Examining the Relationship Between Core Muscles and Bladder Issues in Children

Izmir Bakircay University

Status: Invitation-only

Conditions: Lower Urinary Tract Symptoms; Skeletal Muscle

Study type: Observational

Funder types: Other

Identifiers

NCT06317116

2023/09-14

Details and patient eligibility

About

The goal of this observational study is to learn about functional bladder problems in children. The main questions it aims to answer are:

• Does bladder symptoms in children have an effect on core muscles?
• How do core muscles change based on an increase or decrease in these symptoms?

Full description

The study will be a novel investigation that elucidates the current state by comparing core muscle function outcomes with the type and severity of symptoms in children with lower urinary tract symptoms. It will shed light on the necessity of evaluating not only electromyographic activity during urination but also the overall function of core muscles in children with lower urinary tract symptoms. Additionally, identifying core muscle dysfunctions in children with lower urinary tract symptoms will provide a new perspective in treatment. Consequently, the project will not only contribute to the literature but also serve as a pioneering study that draws attention to the necessity of physical therapy consultation and a multidisciplinary approach in clinical assessment and treatment processes for pediatric urologists. The comprehensive and objective project aims to conduct a reference study on the subject, and the project results will lay the foundation for the development of prevention and improvement strategies. Data will be collected using non-invasive transabdominal ultrasound and surface electromyography to evaluate core muscle functions, and symptom questionnaires. The relationship between core muscle functions and lower urinary tract symptoms in children will be examined. Research Questions: Does lower urinary tract symptoms have an impact on core muscle functions in children? How do core muscle functions change according to an increase or decrease in these symptoms? The study is a cross-sectional research.

Enrollment: 60 estimated patients

Sex: All

Ages: 6 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• To have a diagnosis of lower urinary tract symptoms according to the International Children's Continence Society (ICCS) diagnostic criteria,
• To have a normal neurological examination,
• Not to have received pelvic floor rehabilitation in the last 6 months,
• To be between the ages of 6 and 18.

Exclusion criteria

• To have structural (anatomical) problems in the urinary system such as ectopic ureter, urethral valve issues,
• To have congenital and/or spinal cord injury, acquired neurogenic problems such as spinal dysraphism, pelvic trauma,
• To have active febrile illness or urinary tract infection, or any biomechanical problem such as congenital thoracic deformities that may hinder or affect the evaluation,
• To have cognitive or mental impairment in the child and/or parent.