Related Experiment Video
Updated: Sep 14, 2025
Author Spotlight: Repetitive Transcranial Magnetic Stimulation Combined with Movement Observation in Cerebral Palsy
Published on: August 9, 2024
Evaluation of the Effectiveness of Dynamic Neuromuscular Stabilization Training in Children Diagnosed with Lower
Emine Nacar1, Sinem Suner Keklik2, Ahmet Taner Elmas3
1Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, İnönü University, Malatya, Turkey.
Insights
Dynamic neuromuscular stabilization (DNS) training and biofeedback (BF) effectively treat non-neurogenic lower urinary tract dysfunction (LUTD) in children. DNS training showed superiority in improving certain parameters, offering a promising approach for pediatric urological health.
Area of Science:
- Pediatric Urology
- Rehabilitation Medicine
- Neuromuscular Training
Background:
- Non-neurogenic lower urinary tract dysfunction (LUTD) is common in children.
- Current treatments include biofeedback (BF), but effectiveness can vary.
- Dynamic neuromuscular stabilization (DNS) offers a novel approach to core muscle engagement.
Purpose of the Study:
- To evaluate the effectiveness of DNS training in children with non-neurogenic LUTD.
- To compare DNS training with traditional BF treatment.
- To assess the combined effect of DNS and BF training.
Main Methods:
- 15 children (6-15 years) with non-neurogenic LUTD were randomized into three groups: DNS, BF, or combined DNS+BF.
- Assessments included Dysfunctional Voiding and Incontinence Scoring System (DVISS), uroflowmetry, post-void residual (PVR) urine, and deep trunk muscle strength.
- Evaluations were conducted at baseline and at 4, 8, and 12 weeks post-intervention.
Main Results:
- Both DNS and combined DNS+BF groups showed significant reductions in total DVISS scores by 12 weeks.
- Deep trunk muscle strength significantly improved in DNS and combined groups compared to BF alone.
- DNS training led to significant increases in average flow rate and decreases in PVR values.
Conclusions:
- DNS training, alone or combined with BF, is effective for improving symptoms in pediatric non-neurogenic LUTD.
- DNS training demonstrates superior outcomes in specific parameters like deep trunk muscle strength and PVR reduction.
- DNS represents a valuable therapeutic option for children with LUTD.
Purpose:
This study was designed to evaluate the effectiveness of dynamic neuromuscular stabilization (DNS) training in children with non neurogenic lower urinary tract dysfunction (LUTD) and compare it with biofeedback (BF) treatment.
Materials And Methods:
A total of 15 participants aged 6-15 years with non neurogenic LUTD were divided into three groups: Group I, DNS exercise training; Group II, BF training; and Group III, DNS plus BF training. Dysfunctional Voiding and Incontinence Scoring System (DVISS) scores, uroflowmetry parameters, uroflow curve, post void residual (PVR) values, and deep trunk muscle strength were evaluated at baseline and at 4, 8, and 12 weeks after treatment.
Results:
Total DVISS scores significantly decreased after 12 weeks in Groups I and III, while Group II showed significant decreases at 4 and 8 weeks (P < .05). Improvements in deep trunk muscle strength at 4 and 8 weeks were significantly greater in Groups I and III than in Group II (P < .05). In Group I, average flow rate increased at 4 weeks and flow time decreased at 12 weeks (P < .05). PVR decreased significantly at 12 weeks in Group I and at 8 weeks in Group III (P < .05).
Conclusion:
DNS and BF training are effective in improving symptoms in patients with non neurogenic LUTD; however, groups receiving DNS exercises were superior for several parameters.
More Related Videos
11:06A Human-machine-interface Integrating Low-cost Sensors with a Neuromuscular Electrical Stimulation System for Post-stroke Balance Rehabilitation
Published on: April 12, 2016
07:52Evaluating Postural Control and Lower-extremity Muscle Activation in Individuals with Chronic Ankle Instability
Published on: September 18, 2020