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Home pelvic floor exercises in children with non‐neurogenic Lower Urinary Tract Symptoms: Is fitball an alternative to classic exercises?

INTRODUCTION: Biofeedback with home pelvic floor exercises were recommended as non‐pharmacologic treatment for non‐neurogenic Lower Urinary Tract Symptoms (LUTS) in children. Fitball is recommended to improve all‐over flexibility, balance, and coordination, especially for pelvic floor. Aim of the st...

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Autores principales: Sollini, Maria Laura, Capitanucci, Maria Luisa, Foti, Calogero, Nocentini, Ugo, Castelli, Enrico, Mosiello, Giovanni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10092819/
https://www.ncbi.nlm.nih.gov/pubmed/36208111
http://dx.doi.org/10.1002/nau.25060
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author Sollini, Maria Laura
Capitanucci, Maria Luisa
Foti, Calogero
Nocentini, Ugo
Castelli, Enrico
Mosiello, Giovanni
author_facet Sollini, Maria Laura
Capitanucci, Maria Luisa
Foti, Calogero
Nocentini, Ugo
Castelli, Enrico
Mosiello, Giovanni
author_sort Sollini, Maria Laura
collection PubMed
description INTRODUCTION: Biofeedback with home pelvic floor exercises were recommended as non‐pharmacologic treatment for non‐neurogenic Lower Urinary Tract Symptoms (LUTS) in children. Fitball is recommended to improve all‐over flexibility, balance, and coordination, especially for pelvic floor. Aim of the study was to investigate efficacy of standard home pelvic floor exercises versus exercises using fitball. METHODS: From April 2021 to February 2022 to all children arrived in our clinic with non‐neurogenic LUTS nonresponder at urotherapy, our pelvic floor rehabilitative program was proposed. During the rehabilitation children performed: standard urotherapy, pelvic floor animated biofeedback therapy and pelvic floor exercises in a standard way and using a fitball. After the first session, patients received prescription to repeat at home the same exercises performed at hospital. Children who chose classic exercises were enrolled in group A and they who chose fitball in group B. Continence rate, pelvic floor muscles activity, adherence and satisfaction were evaluated by means of bladder diary, external pubococcygeus test and Likert‐type psychometric scale (from 1 = very unsatisfied to 5 = very satisfied) respectively. RESULTS: Twenty‐six children affected by LUTS were enrolled: 13 in group A and 13 in B. At 4th control urinary incontinence was reduced by 72,5% in A and 71.4% in B. Pubococcygeus test increased in both groups. Adherence at home was 92% in group A and 62% in group B. Satisfaction with the treatment (4 or 5 points) was 95% in both groups. Four patients of group A and all of group B decided to maintain home exercises including fitball. CONCLUSIONS: Our preliminary study shows that efficacy of home exercises, with or without fitball, is comparable. Satisfaction with fitball is high, regardless results obtained, because parents and children have learned a new, interesting and stimulating way to manage urinary problems. The opportunity to perform these exercises using fitball, it's an important finding for pediatric population.
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spelling pubmed-100928192023-04-13 Home pelvic floor exercises in children with non‐neurogenic Lower Urinary Tract Symptoms: Is fitball an alternative to classic exercises? Sollini, Maria Laura Capitanucci, Maria Luisa Foti, Calogero Nocentini, Ugo Castelli, Enrico Mosiello, Giovanni Neurourol Urodyn Clinical Articles INTRODUCTION: Biofeedback with home pelvic floor exercises were recommended as non‐pharmacologic treatment for non‐neurogenic Lower Urinary Tract Symptoms (LUTS) in children. Fitball is recommended to improve all‐over flexibility, balance, and coordination, especially for pelvic floor. Aim of the study was to investigate efficacy of standard home pelvic floor exercises versus exercises using fitball. METHODS: From April 2021 to February 2022 to all children arrived in our clinic with non‐neurogenic LUTS nonresponder at urotherapy, our pelvic floor rehabilitative program was proposed. During the rehabilitation children performed: standard urotherapy, pelvic floor animated biofeedback therapy and pelvic floor exercises in a standard way and using a fitball. After the first session, patients received prescription to repeat at home the same exercises performed at hospital. Children who chose classic exercises were enrolled in group A and they who chose fitball in group B. Continence rate, pelvic floor muscles activity, adherence and satisfaction were evaluated by means of bladder diary, external pubococcygeus test and Likert‐type psychometric scale (from 1 = very unsatisfied to 5 = very satisfied) respectively. RESULTS: Twenty‐six children affected by LUTS were enrolled: 13 in group A and 13 in B. At 4th control urinary incontinence was reduced by 72,5% in A and 71.4% in B. Pubococcygeus test increased in both groups. Adherence at home was 92% in group A and 62% in group B. Satisfaction with the treatment (4 or 5 points) was 95% in both groups. Four patients of group A and all of group B decided to maintain home exercises including fitball. CONCLUSIONS: Our preliminary study shows that efficacy of home exercises, with or without fitball, is comparable. Satisfaction with fitball is high, regardless results obtained, because parents and children have learned a new, interesting and stimulating way to manage urinary problems. The opportunity to perform these exercises using fitball, it's an important finding for pediatric population. John Wiley and Sons Inc. 2022-10-08 2023-01 /pmc/articles/PMC10092819/ /pubmed/36208111 http://dx.doi.org/10.1002/nau.25060 Text en © 2022 The Authors. Neurourology and Urodynamics published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Clinical Articles
Sollini, Maria Laura
Capitanucci, Maria Luisa
Foti, Calogero
Nocentini, Ugo
Castelli, Enrico
Mosiello, Giovanni
Home pelvic floor exercises in children with non‐neurogenic Lower Urinary Tract Symptoms: Is fitball an alternative to classic exercises?
title Home pelvic floor exercises in children with non‐neurogenic Lower Urinary Tract Symptoms: Is fitball an alternative to classic exercises?
title_full Home pelvic floor exercises in children with non‐neurogenic Lower Urinary Tract Symptoms: Is fitball an alternative to classic exercises?
title_fullStr Home pelvic floor exercises in children with non‐neurogenic Lower Urinary Tract Symptoms: Is fitball an alternative to classic exercises?
title_full_unstemmed Home pelvic floor exercises in children with non‐neurogenic Lower Urinary Tract Symptoms: Is fitball an alternative to classic exercises?
title_short Home pelvic floor exercises in children with non‐neurogenic Lower Urinary Tract Symptoms: Is fitball an alternative to classic exercises?
title_sort home pelvic floor exercises in children with non‐neurogenic lower urinary tract symptoms: is fitball an alternative to classic exercises?
topic Clinical Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10092819/
https://www.ncbi.nlm.nih.gov/pubmed/36208111
http://dx.doi.org/10.1002/nau.25060
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