Comparison of Pelvic Floor Muscle Training and Dynamic Neuromuscular Stabilization Exercises in Pediatric Patients

Necmettin Erbakan University

Status: Enrolling

Conditions: Pediatric Disorder; Urology

Treatments: Behavioral: PFME

Study type: Interventional

Funder types: Other

Identifiers

NCT07267364

23743.R1

Details and patient eligibility

About

Dysfunctional voiding (DY) is one of the most common conditions in children. Various treatments are available. Participants will be randomly assigned to either PTCE (Group I) or PTCE+DNS (Group II). PTCE is the gold standard and routinely administered in hospitals for children diagnosed with dysfunctional voiding who are referred by a urologist. The PTCE group serves as the control group, and treatment will be scheduled for a total of 10 weeks, two days a week. During PTCE, children receive instruction about the pelvic floor using video visuals and increase awareness of their pelvic floor muscles. They are then instructed on how to contract and relax their muscles to control urination. DNS training is an exercise model that begins with spinal stabilization and addresses muscle synergies. Patients included in the study will be evaluated twice, at the beginning and at the end of the treatment, with the Voiding Disorders Symptom Score (VODS), Quality of Life Scale for Children with Urinary Incontinence (QOLS), Bladder Bowel Dysfunction Scale (BDS), Bristol Stool Scale and Children's Body Image Scale.

Enrollment: 48 estimated patients

Sex: All

Ages: 5 to 18 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Having been diagnosed with voiding dysfunction according to ICCS diagnostic criteria in a urology outpatient clinic,
• Being 5-18 years old,
• The child and their parent/guardian agree to participate in the study voluntarily and provide signed consent.

Exclusion criteria

• Organic pathologies such as urethral obstruction, ectopic ureter, spinal dysraphism, and diabetes
• Diagnosis of VUR or neurogenic bladder
• Cognitive and mental impairment
• Having spina bifida
• Being under 5 years of age
• Receiving treatment such as PTC training or electrical stimulation

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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48 participants in 2 patient groups

Pelvic Floor Muscle Education group (PFME)

Active Comparator group

Description:

Children diagnosed with dysfunctional voiding will receive pelvic floor training using superficial video visuals, and pelvic muscle strength and endurance will be increased with EMG and biofeedback. Exercises will be administered three days a week for approximately eight weeks. They will be assessed before and after treatment with the Voiding Disorders Symptom Score (VDSS), the Children's Depression Scale, the Quality of Life for Children with Urinary Incontinence (QOLS), the Bladder and Bowel Dysfunction Scale (BDS), the Stool Scale, and the Children's Body Image Scale.

Treatment:

Behavioral: PFME

PFME+DNS group

Active Comparator group

Description:

In addition to PFME, an exercise model that begins with Dynamic Neuromuscular Stabilization (DNS) spine stabilization and addresses muscle synergies will be applied for approximately 8 weeks. hey will be assessed before and after treatment with the Voiding Disorders Symptom Score (VDSS), the Children's Depression Scale, the Quality of Life for Children with Urinary Incontinence (QOLS), the Bladder and Bowel Dysfunction Scale (BDS), the Stool Scale, and the Children's Body Image Scale.

Treatment:

Behavioral: PFME