Emine Nacar, Sinem Suner Keklik, Ahmet Taner Elmas
{"title":"动态神经肌肉稳定训练对诊断为下尿路功能障碍的儿童的有效性评估及与肌电生物反馈治疗的比较：一项初步研究。","authors":"Emine Nacar, Sinem Suner Keklik, Ahmet Taner Elmas","doi":"10.22037/uj.v22i.8348","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This study was designed to evaluate effectiveness of dynamic neuromuscular stabilization (DNS) training in children with non-neurogenic lower urinary tract dysfunction (LUTD) and compare it with biofeedback (BF) treatment.</p><p><strong>Materials and methods: </strong>Total of 15 participants aged 6-15 years with non-neurogenic LUTD were divided into three groups: Group I, \"DNS exercise training\"; Group II, \"BF training\"; and Group III, \"DNS plus BF training.\" Participants' Dysfunctional Voiding and Incontinence Scoring System (DVISS) scores, uroflowmetry parameters, uroflow curve, post voiding residual (PVR) values, deep trunk muscle strength were evaluated at baseline and at 4, 8 and 12 weeks after treatment.</p><p><strong>Results: </strong>It was observed that total DVISS scores of individuals in Groups I and III significantly decreased after 12 weeks, while individuals in Group II showed significant decrease in total DVISS score after 4 and 8 weeks (P < .05). When examining changes in deep trunk muscle strength between groups at all time periods, it was determined that improvement in Groups I and III after 4 and 8 weeks was significantly greater than that in Group II (P < .05). In Group I, average flow rate value significantly increased after 4 weeks, while flow time value significantly decreased after 12 weeks (P < .05). When examining PVR values between groups, it was determined that there were statistically significant decreases in individuals in Group I after 12 weeks and in individuals in Group III after 8 weeks (P < .05).</p><p><strong>Conclusion: </strong>According to results, DNS and BF training are effective in improving symptoms in patients with non-neurogenic LUTD. However, groups in which DNS exercises were applied were superior in improving some parameters.</p>","PeriodicalId":23416,"journal":{"name":"Urology Journal","volume":" ","pages":""},"PeriodicalIF":0.9000,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluation of the Effectiveness of Dynamic Neuromuscular Stabilization Training in Children Diagnosed with Lower Urinary Tract Dysfunction and Comparison with EMG Biofeedback Treatment: A Pilot Study.\",\"authors\":\"Emine Nacar, Sinem Suner Keklik, Ahmet Taner Elmas\",\"doi\":\"10.22037/uj.v22i.8348\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>This study was designed to evaluate effectiveness of dynamic neuromuscular stabilization (DNS) training in children with non-neurogenic lower urinary tract dysfunction (LUTD) and compare it with biofeedback (BF) treatment.</p><p><strong>Materials and methods: </strong>Total of 15 participants aged 6-15 years with non-neurogenic LUTD were divided into three groups: Group I, \\\"DNS exercise training\\\"; Group II, \\\"BF training\\\"; and Group III, \\\"DNS plus BF training.\\\" Participants' Dysfunctional Voiding and Incontinence Scoring System (DVISS) scores, uroflowmetry parameters, uroflow curve, post voiding residual (PVR) values, deep trunk muscle strength were evaluated at baseline and at 4, 8 and 12 weeks after treatment.</p><p><strong>Results: </strong>It was observed that total DVISS scores of individuals in Groups I and III significantly decreased after 12 weeks, while individuals in Group II showed significant decrease in total DVISS score after 4 and 8 weeks (P < .05). When examining changes in deep trunk muscle strength between groups at all time periods, it was determined that improvement in Groups I and III after 4 and 8 weeks was significantly greater than that in Group II (P < .05). In Group I, average flow rate value significantly increased after 4 weeks, while flow time value significantly decreased after 12 weeks (P < .05). When examining PVR values between groups, it was determined that there were statistically significant decreases in individuals in Group I after 12 weeks and in individuals in Group III after 8 weeks (P < .05).</p><p><strong>Conclusion: </strong>According to results, DNS and BF training are effective in improving symptoms in patients with non-neurogenic LUTD. 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Evaluation of the Effectiveness of Dynamic Neuromuscular Stabilization Training in Children Diagnosed with Lower Urinary Tract Dysfunction and Comparison with EMG Biofeedback Treatment: A Pilot Study.
Purpose: This study was designed to evaluate effectiveness of dynamic neuromuscular stabilization (DNS) training in children with non-neurogenic lower urinary tract dysfunction (LUTD) and compare it with biofeedback (BF) treatment.
Materials and methods: Total of 15 participants aged 6-15 years with non-neurogenic LUTD were divided into three groups: Group I, "DNS exercise training"; Group II, "BF training"; and Group III, "DNS plus BF training." Participants' Dysfunctional Voiding and Incontinence Scoring System (DVISS) scores, uroflowmetry parameters, uroflow curve, post voiding residual (PVR) values, deep trunk muscle strength were evaluated at baseline and at 4, 8 and 12 weeks after treatment.
Results: It was observed that total DVISS scores of individuals in Groups I and III significantly decreased after 12 weeks, while individuals in Group II showed significant decrease in total DVISS score after 4 and 8 weeks (P < .05). When examining changes in deep trunk muscle strength between groups at all time periods, it was determined that improvement in Groups I and III after 4 and 8 weeks was significantly greater than that in Group II (P < .05). In Group I, average flow rate value significantly increased after 4 weeks, while flow time value significantly decreased after 12 weeks (P < .05). When examining PVR values between groups, it was determined that there were statistically significant decreases in individuals in Group I after 12 weeks and in individuals in Group III after 8 weeks (P < .05).
Conclusion: According to results, DNS and BF training are effective in improving symptoms in patients with non-neurogenic LUTD. However, groups in which DNS exercises were applied were superior in improving some parameters.
期刊介绍：
As the official journal of the Urology and Nephrology Research Center (UNRC) and the Iranian Urological Association (IUA), Urology Journal is a comprehensive digest of useful information on modern urology. Emphasis is on practical information that reflects the latest diagnostic and treatment techniques. Our objectives are to provide an exceptional source of current and clinically relevant research in the discipline of urology, to reflect the scientific work and progress of our colleagues, and to present the articles in a logical, timely, and concise format that meets the diverse needs of today’s urologist.
Urology Journal publishes manuscripts on urology and kidney transplantation, all of which undergo extensive peer review by recognized authorities in the field prior to their acceptance for publication. Accordingly, original articles, case reports, and letters to editor are encouraged.
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