New Generation Rehabilitation Approach in Children With Dysfunctional Voiding
NCT ID: NCT06743165
Last Updated: 2025-12-08
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
38 participants
INTERVENTIONAL
2025-02-01
2026-06-01
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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DNS Group
This group includes 18 children with Dysfunctional voiding, aged between 6 and 14 years.
Pelvic floor muscle training with ultrasound biofeedback
Pelvic floor muscle training (PFMT) will be given to both groups with transabdominal US. PFMT will be applied by physiotherapists who have received training and supervision from physiotherapists who are experts in the field of pelvic floor US imaging and pelvic floor muscle training with US. Pelvic floor muscle training will be applied with a GE Brand LOGIQ P8 model transabdominal ultrasound (GE HealthCare) US device under the supervision of an expert physiotherapist. Parents and children will be informed about PFMT.
Dynamic neuromuscular stabilization exercise
Dynamic neuromuscular exercises (DNS) involve the joint activation of the intrinsic muscle group of the spine, which includes the cervical flexors and extensors, diaphragm, transversus abdominis, multifidus and pelvic floor, which form the integrated spinal stabilization system. The application principles are joint centering, core stabilization - Integrated spinal stabilization system and stabilization function of the diaphragm. DNS training will be applied in three stages. Preparation for exercises, IAB regulation and application of exercises according to developmental kinesiology positions. Exercises will start with preparatory training. In preparatory training, stroking, brushing and tapping techniques will be taught and self-facilitation will be demonstrated in order to increase proprioceptive input to the lower extremity, upper extremity, trunk and pelvic region. Fascial mobilizations will be performed to the foot and hand regions.
Standard exercise group
This group includes 18 children with Dysfunctional voiding, aged between 6 and 14 years.
Pelvic floor muscle training with ultrasound biofeedback
Pelvic floor muscle training (PFMT) will be given to both groups with transabdominal US. PFMT will be applied by physiotherapists who have received training and supervision from physiotherapists who are experts in the field of pelvic floor US imaging and pelvic floor muscle training with US. Pelvic floor muscle training will be applied with a GE Brand LOGIQ P8 model transabdominal ultrasound (GE HealthCare) US device under the supervision of an expert physiotherapist. Parents and children will be informed about PFMT.
Interventions
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Pelvic floor muscle training with ultrasound biofeedback
Pelvic floor muscle training (PFMT) will be given to both groups with transabdominal US. PFMT will be applied by physiotherapists who have received training and supervision from physiotherapists who are experts in the field of pelvic floor US imaging and pelvic floor muscle training with US. Pelvic floor muscle training will be applied with a GE Brand LOGIQ P8 model transabdominal ultrasound (GE HealthCare) US device under the supervision of an expert physiotherapist. Parents and children will be informed about PFMT.
Dynamic neuromuscular stabilization exercise
Dynamic neuromuscular exercises (DNS) involve the joint activation of the intrinsic muscle group of the spine, which includes the cervical flexors and extensors, diaphragm, transversus abdominis, multifidus and pelvic floor, which form the integrated spinal stabilization system. The application principles are joint centering, core stabilization - Integrated spinal stabilization system and stabilization function of the diaphragm. DNS training will be applied in three stages. Preparation for exercises, IAB regulation and application of exercises according to developmental kinesiology positions. Exercises will start with preparatory training. In preparatory training, stroking, brushing and tapping techniques will be taught and self-facilitation will be demonstrated in order to increase proprioceptive input to the lower extremity, upper extremity, trunk and pelvic region. Fascial mobilizations will be performed to the foot and hand regions.
Eligibility Criteria
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Inclusion Criteria
* Diagnosed with dysfunctional urination according to uroflowmetry measurement results and clinical examination findings,
* Children who consent to participate in the study with the consent of their mother, father or legal guardian (legal representative) will be included in the study.
Exclusion Criteria
* Those with anatomical changes in the urinary system,
* Those with spina bifida,
* Those with a history of active urinary tract infection,
* Those with a neurological disease,
* Those with accompanying respiratory system disease,
* Those with cognitive impairment,
* Those with mental retardation,
* Children whose bladder image is unclear in the pelvic floor evaluation with US,
* Children who have previously undergone orthopedic surgery will not be included in the study.
PS:
* Children who cannot comply with the application of pelvic floor muscle training,
* Children who have missed 2 or more sessions of the treatment program will be excluded from the study.
6 Years
14 Years
ALL
No
Sponsors
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Health Institutes of Turkey
OTHER_GOV
Izmir University of Economics
OTHER
Responsible Party
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Seda Yakit Yesilyurt
Assist. Prof.
Locations
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Izmir University of Economics
Izmir, İzmir, Turkey (Türkiye)
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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SYY_IEU_4
Identifier Type: -
Identifier Source: org_study_id
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