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Are Interferential Electrical Stimulation and Diaphragmatic Breathing Exercises Beneficial in Children With Bladder

Vesna D Zivkovic1, Ivona Stankovic1, Lidija Dimitrijevic1

  • 1Clinic of Physical Medicine, Rehabilitation and Prosthetics, Clinical Centre Nis, Faculty of Medicine, University of Nis, Nis, Serbia.

Urology
|January 2, 2017
PubMed

Insights

Interferential current (IC) stimulation combined with diaphragmatic breathing exercises (DBEs) significantly improved bladder and bowel dysfunction in children. This combined therapy offers a promising treatment for dysfunctional voiding and chronic constipation.

Area of Science:

  • Pediatric Urology
  • Physical Therapy
  • Gastroenterology

Background:

  • Bladder and bowel dysfunction (BBD) is common in children, often presenting as dysfunctional voiding and chronic constipation.
  • Primary care interventions frequently fail, necessitating advanced therapeutic approaches.
  • Evaluating the efficacy of combined physical modalities is crucial for improving pediatric BBD management.

Purpose of the Study:

  • To assess the combined effects of interferential current (IC) stimulation and diaphragmatic breathing exercises (DBEs) on children with BBD.
  • To compare the outcomes of combined therapy versus DBEs alone in managing dysfunctional voiding and chronic constipation.

Main Methods:

  • A prospective study included 79 children with BBD unresponsive to primary care.
  • Children were randomized into groups receiving education, behavioral modifications, DBEs, and/or IC stimulation.
  • Therapy duration was 2 weeks clinic-based, followed by 1 month home-based, with assessments at baseline and 6 weeks.

Main Results:

  • Group A, receiving both IC stimulation and DBEs, showed significant improvements in defecation frequency and fecal incontinence.
  • Children in Group A also demonstrated significant reductions in lower urinary tract symptoms and postvoided residual urine.
  • A bell-shaped uroflowmetry curve, indicative of improved voiding, was observed in 73.3% of Group A patients.

Conclusions:

  • Combined IC stimulation and DBEs are effective in treating chronically constipated children with dysfunctional voiding.
  • This integrated therapeutic approach shows significant benefits for pediatric BBD.
  • Further research is warranted to determine the long-term efficacy of this combined treatment program.
Abstract

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