Which One Is More Effective for Lower Urinary Tract Dysfunctions in Children? Pelvic Floor Contraction or Pelvic Floor Relaxation in Biofeedback Therapy
Objective:The objective of this study is to investigate the results of contraction- and relaxation-based biofeedback (BF) in children with lower urinary tract dysfunction (LUTD).Materials and Methods:Between 2007 and 2017, we randomly directed children with the diagnosis of LUTD and refractory to st...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2020-09-01
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| Series: | Journal of Urological Surgery |
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http://jurolsurgery.org/archives/archive-detail/article-preview/which-one-s-more-effective-for-lower-urinary-tract/38727
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| _version_ | 1797912113693327360 |
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| author | Burak Köprü Turgay Ebiloğlu Giray Ergin Engin Kaya Yusuf Kibar |
| author_facet | Burak Köprü Turgay Ebiloğlu Giray Ergin Engin Kaya Yusuf Kibar |
| author_sort | Burak Köprü |
| collection | DOAJ |
| description | Objective:The objective of this study is to investigate the results of contraction- and relaxation-based biofeedback (BF) in children with lower urinary tract dysfunction (LUTD).Materials and Methods:Between 2007 and 2017, we randomly directed children with the diagnosis of LUTD and refractory to standard urotherapy modifications via BF by using two different animations: animation A with relaxation nature BF (RBF) and animation B with contraction nature BF (CBF). The categories of non-response, partial response, and full response were defined as a 0-49% decrease, 50-99% decrease, and 100% decrease in the LUTD Symptom score, respectively. Results of biofeedback using RBF or CBF were compared.Results:There were 100 and 70 children in the RBF and CBF groups, respectively. Patients with an abnormal voiding pattern (abnormalVP) and a positive electromyography (EMG) activity (positive EMG) had a better resolution with RBF (p=0.001), whereas patients with abnormalVP and a negative EMG activity (negative EMG) had a better resolution with CBF (p=0.039). Despite being statistically insignificant, patients with a normal voiding pattern (normalVP) and positive EMG had a better resolution with CBF (p=0.452), whereas patients with normalVP and negative EMG had a better resolution with RBF (p=0.083).Conclusion:The EMG activity identifies the BF nature in children with LUTD and abnormalVP. Importantly, positive EMG had better results with RBF, whereas negative EMG had better results with CBF. |
| first_indexed | 2024-04-10T11:51:20Z |
| format | Article |
| id | doaj.art-3a0f930deaec4ed0974fd291df47e08a |
| institution | Directory Open Access Journal |
| issn | 2148-9580 2148-9580 |
| language | English |
| last_indexed | 2024-04-10T11:51:20Z |
| publishDate | 2020-09-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Journal of Urological Surgery |
| spelling | doaj.art-3a0f930deaec4ed0974fd291df47e08a2023-02-15T16:17:05ZengGalenos YayineviJournal of Urological Surgery2148-95802148-95802020-09-017321121710.4274/jus.galenos.2020.305413049054Which One Is More Effective for Lower Urinary Tract Dysfunctions in Children? Pelvic Floor Contraction or Pelvic Floor Relaxation in Biofeedback TherapyBurak Köprü0Turgay Ebiloğlu1Giray Ergin2Engin Kaya3Yusuf Kibar4 Koru Ankara Hospital, Clinic of Urology, Ankara, Turkiye Gülhane Training and Research Hospital, Clinic of Urology, Ankara, Turkiye Koru Ankara Hospital, Clinic of Urology, Ankara, Turkiye Gülhane Training and Research Hospital, Clinic of Urology, Ankara, Turkiye Koru Ankara Hospital, Clinic of Urology, Ankara, Turkiye Objective:The objective of this study is to investigate the results of contraction- and relaxation-based biofeedback (BF) in children with lower urinary tract dysfunction (LUTD).Materials and Methods:Between 2007 and 2017, we randomly directed children with the diagnosis of LUTD and refractory to standard urotherapy modifications via BF by using two different animations: animation A with relaxation nature BF (RBF) and animation B with contraction nature BF (CBF). The categories of non-response, partial response, and full response were defined as a 0-49% decrease, 50-99% decrease, and 100% decrease in the LUTD Symptom score, respectively. Results of biofeedback using RBF or CBF were compared.Results:There were 100 and 70 children in the RBF and CBF groups, respectively. Patients with an abnormal voiding pattern (abnormalVP) and a positive electromyography (EMG) activity (positive EMG) had a better resolution with RBF (p=0.001), whereas patients with abnormalVP and a negative EMG activity (negative EMG) had a better resolution with CBF (p=0.039). Despite being statistically insignificant, patients with a normal voiding pattern (normalVP) and positive EMG had a better resolution with CBF (p=0.452), whereas patients with normalVP and negative EMG had a better resolution with RBF (p=0.083).Conclusion:The EMG activity identifies the BF nature in children with LUTD and abnormalVP. Importantly, positive EMG had better results with RBF, whereas negative EMG had better results with CBF. http://jurolsurgery.org/archives/archive-detail/article-preview/which-one-s-more-effective-for-lower-urinary-tract/38727 lutdbiofeedbackemg activityvoiding patterncontractionrelaxation |
| spellingShingle | Burak Köprü Turgay Ebiloğlu Giray Ergin Engin Kaya Yusuf Kibar Which One Is More Effective for Lower Urinary Tract Dysfunctions in Children? Pelvic Floor Contraction or Pelvic Floor Relaxation in Biofeedback Therapy Journal of Urological Surgery lutd biofeedback emg activity voiding pattern contraction relaxation |
| title | Which One Is More Effective for Lower Urinary Tract Dysfunctions in Children? Pelvic Floor Contraction or Pelvic Floor Relaxation in Biofeedback Therapy |
| title_full | Which One Is More Effective for Lower Urinary Tract Dysfunctions in Children? Pelvic Floor Contraction or Pelvic Floor Relaxation in Biofeedback Therapy |
| title_fullStr | Which One Is More Effective for Lower Urinary Tract Dysfunctions in Children? Pelvic Floor Contraction or Pelvic Floor Relaxation in Biofeedback Therapy |
| title_full_unstemmed | Which One Is More Effective for Lower Urinary Tract Dysfunctions in Children? Pelvic Floor Contraction or Pelvic Floor Relaxation in Biofeedback Therapy |
| title_short | Which One Is More Effective for Lower Urinary Tract Dysfunctions in Children? Pelvic Floor Contraction or Pelvic Floor Relaxation in Biofeedback Therapy |
| title_sort | which one is more effective for lower urinary tract dysfunctions in children pelvic floor contraction or pelvic floor relaxation in biofeedback therapy |
| topic | lutd biofeedback emg activity voiding pattern contraction relaxation |
| url |
http://jurolsurgery.org/archives/archive-detail/article-preview/which-one-s-more-effective-for-lower-urinary-tract/38727
|
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