssynergia defecation following physiotherapy intervention.

Responsiveness of the Persian version of the patient assessment of constipation quality of life and Wexner constipation scoring system questionnaires in individuals with dyssynergia defecation following physiotherapy intervention.

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