Therapeutic effect of different functional electric stimulations combined with biofeedback in children with urinary incontinence due to neuropathic acontractile detrusor and sphincter(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2018年第4期
- Page:
- 461-465
- Research Field:
- 医学生物物理
- Publishing date:
Info
- Title:
- Therapeutic effect of different functional electric stimulations combined with biofeedback in children with urinary incontinence due to neuropathic acontractile detrusor and sphincter
- Author(s):
- LUO Juan1; LIU Qian2
- 1. Department of Special Inspection of Pediatric Surgery, the Second Hospital of Shandong University, Ji’nan 250000, China; 2. Department of Pediatric Surgery, the Second Hospital of Shandong University, Ji’nan 250000, China
- Keywords:
- ; urinary incontinence; functional electric stimulation; biofeedback; urodynamics
- PACS:
- R726.9
- DOI:
- DOI:10.3969/j.issn.1005-202X.2018.04.017
- Abstract:
- Objective To evaluate the efficacy of functional electric stimulation (FES) combined with biofeedback treatment for children with urinary incontinence due to neuropathic acontractile detrusor and sphincter (NADS). Methods Sixty-eight children with urinary incontinence due to NADS were enrolled and randomly divided into control group and observation group, 34 children in each group. The children in control group received the initial threshold of FES and biofeedback treatment during the whole treatment. In observation group, the current was increased in the middle of treatment until it reached a new tolerable threshold of intensity, and the increased current lasted until the end of treatment. A 12-week treatment was performed for 40 minutes each time and 3 times per week. After the completion of treatment, the children were followed-up at least for 6 months. The indices of urodynamic study and incontinence symptoms of pre- and post-treatment and 6 month later were assessed in order to compare the treatment efficacy between the two groups. Results The evaluation performed at the completion of treatment and 6 months after the treatment showed that the children in both groups had significant improvements in the indices of urodynamic study including detrusor leak point pressure, maximal detrusor pressure, maximum bladder capacity and mean detrusor compliance, and incontinence symptoms such as 72 h total urinary volume, total voiding times total incontinence times, and the score of international continence inquiring committee’s questionnaire (P<0.05). Moreover, those improvements in observation group were superior to those in control group (P<0.05). The observation group had higher overall effective rate compared to control group (P<0.05). Conclusion FES combined with biofeedback has a clear and stable therapeutic effect in the pediatric patients with urinary incontinence due to NADS. Moreover, increasing the current in the middle of the treatment could achieve a better clinical outcome, with a higher clinical value.
Last Update: 2018-04-23