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The Prevalence of Bladder and Bowel Dysfunction in Children with Cerebral Palsy and its Association with Motor,

Moriah Baram1, Luba Zuk1, Tohar Stattler2

  • 1Tel Aviv University Sackler Faculty of Medicine, Tel Aviv, Israel.

Developmental Neurorehabilitation
|March 21, 2023
PubMed

Insights

Bladder and bowel dysfunction (BBD) is common in children with cerebral palsy. Most affected children experience both urinary and bowel issues, often linked to motor, cognitive, and autonomic impairments.

Area of Science:

  • Pediatric Neurology
  • Rehabilitation Medicine
  • Urology

Background:

  • Cerebral palsy (CP) significantly impacts children's development and daily functioning.
  • Bladder and bowel dysfunction (BBD) is a recognized complication in children with CP.
  • Understanding the prevalence and associations of BBD is crucial for targeted interventions.

Purpose of the Study:

  • To determine the prevalence of bladder and bowel dysfunction (BBD) in 8-10-year-old children with cerebral palsy (CP).
  • To investigate the association between BBD and motor, cognitive, and autonomic dysfunction in this population.

Main Methods:

  • Cross-sectional study involving parents of 8-10-year-old children with CP.
  • Utilized questionnaires including the Enuresis/Urinary Incontinence Parental Questionnaire and autonomic signs questionnaire.
  • Assessed functional status using the Functional Independence Measure for children and motor function with the Gross Motor Function Classification System.

Main Results:

  • 25.64% of children with CP reported complete continence; 29 children were identified with BBD.
  • The majority of children with BBD (72.4%) presented with both lower urinary tract symptoms and bowel problems.
  • Motor, cognitive, and autonomic impairments were significantly associated with incontinence in children with CP.

Conclusions:

  • Bladder and bowel dysfunction (BBD) is highly prevalent in 8-10-year-old children with cerebral palsy, irrespective of functional level.
  • Most children with CP and BBD experience combined urinary and bowel issues.
  • Early identification and management of BBD are essential for improving quality of life in children with CP.
Abstract

Keywords:
Bladder dysfunctionbowel dysfunctioncerebral palsyprevalence

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