Effects of Physiotherapy in Children With Hirschsprung's Disease
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: Hirschsprung Disease. 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
Investigation of Effects of Physiotherapy in Children With Hirschsprung's Disease
Overview
The aim of our study is to investigate the effects of physiotherapy in children with Hirschsprung's disease who have bowel symptoms after surgery.
Detailed description
Hirschsprung's disease is a developmental disorder of the enteric nervous system characterized by the absence of ganglion cells in the distal intestine, resulting in functional intestinal obstruction. The treatment applied after diagnosis is surgical. Although individuals with a history of surgery due to Hirschsprung's disease generally have normal bowel and urinary function, it has been reported that they have a higher prevalence of fecal incontinence and constipation and a lower quality of life related to the gastrointestinal system. However, there are few studies evaluating the use of physiotherapy in the management of postoperative bowel symptoms in children with Hirschsprung's disease.
Interventions
- Behavioral Physiotherapy
The treatment program will include patient education, lifestyle recommendations, breathing exercises, pelvic floor muscle training, and stabilization exercises. The treatment program will last for a total of 8 weeks.
Primary outcome measures
- Bowel function [Time frame: before and after treatment (8-week change)]
Secondary outcome measures (5)
- 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 who have undergone surgery for Hirschsprung's disease and have intestinal symptoms, and who come for routine check-ups.
- Volunteering to participate in the study
Exclusion criteria
- Presence of a congenital and/or chronic disease
- Those with missing assessment parameters
- Having a history of any additional orthopedic, neurological or psychiatric disease that will affect the evaluation parameters
- Loss of sensation
- Mental retardation
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: NCT07156981 · TABED1/1561/2025