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Abstract
The present study, conducted on three children with cerebral palsy who had voiding dysfunction. After collecting demographic information, symptoms of voiding dysfunctions were recorded. Then; we did an ultrasonographic evaluation of the bladder to measure residual urine volume. Physiotherapy treatment through percutaneous electrical stimulation of the posterior tibial nerve was performed in 12 sessions. Bladder ultrasonography was repeated after treatment. Abnormal residual urine volume became normal in patients with urinary retention. Percutaneous posterior tibial nerve stimulation reduces symptoms of voiding dysfunctions in children with cerebral palsy.
Highlights
Neurogenic bladder (NGB), a dysfunction of urinary bladder and urethra, is caused by damaging of neurons or diseases of the central, peripheral or autonomic nervous systems that found in many patients with neurologic disorders, including cerebral palsy [1], multiple sclerosis, Parkinson’s disease, spinal cord injury, stroke, spine bifida, caudal equine syndrome, diabetes mellitus with autonomic neuropathy and unintended squeal following pelvic surgery [2]
Cerebral palsy (CP) describes a group of permanent disorders that occur during motor development and posture which refers to a non-progressive disorder that occurs in developing fetus’ or infant’s brain causing limitations in activity
The aim of this study was to investigate the efficacy of the noninvasive technique of transcutaneous posterior tibial nerve stimulation (TPTNS) in CP children with nonobstructive urinary retention
Summary
Neurogenic bladder (NGB), a dysfunction of urinary bladder and urethra, is caused by damaging of neurons or diseases of the central, peripheral or autonomic nervous systems that found in many patients with neurologic disorders, including cerebral palsy [1], multiple sclerosis, Parkinson’s disease, spinal cord injury, stroke, spine bifida, caudal equine syndrome, diabetes mellitus with autonomic neuropathy and unintended squeal following pelvic surgery [2].Cerebral palsy (CP) describes a group of permanent disorders that occur during motor development and posture which refers to a non-progressive disorder that occurs in developing fetus’ or infant’s brain causing limitations in activity. Neurogenic bladder (NGB), a dysfunction of urinary bladder and urethra, is caused by damaging of neurons or diseases of the central, peripheral or autonomic nervous systems that found in many patients with neurologic disorders, including cerebral palsy [1], multiple sclerosis, Parkinson’s disease, spinal cord injury, stroke, spine bifida, caudal equine syndrome, diabetes mellitus with autonomic neuropathy and unintended squeal following pelvic surgery [2]. Upper urinary tract damage is not frequent in this patient group, the prevalence of dysfunctional voiding symptoms is about 30% [3]. Symptoms of urinary tract dysfunction in CP are frequently including increased post-void residual urine, urge incontinence, urgency, Alishahi et al Ped Urol Case Rep 2017;4(1):256261 hesitancy and enuresis [1]. Treatment of these urinary disorders includes medical therapy, physical therapy and surgery [4]. The aim of this study was to investigate the efficacy of the noninvasive technique of transcutaneous posterior tibial nerve stimulation (TPTNS) in CP children with nonobstructive urinary retention
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