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

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POSTURE AND MOBILITY CHANGES IN PATIENTS WITH NOCTURNAL ENURESIS

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

Posture refers to body alignment maintaining proper conditions to perform movements. Neuro-muscular system

integration is required for maintenance of posture as well for adequate voiding function. Patients with enuresis were

assessed for changes of posture and hip and spine mobility.

PATIENTS AND METHODS

97 patients with nocturnal enuresis (EG) ranging from 7-16 years were paired with 60 asymptomatic kids (CG) for

gender, age, and body mass index. Posture was assessed placing anatomical land markers in the process mastoid (PM);

7th cervical vertebrae (C7); anterior superior iliac spines (ASIS); posterior superior iliac spines (PSIS); greater trocanter

(GT) and lateral maleolus (LM). A photograph was acquired while quiet standing. Angles and distances were obtained

from landmarks connections using a software to assess the posture variables: ante/retroversion of pelvis,

ante/retropulsion of pelvis, and protusion/retraction of head. The mobility of hip flexion, extension and spine flexibility

were measured using goniometry, index of Schober/Stibor and Bank of Wells.

RESULTS

EG showed higher angles of anterversion of pelvis than CG (p<0.001). EG presented 76% protraction of head while 61%

of CG presented retraction of head. EG showed less spine mobility than CG (p=0.001); goniometry showed lower hip

extension in EG than CG (p<0.001).

CONCLUSIONS

Kids with enuresis presented alterations in posture with anterversion of pelvis and head protraction. Diminished mobility

and motion extension range of hip was also observed.