New Generation Rehabilitation Approach in Children With Dysfunctional Voiding

Izmir University of Economics

Status: Active, not recruiting

Conditions: Dysfunctional Voiding; Children; Pelvic Floor Muscle Training; DNS; Ultrasound

Treatments: Behavioral: Pelvic floor muscle training with ultrasound biofeedback; Behavioral: Dynamic neuromuscular stabilization exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT06743165

SYY_IEU_4

Details and patient eligibility

About

The investigators hypothesize that Dynamic Neuromuscular Stabilization training, a next-generation exercise approach, and transabdominal ultrasound-guided pelvic floor muscle training (PFMT) will be more effective than PFMT guided solely by transabdominal ultrasound in reducing post-void residual volume, improving voiding disorder symptoms, and enhancing pelvic floor muscle relaxation in children with dysfunctional voiding.

Enrollment: 38 patients

Sex: All

Ages: 6 to 14 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Children aged 6-14 years,
• Diagnosed with dysfunctional urination according to uroflowmetry measurement results and clinical examination findings,
• Children who consent to participate in the study with the consent of their mother, father or legal guardian (legal representative) will be included in the study.

Exclusion criteria

• Children under 6 years of age,
• Those with anatomical changes in the urinary system,
• Those with spina bifida,
• Those with a history of active urinary tract infection,
• Those with a neurological disease,
• Those with accompanying respiratory system disease,
• Those with cognitive impairment,
• Those with mental retardation,
• Children whose bladder image is unclear in the pelvic floor evaluation with US,
• Children who have previously undergone orthopedic surgery will not be included in the study.

PS:

• Children who cannot comply with the application of pelvic floor muscle training,
• Children who have missed 2 or more sessions of the treatment program will be excluded from the study.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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38 participants in 2 patient groups

DNS Group

Experimental group

Description:

This group includes 18 children with Dysfunctional voiding, aged between 6 and 14 years.

Treatment:

Behavioral: Dynamic neuromuscular stabilization exercise

Behavioral: Pelvic floor muscle training with ultrasound biofeedback

Standard exercise group

Active Comparator group

Description:

This group includes 18 children with Dysfunctional voiding, aged between 6 and 14 years.

Treatment:

Behavioral: Pelvic floor muscle training with ultrasound biofeedback