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Determine the Relationship Between Abdominal Muscle Strength, Trunk Control and Urinary Incontinence in Children with

Burcu Talu1

  • 1Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Inonu University, Malatya 44000, Turkey. fzt.burcu@hotmail.com.

Urology Journal
|February 11, 2018
PubMed

Insights

This study found that stronger abdominal muscles and better trunk control are linked to less urinary incontinence in children with diplegic cerebral palsy. Improved trunk control may help manage incontinence in these children.

Area of Science:

  • Pediatrics
  • Neurology
  • Rehabilitation Medicine

Background:

  • Urinary incontinence is a common issue in children with diplegic cerebral palsy.
  • The impact of core muscle strength and trunk control on incontinence in this population is not well understood.

Purpose of the Study:

  • To investigate the relationship between abdominal muscle strength, trunk control, and urinary incontinence in children with diplegic cerebral palsy.
  • To explore correlations between functional levels (GMFCS) and incontinence symptoms.

Main Methods:

  • Cross-sectional, observational study involving 50 children (5-18 years) with diplegic cerebral palsy.
  • Utilized Dysfunctional Voiding and Incontinence Symptoms Score (DVISS), Dysfunctional Voiding Symptom Score (DVSS), manual muscle testing, Trunk Control Test (TCT), Trunk Control Measurement Scale (TCMS), and Gross Motor Function Classification System (GMFCS).

Main Results:

  • A significant negative correlation was observed between abdominal muscle strength/trunk control measures (TCMS, TCT) and incontinence scores (DVISS, DVSS).
  • A significant positive correlation was found between higher GMFCS levels and increased incontinence scores (DVISS, DVSS).

Conclusions:

  • This study highlights a significant correlation between trunk control, abdominal muscle strength, and urinary incontinence in children with diplegic cerebral palsy.
  • Findings suggest that interventions targeting core strength and trunk stability may be beneficial for managing urinary incontinence in this patient group.
Abstract

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