Once again the breathing and postural techniques are corrected. The
manoeuvres are repeated approximately 5–10 times. During the attempted defecation, the patient is
instructed to titrate the degree of abdominal push and the anal relaxation effort, and in particular not to push excessively, as this is often counter-productive and leads to voluntary withholding. After each attempt, the balloon is deflated and re-inflated prior to the next attempt. After completion of this manoeuvre, the balloon is fully deflated and the probe is removed. If using an EMG device, the goal is to teach the subject to either reduce the amplitude of electrical wave forms on the monitor or to decrease the intensity of sound signals