Effects of Physiotherapy Applications in Children With Bladder and Bowel Symptoms After Anorectal Malformation Surgery
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 20
- 主要终点
- Bladder and Bowel Dysfunction Symptoms
研究概览
简要总结
The aim of our study was to investigate the effects of physiotherapy applications in children with bladder and bowel symptoms after anorectal malformation surgery.
详细描述
Anorectal malformation (ARM) is a congenital anomaly in which the rectum and anus of the developing fetus fail to form normally before birth. The main treatment for ARM is surgery. However, various complications may occur in these children after surgery due to disruption of the muscular structure, nerve damage and weakness of the sphincters. These complications include fecal incontinence, chronic constipation, difficulty in defecation and abdominal pain. Constipation and fecal incontinence can be seen quite frequently in these individuals. Sometimes these symptoms may be accompanied by additional bladder problems (urinary incontinence etc.). Bowel training, dietary recommendations, toilet training, enemas, medications and physiotherapy applications can be used in the management of fecal incontinence and constipation. In the literature, there are limited number of studies evaluating physiotherapy applications in the management of postoperative bladder bowel symptoms in children with ARM.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 5 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Children aged 5-18 years with bladder bowel symptoms after anorectal malformation surgery
- •Volunteering to participate in the study
排除标准
- •Presence of a congenital and/or chronic disease
- •Having a history of any additional neurological, orthopedic or psychiatric disease that will affect the evaluation parameters
- •Mental retardation
- •Having received physiotherapy within the last 1 year
结局指标
主要结局
Bladder and Bowel Dysfunction Symptoms
时间窗: before and after treatment (8-week change)
Bladder and bowel symptoms will be assessed with the Bladder and Bowel Dysfunction Score. The scale consists of 14 questions. The total score ranges from 0-52 and an increase in score means an increase in symptom severity.
次要结局
- Bladder function(before and after treatment (8-week change))
- Constipation(before and after treatment (8-week change))
- Pelvic floor muscle function(before and after treatment (8-week change))
- Life quality(before and after treatment (8-week change))
- Perception of improvement(after treatment (8-week change))
- Bowel Function(before and after treatment (8-week change))
- Compliance with recommendations(After treatment (8-week change))
研究者
seyda toprak celenay
Professor
Ankara Yildirim Beyazıt University