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Chiropractic management of primary nocturnal enuresis
W R Reed1, S Beavers, S K Reddy
1Palmer Institute of Graduate Studies and Research, Davenport, IA 52803.
Insights
Chiropractic management significantly reduced nighttime wetting in children with primary nocturnal enuresis. This study suggests chiropractic care is effective for childhood bedwetting, warranting further investigation.
Area of Science:
- Pediatric Health
- Chiropractic Medicine
- Sleep Medicine
Background:
- Primary nocturnal enuresis is a common condition in children.
- Current management strategies have varying success rates and potential side effects.
- Exploring alternative and complementary therapies like chiropractic care is essential.
Purpose of the Study:
- To evaluate the effectiveness of chiropractic management for primary nocturnal enuresis in children.
- To compare chiropractic treatment outcomes against a sham adjustment control group.
Main Methods:
- A 10-week controlled clinical trial involving 46 children with primary nocturnal enuresis.
- Participants were divided into a treatment group (chiropractic adjustments) and a control group (sham adjustments).
- The primary outcome measure was the frequency of wet nights.
Main Results:
- The chiropractic treatment group showed a significant reduction in wet night frequency post-treatment compared to baseline (p=0.05).
- The control group exhibited no significant change in wet night frequency.
- Twenty-five percent of children in the treatment group experienced a 50% or greater reduction in wet nights, compared to none in the control group.
Conclusions:
- Chiropractic treatment shows promising effectiveness for primary nocturnal enuresis in children.
- Further research with larger sample sizes and longer follow-up periods is recommended to confirm these findings.
Objective:
To evaluate chiropractic management of primary nocturnal enuresis in children.
Design:
A controlled clinical trial for 10 wk preceded by and followed by a 2-wk nontreatment period.
Setting:
Chiropractic clinic of the Palmer Institute of Graduate Studies and Research.
Participants:
Forty-six nocturnal enuretic children (31 treatment and 15 control group), from a group of 57 children initially included in the study, participated in the trial.
Intervention:
High velocity, short lever adjustments of the spine consistent with the Palmer Package Techniques; or a sham adjustment using an Activator at a nontension setting administered to the examiner's underlying contact point. Two 5th-year chiropractic students under the supervision of two clinic faculty performed the adjustments.
Main Outcome Measures:
Frequency of wet nights.
Results:
The post-treatment mean wet night frequency of 7.6 nights/2 wk for the treatment group was significantly less than its baseline mean wet night frequency of 9.1 nights/2 wk (p = 0.05). For the control group, there was practically no change (12.1 to 12.2 nights/2 wk) in the mean wet night frequency from the baseline to the post-treatment. The mean pre- to post-treatment change in the wet night frequency for the treatment group compared with the control group did not reach statistical significance (p = 0.067). Twenty-five percent of the treatment-group children had 50% or more reduction in the wet night frequency from baseline to post-treatment while none among the control group had such reduction.
Conclusions:
Results of the present study strongly suggest the effectiveness of chiropractic treatment for primary nocturnal enuresis. A larger study of longer duration with a 6-month follow-up is therefore warranted.