Urol J. 2025 Jul 16. doi: 10.22037/uj.v22i.8348. Online ahead of print.
ABSTRACT
PURPOSE: This study was designed to evaluate effectiveness of dynamic neuromuscular stabilization (DNS) training in children with non-neurogenic lower urinary tract dysfunction (LUTD) and compare it with biofeedback (BF) treatment.
MATERIALS AND METHODS: Total of 15 participants aged 6-15 years with non-neurogenic LUTD were divided into three groups: Group I, “DNS exercise training”; Group II, “BF training”; and Group III, “DNS plus BF training.” Participants’ Dysfunctional Voiding and Incontinence Scoring System (DVISS) scores, uroflowmetry parameters, uroflow curve, post voiding residual (PVR) values, deep trunk muscle strength were evaluated at baseline and at 4, 8 and 12 weeks after treatment.
RESULTS: It was observed that total DVISS scores of individuals in Groups I and III significantly decreased after 12 weeks, while individuals in Group II showed significant decrease in total DVISS score after 4 and 8 weeks (P < .05). When examining changes in deep trunk muscle strength between groups at all time periods, it was determined that improvement in Groups I and III after 4 and 8 weeks was significantly greater than that in Group II (P < .05). In Group I, average flow rate value significantly increased after 4 weeks, while flow time value significantly decreased after 12 weeks (P < .05). When examining PVR values between groups, it was determined that there were statistically significant decreases in individuals in Group I after 12 weeks and in individuals in Group III after 8 weeks (P < .05).
CONCLUSION: According to results, DNS and BF training are effective in improving symptoms in patients with non-neurogenic LUTD. However, groups in which DNS exercises were applied were superior in improving some parameters.
PMID:40684271 | DOI:10.22037/uj.v22i.8348
