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[Motor organization in children with encopresis]
A Kelemen1, I Popov, K Vlajković
1Institut za neurologiju, psihijatriju i mentalno zdravlie, Medicinski fakultet, Novi Sad.
Medicinski Pregled
|January 1, 1994
Summary
Poor motor control, particularly axial muscle tonus, is linked to fecal retention. This suggests motoric disorganization may underlie pelvic floor dysfunction and encopresis in children.
Area of Science:
- Neuroscience
- Developmental Biology
- Pediatrics
Context:
- Fecal retention and encopresis are common issues in pediatric care.
- Understanding the underlying physiological mechanisms is crucial for effective intervention.
- Central nervous system (CNS) functions and motor organization are implicated in bowel control.
Purpose:
- To investigate the relationship between central nervous system (CNS) functions, motoric organization, and the degree of fecal retention.
- To analyze correlations between specific motoric qualities, including axial muscle tonus and neuromuscular coordination, and fecal retention.
- To explore the potential role of motoric disorganization in the development of pelvic floor muscle dysfunction and encopresis.
Summary:
- Correlation analysis revealed a significant positive linear relationship between poor motoric organization and the degree of fecal retention.
- Specifically, inadequate tonic organization, particularly of axial muscle tonus and neuromuscular binds, was strongly associated with increased fecal retention.
- These findings suggest that compromised motor control is a fundamental factor contributing to impaired pelvic floor muscle function and subsequent encopresis.
Impact:
- Highlights the critical role of motor development and central nervous system organization in maintaining bowel continence.
- Provides a neurobiological basis for understanding encopresis, moving beyond purely behavioral explanations.
- Suggests potential therapeutic targets focusing on improving motor control and muscle function in affected children.