Urinary Incontinence Clinical Trial
Official title:
Prevalence of Incontinence and Risk Factors in Children With Cerebral Palsy
This study evaluates (risk)factors influencing (in)continence in children with and without a brain injury.
Children with cerebral palsy (CP) (Rosenbaum, 2007) gain bladder and bowel control at older
age compared to typical developing children (Ozturk, 2006). The incidence of urinary
incontinence during day and night, fecal incontinence and constipation is higher in this
population.
Incontinence in children is often treated with urotherapy. This is a nonsurgical,
nonpharmacological treatment for lower urinary tract dysfunctions. Standard urotherapy is
noninterventional and it includes giving information, instructions, advice regarding
life-style, fluid intake and bladder diaries. Additionally specific interventions can be
used, such as: various forms of pelvic floor training, behavioral modification, biofeedback,
electrical stimulation and catheterization (Neveus, 2006). Recent research has proven
urotherapy to be successful for the treatment of children with daytime incontinence
(Mulders, 2010).
Despite the high prevalence of incontinence in children with CP the possible treatment
strategies in this population are poorly investigated. Far too often, urinary incontinence
in children with CP is considered a normal, unavoidable and even a minor problem.
Aim: Analyze (risk) factors influencing (in)continence in children with and without CP.
Possible parameters will be registered through questioning, measurement (uroflow combined
with pelvic floor EMG and postmictional residue) and retrospective analysis of the patient
files. Parameters will be compared between continent and incontinent children with and
without CP. This comparison evaluates whether the same therapeutic strategies can be applied
in incontinent children with and without CP.
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Observational Model: Case Control, Time Perspective: Cross-Sectional
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