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Movement Retraining using Real-time Feedback of Performance
Published on: January 17, 2013
Biofeedback training for lower urinary tract symptoms: factors affecting efficacy
Beth A Drzewiecki1, Pamela R Kelly, Barbara Marinaccio
1Children's Hospital Boston, Harvard University, Boston, Massachusetts 02115, USA.
The Journal of Urology
|August 22, 2009
Summary
Biofeedback therapy is effective for children with dysfunctional voiding, especially those with urinary tract infections. Completing at least three sessions significantly increases the likelihood of success in improving voiding patterns.
Area of Science:
- Pediatric Urology
- Behavioral Therapy
- Urodynamics
Background:
- Dysfunctional voiding is common in children.
- Biofeedback therapy is a recognized treatment modality.
- Predictors of successful biofeedback outcomes require clarification.
Purpose of the Study:
- To evaluate the effectiveness of biofeedback therapy in children with dysfunctional voiding.
- To identify factors influencing treatment outcomes.
- To determine which children may benefit most from this therapy.
Main Methods:
- Retrospective chart review of 77 children (mean age 9.0 years) undergoing biofeedback therapy.
- Utilized MR 20 Synergy trainer with uroflowmetry.
- Analyzed outcomes (success, improvement, failure) based on diagnosis and number of sessions.
Main Results:
- Overall outcomes: 26.8% success, 37.7% improvement, 33.7% failure.
- Children receiving 3 or more sessions showed significantly higher success rates (p <0.005).
- Significant improvement in urinary tract infections (p <0.001); 54% normalized staccato voiding patterns.
Conclusions:
- Biofeedback therapy is effective for pediatric dysfunctional voiding, particularly with urinary tract infections.
- A minimum of 3 biofeedback sessions may be necessary for children with staccato voiding patterns.
- Successful treatment completion, defined as 3 or more sessions, predicts better outcomes.
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