Pelvic floor electrical stimulation and muscles training: a combined rehabilitative approach for management of non-neuropathic urinary incontinence in children
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Read the article on jpedsurg.org ↗Article · Jun 2018 · 1 min read
In brief
In brief
Prospective randomized study of 46 children with non-neuropathic urinary incontinence comparing combined interferential electrical stimulation plus biofeedback versus biofeedback alone. Combined therapy demonstrated significantly superior outcomes at 6-month and 1-year follow-up, suggesting synergistic benefit of neuromuscular stimulation with pelvic floor muscle training for pediatric voiding dysfunction.
Written by the GCMD Library team from the article.
Purpose
To assess the efficacy of combined transcutaneous interferential (IF) electrical stimulation and pelvic floor muscle training through biofeedback on non-neuropathic urinary incontinence in children.
Methods
This prospective study comprised of 46 anatomically and neurologically normal children (9 boys, 37 girls; mean age of 8.4 ± 2.2 years old) with non-neuropathic urinary incontinence. All children were evaluated by kidney and bladder ultrasounds, uroflowmetry with electromyography (EMG), a complete voiding diary and a dysfunctional voiding scoring questionnaire at the baseline. Children were randomly allocated into two treatment groups including group A (n = 23) who underwent biofeedback therapy in addition to IF electrical stimulation and group B (n = 23) who received only biofeedback therapy. Re-evaluation was performed 6 months and one year after completion of the treatment sessions.
Results
Improvement of non-neuropathic urinary incontinence was significantly higher in group A in comparison to group B at two follow ups (P