Abd El-Moghny Seham Mohammed, El-Din Manal Salah, El Shemy Samah Attia
Department of Physical Therapy, Banha Teaching Hospital, Qalyubia, Egypt.
Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
Int Neurourol J. 2018 Dec;22(4):295-304. doi: 10.5213/inj.1836142.071. Epub 2018 Dec 31.
To compare the effects of intra-anal biofeedback (BF) and intra-anal electrical stimulation (ES) on pelvic floor muscles (PFMs) activity, nocturnal bladder capacity, and frequency of wet night episodes in children with refractory primary monosymptomatic nocturnal enuresis (PMNE).
Ninety children of both sexes aged 8-12 years with refractory PMNE participated in this study. They were randomly assigned to 3 groups of equal number: control group (CON) that underwent behavioral therapy and PFM training, and 2 study groups (BF and ES) that underwent the same program in addition to intra-anal BF training and intra-anal ES, respectively. PFMs activity was assessed using electromyography, nocturnal bladder capacity was evaluated by measuring the first morning voided volume, and a nocturnal enuresis diary was used for documenting wet night episodes before treatment and after 3 months of treatment.
After training, all groups showed statistically significant improvements in all measured outcomes compared to their pretreatment findings. The ES group showed significantly greater improvements in all measured outcomes than the CON and BF groups.
Both intra-anal BF training and ES combined with behavioral therapy and PFMs training were effective in the treatment of PMNE, with intra-anal ES being superior to BF training.
比较肛门内生物反馈（BF）和肛门内电刺激（ES）对难治性原发性单症状性夜间遗尿症（PMNE）患儿盆底肌肉（PFM）活动、夜间膀胱容量及尿床发作频率的影响。
90名年龄在8至12岁的难治性PMNE患儿参与了本研究。他们被随机分为人数相等的3组：接受行为疗法和PFM训练的对照组（CON），以及除分别接受肛门内BF训练和肛门内ES外还接受相同程序的2个研究组（BF组和ES组）。使用肌电图评估PFM活动，通过测量早晨首次排尿量评估夜间膀胱容量，并使用夜间遗尿症日记记录治疗前及治疗3个月后的尿床发作情况。
训练后，与治疗前结果相比，所有组在所有测量结果上均显示出统计学上的显著改善。ES组在所有测量结果上的改善均显著大于CON组和BF组。
肛门内BF训练和ES与行为疗法及PFM训练相结合在PMNE治疗中均有效，肛门内ES优于BF训练。
