NCT02368262

Prevalence of Incontinence and Risk Factors in Children With Cerebral Palsy

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 79 (actual)
• Sponsor: University Hospital, Ghent · Academic / Other
• Sex: All
• Age: 5 Years – 12 Years
• Healthy volunteers: Accepted

Summary

This study evaluates (risk)factors influencing (in)continence in children with and without a brain injury.

Detailed description

Children with cerebral palsy (CP) (Rosenbaum, 2007) gain bladder and bowel control at older age compared to typical developing children (Ozturk, 2006). The incidence of urinary incontinence during day and night, fecal incontinence and constipation is higher in this population. Incontinence in children is often treated with urotherapy. This is a nonsurgical, nonpharmacological treatment for lower urinary tract dysfunctions. Standard urotherapy is noninterventional and it includes giving information, instructions, advice regarding life-style, fluid intake and bladder diaries. Additionally specific interventions can be used, such as: various forms of pelvic floor training, behavioral modification, biofeedback, electrical stimulation and catheterization (Neveus, 2006). Recent research has proven urotherapy to be successful for the treatment of children with daytime incontinence (Mulders, 2010). Despite the high prevalence of incontinence in children with CP the possible treatment strategies in this population are poorly investigated. Far too often, urinary incontinence in children with CP is considered a normal, unavoidable and even a minor problem. Aim: Analyze (risk) factors influencing (in)continence in children with and without CP. Possible parameters will be registered through questioning, measurement (uroflow combined with pelvic floor EMG and postmictional residue) and retrospective analysis of the patient files. Parameters will be compared between continent and incontinent children with and without CP. This comparison evaluates whether the same therapeutic strategies can be applied in incontinent children with and without CP.

Conditions

• Urinary Incontinence

Interventions

Type	Name	Description
OTHER	Questionnaire and micturition and drinking diaries	Questionnaire: ICCS parental questionnaire + extended history taking document, ROME III criteria, demographic information and/or PIN-Q. Diaries: 24-hour voiding chart
PROCEDURE	Uroflowmetry, pelvic floor EMG and bladderscan	Voiding variables, pelvic floor activity during micturition and postmictional residue.

Timeline

• Start date: 2014-09-01
• Primary completion: 2016-09-01
• Completion: 2016-12-01
• First posted: 2015-02-23
• Last updated: 2017-01-04

Locations

1 site across 1 country: Belgium