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Non-retentive faecal incontinence in children: Conventional therapy alone or combined electrical stimulation

Lida Sharifi-Rad1, Seyedeh-Sanam Ladi-Seyedian2, Hosein Alimadadi2,3

  • 1Department of Physical Therapy, Pediatric Center of Excellence, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.

Journal of Paediatrics and Child Health
|September 2, 2022
PubMed

Insights

Functional electrical stimulation (FES) combined with conventional therapy significantly improved faecal incontinence (FI) in children. FES offers a safe and effective treatment option for pediatric functional non-retentive FI.

Area of Science:

  • Pediatric Gastroenterology
  • Pelvic Floor Rehabilitation
  • Neuromodulation

Background:

  • Functional non-retentive faecal incontinence (FI) is a common pediatric condition impacting quality of life.
  • Conventional therapy offers some benefit, but effective treatment options remain crucial.

Purpose of the Study:

  • To compare the efficacy of functional electrical stimulation (FES) plus conventional therapy versus conventional therapy alone in treating pediatric functional non-retentive FI.

Main Methods:

  • A retrospective study of 28 children with FI, divided into a case group (FES + conventional therapy) and a control group (conventional therapy only).
  • Exclusion criteria included children with faecal retention, inflammatory, anatomic, metabolic, or neurological disorders.
  • Assessments included a pediatric FI score questionnaire, bowel habit diary, and FI quality of life questionnaire before and after treatment, with a 6-month follow-up.

Main Results:

  • A full response (100% reduction in FI episodes) was achieved by 57.1% in the FES group versus 14.2% in the control group (P=0.005).
  • FI episodes significantly decreased in the FES group compared to controls (1.4 vs 3 episodes/week; P=0.05).
  • The FI score significantly reduced in the FES group and was maintained at 6 months.

Conclusions:

  • Functional electrical stimulation (FES) is a safe, effective, non-invasive, and inexpensive treatment for pediatric functional non-retentive faecal incontinence.
  • FES offers a reproducible and easy-to-use therapeutic modality for this condition.
Abstract

Keywords:
Rome-IVchildrenelectrical stimulationfaecal incontinencefunctional non-retentive faecal incontinence

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