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19–22 APRIL, 2017, BARCELONA, SPAIN
16:08–16:11
S11-3 (PP)
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COMBAINED INTERFERENTIAL ELECTRICAL
STIMULATION AND BIOFEEDBACK FOR TREATMENT
OF URINARY INCONTINENCE IN CHILDREN
Seyedeh-Sanam LADI-SEYEDIAN
1
, Lida SHARIFI RAD
2
and Abdol-Mohammad KAJBAFZADEH
3
1) Tehran University of Medical Sciences, Pediatric Urology and Regenerative Medicine Research Center
Children’s Hospital Medical Center, Pedi, Tehran, ISLAMIC REPUBLIC OF IRAN - 2) Tehran University of Medical
Sciences, Department of Physical Therapy, Children’s Hospital Medical Center, Pediatric Center of Excellence, Tehran,
ISLAMIC REPUBLIC OF IRAN - 3) Tehran University of Medical Sciences, Pediatric Urology and Regenerative Medicine
Research Center Children’s Hospital Medical Center, Tehran, ISLAMIC REPUBLIC OF IRAN
PURPOSE
Nowadays electrical stimulation and biofeedback are used extensively as an alternative option for
a wide range of refractory clinical conditions including lower urinary tract syndromes in adults and
children. We assessed the efficacy of combined transcutaneous interferential (IF) electrical stimula-
tion and biofeedback on urinary incontinence in children with voiding dysfunction.
MATERIAL AND METHODS
This prospective study comprised 47 children (9 boys, 38 girls; mean age 8.4±2.2) with urinary
incontinence. All children were regularly visited at our pediatric urology clinic. Kidney and bladder
ultrasounds and uroflowmetry/EMG were performed in all study participants at baseline. Children
with evidence of neuropathic disease, anatomical defects and mental retardation were excluded
from enrollment. Children were randomly allocated into two groups including group A (n=24) who
underwent biofeedback therapy and group B (n=23) who received biofeedback therapy in addition
to IF electrical stimulation. A complete 3-day voiding diary was recorded by parents before and after
treatment. Re-evaluation with kidney and bladder ultrasounds and uroflowmetry/EMG was also
performed 6 months and one year after completion of treatment.
RESULTS
Improvement of urinary incontinence was significantly higher in group B in comparison to group A.
Daytime incontinence was improved in 12/24 and 19/23 of children in groups A and B respectively
(P<0.01) after treatment. There was no significant difference in uroflowmetry measures between
two groups.
CONCLUSIONS
Combination of biofeedback therapy and IF electrical stimulation is a potential effective modality in
treating urinary incontinence in children.