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Physical Therapy for a Child With Encopresis: A Case Report

Brittany Anderson1

  • 1Physical Therapy Program, University of Jamestown, Fargo, North Dakota.

Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association
|June 21, 2019
PubMed

Insights

A multimodal therapy approach, including physical therapy and engaging activities, successfully treated a child with encopresis (fecal incontinence). This method improved bowel control and pelvic floor function in pediatric patients.

Area of Science:

  • Pediatric physical therapy
  • Bowel dysfunction management
  • Childhood continence disorders

Background:

  • Encopresis is a common childhood condition often linked to chronic constipation and poor pelvic floor function.
  • Effective treatment requires a comprehensive approach addressing physical, behavioral, and motivational aspects.

Observation:

  • A pediatric case involving chronic constipation, impaired pelvic floor muscle awareness, weakness, and incoordination.
  • Intervention included 8 sessions of physical therapy focusing on pelvic floor muscle training, behavioral strategies, and dietary adjustments.

Findings:

  • Significant improvement in pelvic floor muscle strength and coordination was observed.
  • The child achieved full bowel continence in both home and community environments.

Implications:

  • Multimodal therapy, incorporating age-appropriate educational and motivational tools, is effective for treating retentive encopresis in children.
  • This approach enhances patient participation and compliance, leading to better treatment outcomes.
Abstract

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