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14:32 - 14:36
ICCS S1-7
(SO)
ARE INTERFERENTIAL ELECTRICAL STIMULATION AND DIAPHRAGMATIC
BREATHING EXERCISES BENEFICIAL IN CHILDREN WITH BOWEL BLADDER
DYSFUNCTION ?
Vesna ZIVKOVIC
1
, Milica LAZOVIC
2
, Ivona STANKOVIC
3
, Lidija DIMITRIJEVIC
3
, Hristina COLOVIC
3
, Marija SPALEVIC
3
,
Marina VLAJKOVIC
4
and Andjelka SLAVKOVIC
5
1) Clinical Centre Nis, Clinic of physical and rehabilitation medicine, Pediatric rehabilitation, Nis, SERBIA - 2)
Rehabilitation Institute, Beograd, SERBIA - 3) Clinic of Physical Medicine, Rehabilitation and Prosthetics, Nis, SERBIA -
4) Department of Nuclear Medicine, Nis, SERBIA - 5) Clinic of Paediatric Surgery, Nis, SERBIA
PURPOSE
Evaluation of the bowel function in children with LUTS is necessary as more than 50% of these children fulfill the
diagnostic criteria for functional defecation disorders. Treatment of constipation significantly reduces LUTS. Interferential
electrical stimulation has been used to treat chronic treatment-resistant constipation and soiling in children. The aim of
the study was to evaluate the effects of interferential electrical stimulation and diaphragmatic breathing exercises in
children with bowel bladder dysfunction.
MATERIAL AND METHODS
Seventeen children with dysfunctional voiding who were chronically constipated were included in the prospective clinical
study. All the children were checked for their medical history regarding bowel habits and LUTS. Physical examination
including abdominal and anorectal digital examination were performed. Children kept a voiding and defecation diary,
and underwent urinalyses and urine culture, the ultrasound examination of bladder and kidneys and uroflowmetry with
pelvic floor EMG. In order to evaluate the colonic transit pattern, colonic scintigraphy was performed.
In addition to education and bihevioural modifications, children were assigned diaphragmatic breathing exercises and
interferential electrical stimulation for 2 weeks. Clinical manifestations, uroflowmetry curve type and postvoided residual
urine (RU) were analysed before and after the therapy.
RESULTS
One month after the therapy, defecation increased in 14/17 patients and fecal incontinence decreased in 2/3 patients.
LUTS disappeared in 10/17 patients. Bell-shaped uroflow curve was observed in 10/17 children while RU was reduced in
6/9 children.
CONCLUSIONS
Interferential electrical stimulation and diaphragmatic breathing exercises are beneficial in chronically constipated
dysfunctional voiders. Further trials are needed to define the long-term effects of this program.