دورية أكاديمية
The effect of biofeedback on nonneurological dysfunctional voiding in children: A meta-analysis and systematic review.
| العنوان: | The effect of biofeedback on nonneurological dysfunctional voiding in children: A meta-analysis and systematic review. |
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| المؤلفون: | Li F; Department of Pediatric Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, 610041, China., Feng L; Department of Pediatric Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, 610041, China., Yang Y; Division of Internal Medicine, Institute of Integrated Traditional Chinese and Western Medicine, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China., Ma X; Department of Neurology, West China Hospital, Sichuan University, Chengdu, China., Kang T; Department of Pediatric Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, 610041, China., Huang W; Department of Pediatric Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, 610041, China. Electronic address: huangwenjiao@scu.edu.cn. |
| المصدر: | Journal of pediatric urology [J Pediatr Urol] 2024 Aug; Vol. 20 (4), pp. 565-580. Date of Electronic Publication: 2024 Jul 04. |
| نوع المنشور: | Journal Article; Meta-Analysis; Systematic Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: England NLM ID: 101233150 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-4898 (Electronic) Linking ISSN: 14775131 NLM ISO Abbreviation: J Pediatr Urol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Kidlington, Oxford, UK : Elsevier, c2005- |
| مواضيع طبية MeSH: | Biofeedback, Psychology*/methods , Urination Disorders*/therapy , Urination Disorders*/physiopathology, Child ; Humans ; Treatment Outcome |
| مستخلص: | Objective: This study was conducted to investigate the effect of biofeedback (BF) on the rehabilitation of children with nonneurological dysfunctional voiding (NDV). Methods: RCTs were retrieved from various databases (published from inception to February 29, 2024). The effects of the BF and non-BF treatments were compared. A random-effects model was used to evaluate the combined data. Results: Meta-analysis revealed that BF increased the maximum urinary flow rate (SMD = 3.78, 95% CI 1.33∼6.22), improved urination time (SMD = 5.88, 95% CI 3.75∼8.01), and reduced the postvoid residual (SMD = -19.18, 95% CI -27.03∼-11.33) and urinary tract infection incidence (RR = 0.43, 95% CI 0.21∼0.87). Electromyogram activity (RR = 0.46, 95% CI 0.25∼0.84) and abnormal urination patterns (RR = 0.51, 95% CI 0.35∼0.74) improved, with effects persisting for more than 1 year. However, the effect of BF on the mean urinary flow rate in children with NDV was significant only after 1 year of follow-up (SMD = 1.90, 95% CI 0.87∼2.92). Conclusion: Existing evidence indicates that BF can enhance urinary parameters and patterns in children with NDV. However, its effectiveness in addressing constipation, daytime urinary incontinence, and nocturnal urinary incontinence is not substantial. High-quality randomized controlled trials can offer additional insights. Competing Interests: Conflicts of interest The author(s) declare(s) that there are no conflicts of interest. (Copyright © 2024 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Biofeedback; Children; Dysfunctional voiding; Electromyography; Pelvic floor muscle training; Systematic review |
| تواريخ الأحداث: | Date Created: 20240713 Date Completed: 20240816 Latest Revision: 20240820 |
| رمز التحديث: | 20240821 |
| DOI: | 10.1016/j.jpurol.2024.06.042 |
| PMID: | 38997937 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1873-4898 |
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| DOI: | 10.1016/j.jpurol.2024.06.042 |