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Electrical stimulation, muscle exercises work in kids with bladder bowel dysfunction

23 Oct 2020

Children with bladder bowel dysfunction (BBD) fare well with combined pelvic floor interferential (IF) electrical stimulation and muscle exercises, which can lead to a significant decrease in daytime incontinence, urgency, and constipation, as shown in a study.

A total of 34 children with BBD (mean age, 7.4 years; 28 girls) were randomized to undergo pelvic floor muscle (PFM) exercises alone (n=17) or in combination with transcutaneous IF electrical stimulation (n=17) for 10 sessions. The exercises consisted of contraction of the PFM for 10 seconds followed by 30 seconds of relaxation, abdominal straining, and bear-down manoeuvre. On the other hand, electrical stimulation lasted 20 minutes per session.

Evaluations included kidney and bladder ultrasounds, uroflowmetry plus electromyography (EMG), and a complete voiding and bowel habit diary.

At treatment conclusion, constipation improved in significantly more children in the combination group than in the exercise group (82 percent vs 47 percent; p=0.03). Mean defecation frequency per week increased from 2.7 to 5.8 and from 2.7 to 4.5 in the respective groups (p<0.04).

Combination treatment also led to more patients achieving improvements in daytime incontinence (100 percent vs 25 percent; p=0.007) and urinary tract infection (80 percent vs 38.4 percent; p=0.02) compared with exercise alone.

There was no significant difference seen in uroflowmetry measures after the treatment.

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Most Read Articles
Roshini Claire Anthony, 13 Nov 2020

Diabetes is a key risk factor for heart failure (HF), which is the leading cause of hospitalization in patients with or without diabetes. SGLT-2* inhibitors (SGLT-2is) have been shown to reduce the risk of hospitalization for HF (HHF) regardless of the presence or absence of diabetes.

5 days ago
Vitamin D deficiency may be a contributing factor to the mortality rate among patients with the novel coronavirus disease (COVID-19), reports a new study.
Pearl Toh, 4 days ago
Inhaled corticosteroid (ICS) should be the mainstay of long-term asthma management — such is the key message of the latest Singapore ACE* Clinical Guidance (ACG) for asthma, released in October 2020.
17 Nov 2020
Invasive fungal infections, particularly those caused by Candida species, are common in hospitalized, immunocompromised, or critically ill patients and are associated with considerable morbidity and mortality.