Assessment of Bladder functions in children with Enuresis

Various studies have shown that the incidence of Enuresis is growing the populations. According to a recent study The worldwide prevalence of enuresis among children aged 6–12 years is 1.4%–28%. The prevalence in India is 7.61%–16.3%. The prevalence is highest in children aged 5–8 years (and 6–8 years) and lowest in children aged 11–12 years. In children it has a negative impact socially and psychologically. Detrusor over activity and bladder capacity is one of the contributing factors for enuresis. It impacts the emotional state, self esteem, as well as the social development of a child. Children with nocturnal enuresis have lower self esteem, mental health, skills, and poorer relation to their parents and others. Surface Electromyography at perianal region can be used as an assessment tool in enuresis.

METHODOLOGY

History and consent will be taken from the child’s parent/guardian.

All aseptic precautions will be taken for the outcome measure. The parent or the gaurdian will be present with the child at the time of the assessment.

The bladder function will be assessed using surface EMG: explain the procedure to the child and the gaurdian accompanying the child. Place the surface electrode in the perianal region. Ask the child to squeeze a pillow that is placed between his/ her knees.

The readings will be noted at rest and on maximum contraction and then analyzed.