Comparison of Pelvic Floor Muscle Training and Dynamic Neuromuscular Stabilization Exercises in Pediatric Patients

Study Results

Results pending

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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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-11-11

Study Completion Date

2026-02-28

Brief Summary

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Dysfunctional voiding (DY) is one of the most common conditions in children. Various treatments are available. Participants will be randomly assigned to either PTCE (Group I) or PTCE+DNS (Group II). PTCE is the gold standard and routinely administered in hospitals for children diagnosed with dysfunctional voiding who are referred by a urologist. The PTCE group serves as the control group, and treatment will be scheduled for a total of 10 weeks, two days a week. During PTCE, children receive instruction about the pelvic floor using video visuals and increase awareness of their pelvic floor muscles. They are then instructed on how to contract and relax their muscles to control urination. DNS training is an exercise model that begins with spinal stabilization and addresses muscle synergies. Patients included in the study will be evaluated twice, at the beginning and at the end of the treatment, with the Voiding Disorders Symptom Score (VODS), Quality of Life Scale for Children with Urinary Incontinence (QOLS), Bladder Bowel Dysfunction Scale (BDS), Bristol Stool Scale and Children's Body Image Scale.

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Detailed Description

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Conditions

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Urology Pediatric Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Pelvic Floor Muscle Education group (PFME)

Children diagnosed with dysfunctional voiding will receive pelvic floor training using superficial video visuals, and pelvic muscle strength and endurance will be increased with EMG and biofeedback. Exercises will be administered three days a week for approximately eight weeks. They will be assessed before and after treatment with the Voiding Disorders Symptom Score (VDSS), the Children's Depression Scale, the Quality of Life for Children with Urinary Incontinence (QOLS), the Bladder and Bowel Dysfunction Scale (BDS), the Stool Scale, and the Children's Body Image Scale.

Group Type ACTIVE_COMPARATOR

PFME

Intervention Type BEHAVIORAL

During PFME, children are taught about the pelvic floor using video visuals and their awareness of the pelvic floor muscles is increased. They are then instructed on how to contract and relax their muscles to control urination. DNS exercises, on the other hand, is an exercise model that begins with spinal stabilization and focuses on muscle synergies. Participants in the study will be assessed twice: at the beginning and end of treatment, using the Voiding Disorders Symptom Score (VDSS), the Quality of Life for Children with Urinary Incontinence (QOLQ), the Bladder and Bowel Dysfunction Scale (BBS), the Bristol Stool Scale, and the Children's Body Image Scale.

PFME+DNS group

In addition to PFME, an exercise model that begins with Dynamic Neuromuscular Stabilization (DNS) spine stabilization and addresses muscle synergies will be applied for approximately 8 weeks. hey will be assessed before and after treatment with the Voiding Disorders Symptom Score (VDSS), the Children's Depression Scale, the Quality of Life for Children with Urinary Incontinence (QOLS), the Bladder and Bowel Dysfunction Scale (BDS), the Stool Scale, and the Children's Body Image Scale.

Group Type ACTIVE_COMPARATOR

PFME

Intervention Type BEHAVIORAL

During PFME, children are taught about the pelvic floor using video visuals and their awareness of the pelvic floor muscles is increased. They are then instructed on how to contract and relax their muscles to control urination. DNS exercises, on the other hand, is an exercise model that begins with spinal stabilization and focuses on muscle synergies. Participants in the study will be assessed twice: at the beginning and end of treatment, using the Voiding Disorders Symptom Score (VDSS), the Quality of Life for Children with Urinary Incontinence (QOLQ), the Bladder and Bowel Dysfunction Scale (BBS), the Bristol Stool Scale, and the Children's Body Image Scale.

Interventions

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PFME

During PFME, children are taught about the pelvic floor using video visuals and their awareness of the pelvic floor muscles is increased. They are then instructed on how to contract and relax their muscles to control urination. DNS exercises, on the other hand, is an exercise model that begins with spinal stabilization and focuses on muscle synergies. Participants in the study will be assessed twice: at the beginning and end of treatment, using the Voiding Disorders Symptom Score (VDSS), the Quality of Life for Children with Urinary Incontinence (QOLQ), the Bladder and Bowel Dysfunction Scale (BBS), the Bristol Stool Scale, and the Children's Body Image Scale.

Intervention Type BEHAVIORAL

Other Intervention Names

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PFME+DNS Exercise

Eligibility Criteria

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Inclusion Criteria

* Having been diagnosed with voiding dysfunction according to ICCS diagnostic criteria in a urology outpatient clinic,
* Being 5-18 years old,
* The child and their parent/guardian agree to participate in the study voluntarily and provide signed consent.

Exclusion Criteria

* Organic pathologies such as urethral obstruction, ectopic ureter, spinal dysraphism, and diabetes
* Diagnosis of VUR or neurogenic bladder
* Cognitive and mental impairment
* Having spina bifida
* Being under 5 years of age
* Receiving treatment such as PTC training or electrical stimulation

Minimum Eligible Age

5 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes