Determine the Relationship Between Abdominal Muscle Strength, Trunk Control and Urinary Incontinence in Children with Diplegic Cerebral Palsy.

PURPOSE The aim of this study is to determine the relationship between abdominal muscle strength, trunk control and urinary incontinence in children with diplegic cerebral palsy. MATERIALS AND METHODS The current study had a cross-sectional design using analytical study as well as an observational research model. Fifty children between the ages of 5 and 18 years who were diagnosed with diplegic clinical type of cerebral palsy were included in this study using improbable-random sampling method. After patients' demographic information were obtained, Dysfunctional Voiding and Incontinence Symptoms Score Questionnaire (DVISS), Dysfunctional Voiding Symptom Score (DVSS), the manual muscle test of the muscles, Trunk ControlTest (TCT) and Trunk Control Measurement Scale (TCMS) were completed in order to evaluate trunk control. Also, Gross Motor Function Classification System (GMFCS) was performed in order to define the functional level. RESULTS In this study, a highly correlated negative relationship was found between DVISS and DVSS scores with muscle abdominal strength, TCMS and TCT. In addition, a highly correlated positive relationship was found between both GMFCS and DVISS and GMFCS and DVSS. CONCLUSION This is the first study that describes the effect of trunk control and muscle strength on urinary incontinence in children with diplegic cerebral palsy. This study showed that there is a correlation between trunk control, muscle strength and urinary incontinence.

[1]  G. Baird,et al.  Bladder and bowel continence in bilateral cerebral palsy: A population study. , 2016, Journal of pediatric urology.

[2]  Mintaze Kerem Günel,et al.  Serebral palsili çocuklarda nörogelişimsel tedaviye dayalı gövde eğitiminin gövde kontrolüne etkisi , 2015 .

[3]  H. V. van Hedel,et al.  Translation and construct validity of the Trunk Control Measurement Scale in children and youths with brain lesions. , 2015, Research in developmental disabilities.

[4]  M. Gannotti,et al.  Health benefits of seated speed, resistance, and power training for an individual with spastic quadriplegic cerebral palsy: A case report. , 2015, Journal of pediatric rehabilitation medicine.

[5]  J. Zambon,et al.  Is there any difference in pelvic floor muscles performance between continent and incontinent women? , 2015, Neurourology and urodynamics.

[6]  Dongwook Han,et al.  The effect of the correlation between the contraction of the pelvic floor muscles and diaphragmatic motion during breathing , 2015, Journal of physical therapy science.

[7]  S. Yildirim,et al.  Reliability and validity of Trunk Control Test in patients with neuromuscular diseases , 2015, Physiotherapy theory and practice.

[8]  M. Zencir,et al.  Evaluation of lower urinary tract dysfunction in Turkish primary schoolchildren: an epidemiological study. , 2014, Journal of pediatric urology.

[9]  P. Neumann,et al.  Pelvic Floor and Abdominal Muscle Interaction: EMG Activity and Intra-abdominal Pressure , 2014, International Urogynecology Journal.

[10]  E. Durukan,et al.  Prevalence and Associated Factors of Daytime Lower Urinary Tract Dysfunction in Students of Two Primary Schools of Turkey with Different Socioeconomic Status , 2011 .

[11]  C. Fowler,et al.  A decade of functional brain imaging applied to bladder control , 2010, Neurourology and urodynamics.

[12]  A. Mutlu,et al.  Relationship among the Manual Ability Classification System (MACS), the Gross Motor Function Classification System (GMFCS), and the functional status (WeeFIM) in children with spastic cerebral palsy , 2009, European Journal of Pediatrics.

[13]  C. Richardson,et al.  Effect of stabilization training on multifidus muscle cross-sectional area among young elite cricketers with low back pain. , 2008, The Journal of orthopaedic and sports physical therapy.

[14]  Jon Heron,et al.  The prevalence of infrequent bedwetting and nocturnal enuresis in childhood , 2008, Scandinavian journal of urology and nephrology.

[15]  Ali,et al.  İ NONINVASIVE EVALUATION OF THE CHILDREN WITH LOWER URINARY TRACT DYSFUNCTION , 2008 .

[16]  J. Heron,et al.  A United Kingdom Population-Based Study of Intellectual Capacities in Children With and Without Soiling, Daytime Wetting, and Bed-wetting , 2007, Pediatrics.

[17]  C. Schmitz,et al.  From Egocentric to Exocentric Spatial Orientation: Development of Posture Control in Bimanual and Trunk Inclination Tasks , 2005, Journal of motor behavior.

[18]  Y. Genç,et al.  Dysfunctional voiding and incontinence scoring system: quantitative evaluation of incontinence symptoms in pediatric population. , 2005, The Journal of urology.

[19]  R. Sapsford.  Rehabilitation of pelvic floor muscles utilizing trunk stabilization. , 2004, Manual therapy.

[20]  P. Hodges,et al.  Contraction of the pelvic floor muscles during abdominal maneuvers. , 2001, Archives of physical medicine and rehabilitation.

[21]  P. Hodges,et al.  Co‐activation of the abdominal and pelvic floor muscles during voluntary exercises , 2001, Neurourology and urodynamics.

[22]  T. Dimpfl,et al.  Evaluation of Pelvic Floor Muscle Strength Using Four Different Techniques , 2001, International Urogynecology Journal.

[23]  A. Hellström,et al.  Voiding pattern in healthy children 0 to 3 years old: a longitudinal study. , 2000, The Journal of urology.

[24]  C. Reid,et al.  Lower urinary tract dysfunction in cerebral palsy. , 1993, Archives of disease in childhood.

[25]  M. Panjabi.  The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. , 1992, Journal of spinal disorders.

[26]  M. Järvelin,et al.  DEVELOPMENT OF BOWEL AND BLADDER CONTROL IN THE MENTALLY RETARDED , 1990, Developmental medicine and child neurology.

[27]  D. Fergusson,et al.  Factors related to the age of attainment of nocturnal bladder control: an 8-year longitudinal study. , 1986, Pediatrics.