Evaluating Diaphragm Muscle Function in Children With Urinary Incontinence Evaluating Diaphragm Muscle Function in Children With Urinary Incontinence
Journal of Pediatric Nephrology,
Vol. 11 No. 3 (2023),
16 October 2024
https://doi.org/10.22037/jpn.v11i3.44219
Abstract
Background and Aim: This study evaluates the respiratory muscle strength, quality of life (QoL),
respiratory function of the diaphragm, participation in postural stabilization and functionality of
active diaphragmatic breathing in postural stability in children with urine incontinence symptoms
and lower urinary tract dysfunction and compares them with healthy children.
Methods: This study included 49 healthy and 49 children with lower urinary tract dysfunction
and urinary incontinence symptoms who applied to Kırıkkale University Pediatric Urology.
Children’s QoL was evaluated using the pediatric urinary incontinence QoL scale. Their
symptom severity was evaluated with the voiding disorders symptom score questionnaire,
their respiratory muscle strength was evaluated with POWER breathe K5 and the diaphragm
was evaluated with the dynamic neuromuscular stabilization method.
Results: When comparing the diaphragm’s respiratory function, participation of the diaphragm
in postural stabilization, and active breathing of the diaphragm in postural stabilization of the
children, a significant difference was observed (P<0.05). Accordingly, asymptomatic children
had greater inspiratory muscular strength, maximal inspiratory pressure and volume values
than children with urinary system dysfunction. There was a difference in the pediatric urinary
incontinence QoL scale and voiding disorders symptom score and it was due to the patient
groups (P<0.05).
Conclusion: Children with urinary incontinence symptoms and lower urinary tract dysfunction
were found to have insufficient respiratory function, use of the diaphragm, and participation in
postural stabilization of the diaphragm compared to asymptomatic children. Their respiratory
muscle strength was lower.
- Urinary incontinence
- Lower urinary tract dysfunction
- Diaphragm
- Respiratory Force
- Quality of life (QoL)
How to Cite
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