Physiotherapy Applications in Children With Bladder and Bowel Symptoms After Anorectal Malformation Surgery
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Physiotherapy.
- Who it may be relevant to
- Registry conditions: Anorectal Diseases. Basic parameters: 5 years — 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Effects of Physiotherapy Applications in Children With Bladder and Bowel Symptoms After Anorectal Malformation Surgery
Overview
The aim of our study was to investigate the effects of physiotherapy applications in children with bladder and bowel symptoms after anorectal malformation surgery.
Detailed description
Anorectal malformation (ARM) is a congenital anomaly in which the rectum and anus of the developing fetus fail to form normally before birth. The main treatment for ARM is surgery. However, various complications may occur in these children after surgery due to disruption of the muscular structure, nerve damage and weakness of the sphincters. These complications include fecal incontinence, chronic constipation, difficulty in defecation and abdominal pain. Constipation and fecal incontinence can be seen quite frequently in these individuals. Sometimes these symptoms may be accompanied by additional bladder problems (urinary incontinence etc.). Bowel training, dietary recommendations, toilet training, enemas, medications and physiotherapy applications can be used in the management of fecal incontinence and constipation. In the literature, there are limited number of studies evaluating physiotherapy applications in the management of postoperative bladder bowel symptoms in children with ARM.
Interventions
- Other Physiotherapy
Physiotherapy program will include patient education, lifestyle recommendations (fluid intake, diet, correct urination/defecation position, weight control, etc.), breathing exercises, pelvic floor muscle training, and stabilization exercises. The treatment program will last for a total of 8 weeks
Primary outcome measures
- Bladder and Bowel Dysfunction Symptoms [Time frame: before and after treatment (8-week change)]
Secondary outcome measures (7)
- Bowel Function [Time frame: before and after treatment (8-week change)]
- Bladder function [Time frame: before and after treatment (8-week change)]
- Constipation [Time frame: before and after treatment (8-week change)]
- Pelvic floor muscle function [Time frame: before and after treatment (8-week change)]
- Life quality [Time frame: before and after treatment (8-week change)]
- Perception of improvement [Time frame: after treatment (8-week change)]
- Compliance with recommendations [Time frame: After treatment (8-week change)]
Eligibility criteria
Inclusion criteria
- Children aged 5-18 years with bladder bowel symptoms after anorectal malformation surgery
- Volunteering to participate in the study
Exclusion criteria
- Presence of a congenital and/or chronic disease
- Having a history of any additional neurological, orthopedic or psychiatric disease that will affect the evaluation parameters
- Mental retardation
- Having received physiotherapy within the last 1 year
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT07075692 · 1328