Abstract Book - 26th ESPU Congress, Joint Meeting with ICCS + SPU + AAP/SOU + AAPU + SFU

S24: NOCTURNAL ENURESIS

Moderators: Guy Bogaert (Belgium), Joseph Ortenberg (USA)

ESPU Meeting on Saturday 17, October 2015, 10:59 - 11:25

10:59 - 11:04

S24-1

(LO)

★

PATIENTS WITH NOCTURNAL ENURESIS MAY HAVE BALANCE DISORDERS

Marcos Giannetti MACHADO

, Rita Pavione Rodrigues PEREIRA

, Vera KOCK

, Simone FAGUNDES

, Adriene LEBL

, Leticia

AZEVEDO

, Francisco DENES

and Clarice TANAKA

1) University of Sao Paulo, Pediatric Urology, São Paulo, BRAZIL - 2) Hospital das Clínicas FMUSP, Divisão de

Fisioterapia, São Paulo, BRAZIL - 3) Hospital das Clínicas FMUSP, Nefrologia ICR, São Paulo, BRAZIL - 4) Hospital das

Clínicas FMUSP, Neurologia ICR, São Paulo, BRAZIL

INTRODUCTION

Balance is the ability to maintain body stability, even under disturbance. Balance requires integration of visual,

somatosensory and vestibular systems. Children with enuresis have delayed maturation of motor cortex with changes in

sensory and motor systems that comprise the basis of balance. Thus, we hypothesized: enuretic patients may have

balance disorders.

PATIENTS AND METHODS

One hundred eleven kids with nocturnal enuresis (EG) from 7-16 years old were paired with 60 asymptomatic kids (CG)

for gender, age and body mass. Two age groups were subdivided: A: 7-11 years (EG/A, N=77; CG/A N=38) and B: 12-

16 years (EG/B, N=34; CG/B N=22). Balance is assessed using an electronic force plate (60 Hz) measuring the Area (A)

and Velocity (VM) of Center of Pressure Displacement, which is the point of application of the resultant of vertical forces

acting on the supporting surface. Sensory Integration was measured by a 60-second trial standing in four conditions:

(1) open eyes, stable surface; (2) closed eyes, stable surface; (3) open eyes, unstable surface; (4) closed eyes,

unstable surface. Postural adjustment was assessed using belt traction with 4% of body weight and unexpected release

of it to produce a controlled postural perturbation followed by adjustments observed during 10 seconds.

RESULTS

EG/A group showed greater Area and VM compared to CG/A in all 4 sensorial conditions and greater VM with delayed

recover for postural adjustment.

EG/B group only showed greater Area compared to CG/B in sensorial conditions 1, 2 and 4.

CONCLUSIONS

Enuretic patients showed worse balance compared to control group.