Effect of Connective Tissue Manipulation on Clinical Symptoms and Pelvic Floor Muscles in Children With Lower Urinary Tract Dysfunction: a Randomized Clinical Trial

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics Pub Date : 2025-01-01 Epub Date: 2025-11-07 DOI:10.1016/j.jmpt.2025.10.037

Melis Ünal MSc , Elif Develi PhD , Halil Tuğtepe

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引用次数: 0

Abstract

Objective

The aim of the study was to examine the impact of a combined approach involving connective tissue manipulation (CTM) and pelvic floor muscle (PFM) exercises on symptoms, uroflowmetry parameters, and PFM activation in children with lower urinary tract disorders.

Methods

Forty children with lower urinary tract disorder were randomized into 2 groups: (1) PFM group and (2) CTM+PFM exercise group (CTG). The treatment was performed 3 times a week for 8 weeks. Children were evaluated with electromyography-uroflowmetry, bladder ultrasonography, bladder diary, electromyography-PFM activation, and the Dysfunctional Voiding and Incontinence Scoring System at baseline and 8 weeks after interventions.

Results

A comparison of the 2 groups revealed that the CTG group demonstrated greater improvement in mean flow rate (Q-Ave), maximum voiding volume, incontinence frequency, PFM contraction activation (work average), and Dysfunctional Voiding and Incontinence Scoring System scores (P < .05).

Conclusion

Connective tissue manipulation applied in addition to pelvic floor muscle exercises was more effective on certain uroflow and bladder diary parameters, symptom severity score, and certain PFM activation parameters. Connective tissue manipulation applied together with PFM exercises may be a novel approach in children with lower urinary tract disorders, a noninvasive and accessible manual therapy method.

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结缔组织手法对下尿路功能障碍儿童临床症状和盆底肌肉的影响：一项随机临床试验

目的：本研究的目的是检查结缔组织操作（CTM）和盆底肌（PFM）运动联合入路对下尿路疾病儿童症状、尿流测量参数和PFM激活的影响。方法：将40例下尿路障碍患儿随机分为两组：(1)PFM组和(2)CTM+PFM运动组（CTG）。治疗每周3次，连续8周。在基线和干预后8周，通过肌电图-尿流仪、膀胱超声、膀胱日记、肌电图- pfm激活和功能障碍排尿和失禁评分系统对儿童进行评估。结果：两组比较发现，CTG组在平均流量（Q-Ave）、最大排尿量、失禁频率、PFM收缩激活（工作平均）、功能障碍排尿和失禁评分系统评分方面均有较大改善（P < 0.05）。结论：结缔组织手法加盆底肌锻炼对尿流和膀胱日记参数、症状严重程度评分和PFM激活参数更有效。结缔组织操作结合PFM练习可能是治疗儿童下尿路疾病的一种新方法，是一种无创且易于使用的手工治疗方法。

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

Journal of Manipulative and Physiological Therapeutics 医学-康复医学

CiteScore

3.00

自引率

7.70%

发文量

审稿时长

29 weeks

期刊介绍： The Journal of Manipulative and Physiological Therapeutics (JMPT) is an international and interdisciplinary journal dedicated to the advancement of conservative health care principles and practices. The JMPT is the premier biomedical publication in the chiropractic profession and publishes peer reviewed, research articles and the Journal''s editorial board includes leading researchers from around the world. The Journal publishes original primary research and review articles of the highest quality in relevant topic areas. The JMPT addresses practitioners and researchers needs by adding to their clinical and basic science knowledge and by informing them about relevant issues that influence health care practices.