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Children with voiding dysfunction present deficits in motor performance.

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Children with Lower Urinary Tract Dysfunction (LUTD) show significant deficits in gross motor skills and lower limb strength. Early motor assessments are crucial for comprehensive care and improved outcomes in these children.

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Area of Science:

  • Pediatric Urology
  • Developmental Pediatrics
  • Motor Control

Background:

  • Lower Urinary Tract Dysfunction (LUTD) is common in children, often linked to motor cortex maturation delays and sensory-motor integration issues.
  • This may lead to deficits in gross motor skill acquisition, an area requiring further research.
  • This study investigates the relationship between LUTD and gross motor performance in school-aged children.

Purpose of the Study:

  • To compare gross motor performance between children with and without LUTD.
  • To identify predictors of gross motor performance in children, including LUTD diagnosis, lower limb strength, BMI, age, and sex.
  • To compare lower limb strength, BMI, age, and sex between the two groups.

Main Methods:

  • A cross-sectional observational study involving 77 school-aged children (5-11 years).
  • Participants were divided into a Lower Urinary Tract Dysfunction group (n=34) and a control group (n=43).
  • Gross motor skills were assessed using the Test of Gross Motor Development-Third Edition, and lower limb strength was measured via a horizontal jump test.

Main Results:

  • Children with LUTD demonstrated significantly lower Gross Motor Index scores and reduced lower limb strength compared to controls.
  • Lower Urinary Tract Dysfunction diagnosis and lower limb strength were identified as strong predictors of gross motor performance.
  • Age and sex also contributed significantly to the prediction model for gross motor performance.

Conclusions:

  • Children diagnosed with Lower Urinary Tract Dysfunction exhibit notable deficits in gross motor skills and lower limb strength.
  • Integrating motor assessments into LUTD evaluation protocols is essential for a comprehensive, functional approach.
  • Interdisciplinary collaboration is recommended to enhance both urinary and motor outcomes in children with LUTD.