Effectiveness of game-based core exercise in children with non-neuropathic bladder dysfunction and comparison to biofeedback therapy

IF 1.5 4区医学 Q3 UROLOGY & NEPHROLOGY

LUTS: Lower Urinary Tract Symptoms Pub Date : 2022-11-11 DOI:10.1111/luts.12467

Melek Havva Kilcik, Filiz Ozdemir, Ahmet Taner Elmas

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Abstract

Objectives

This study was planned to evaluate the effectiveness of game-based core exercises in children diagnosed with non-neuropathic bladder dysfunction and compare this effectiveness to that of the biofeedback treatment method.

Methods

The study included 48 children, aged 6–13 years, who were diagnosed with non-neuropathic bladder dysfunction. The children satisfying the inclusion criteria were selected by drawing lots from the population with the method of nonprobability random sampling. The patients were divided into three groups: group I, “game-based core stabilization exercise training”; group II, “biofeedback program”; and group III, “game-based core stabilization exercise training in addition to the biofeedback program.” The Dysfunctional Voiding and Incontinence Symptom Scale (DVISS) scores and uroflowmetry values of the patients were evaluated before and after the treatment.

Results

The mean age of the participants was 8.81 ± 2.08 years. There was a statistically significant difference between the pretreatment and post-treatment DVISS scores in all three groups (p < .05). However, no significant difference was found among the groups. There was no statistically significant difference in the uroflowmetry results of the patients in group I and II before and after the treatment. In group III, the time to maximum flow rate after treatment was significantly reduced, and the average flow rate was significantly increased.

Conclusions

According to the results of this study, the use of game-based exercises along with biofeedback treatment may reduce DVISS scores in children with non-neuropathic bladder dysfunction. A combination of the two methods may have positively affected the uroflowmetry results of the patients. We think that game-based exercises will contribute to the literature as a new treatment option in the treatment of non-neuropathic bladder dysfunction.

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基于游戏的核心运动对非神经性膀胱功能障碍儿童的有效性及与生物反馈疗法的比较

本研究旨在评估基于游戏的核心练习对诊断为非神经性膀胱功能障碍的儿童的有效性，并将其与生物反馈治疗方法的有效性进行比较。方法研究对象为48例6-13岁的非神经性膀胱功能障碍患儿。采用非概率随机抽样的方法从总体中抽取符合纳入标准的儿童。患者分为三组:第一组，“基于游戏的核心稳定运动训练”;第二组“生物反馈程序”;第三组，“基于游戏的核心稳定运动训练，以及生物反馈计划。”对患者治疗前后的排尿功能障碍和尿失禁症状量表(DVISS)评分和尿流测量值进行评估。结果患者平均年龄为8.81±2.08岁。三组患者治疗前与治疗后DVISS评分比较，差异均有统计学意义(p < 0.05)。然而，各组之间没有发现显著差异。I组和II组患者治疗前后尿流测量结果比较，差异无统计学意义。III组治疗后达到最大流量所需时间明显缩短，平均流量明显增加。根据本研究的结果，使用基于游戏的锻炼和生物反馈治疗可能会降低非神经性膀胱功能障碍儿童的DVISS评分。两种方法的结合可能对患者的尿流测量结果产生积极的影响。我们认为，基于游戏的锻炼将有助于文献作为一种新的治疗选择在治疗非神经性膀胱功能障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

LUTS: Lower Urinary Tract Symptoms UROLOGY & NEPHROLOGY-

CiteScore

3.00

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： LUTS is designed for the timely communication of peer-reviewed studies which provides new clinical and basic science information to physicians and researchers in the field of neurourology, urodynamics and urogynecology. Contributions are reviewed and selected by a group of distinguished referees from around the world, some of whom constitute the journal''s Editorial Board. The journal covers both basic and clinical research on lower urinary tract dysfunctions (LUTD), such as overactive bladder (OAB), detrusor underactivity, benign prostatic hyperplasia (BPH), bladder outlet obstruction (BOO), urinary incontinence, pelvic organ prolapse (POP), painful bladder syndrome (PBS), as well as on other relevant conditions. Case reports are published only if new findings are provided. LUTS is an official journal of the Japanese Continence Society, the Korean Continence Society, and the Taiwanese Continence Society. Submission of papers from all countries are welcome. LUTS has been accepted into Science Citation Index Expanded (SCIE) with a 2011 Impact Factor.