Highlights
- •Lumbopelvic endurance, stability and mobility reduced in nocturnal enuresis.
- •There was no change in respiratory functions in nocturnal enuresis.
- •Lumbopelvic changes should be considered for the management of nocturnal enuresis.
Abstract
Background
Postural deterioration, delayed maturation, and accompanying respiratory diseases
in children and adolescents with nocturnal enuresis have been reported in previous
studies. This study aimed to compare lumbopelvic muscle endurance, stability, mobility,
and respiratory functions in children and adolescents with and without nocturnal enuresis.
Methods
Children and adolescents with (n:25, nocturnal enuresis group) and without nocturnal
enuresis (n:29, control group) were included. The bladder and bowel dysfunctions with
the Bladder and Bowel Dysfunction Questionnaire and voiding diary, lumbopelvic muscle
endurance with the McGill trunk muscle endurance tests, lumbopelvic stability with
the Sahrmann test, lumbopelvic mobility with the Modified Schober test, and respiratory
function with a spirometer were assessed. Independent samples t-test, Mann Whitney U test, and Chi-square tests were used for analysis.
Findings
Trunk flexor (p = 0.043), extension (p = 0.045), and right (p = 0.008) and left lateral flexion endurance test scores (sec) (p = 0.005), the Sahrmann test score (p = 0.005), and Modified Schober test (p < 0.001) results were lower in the nocturnal enuresis group compared to the control
group. However, there were no differences between groups in terms of forced expiratory
volume in 1 s (p = 0.415), forced vital capacity (p = 0.522), forced expiratory volume in 1 s/ forced vital capacity (p = 0.970), and peak expiratory flow values (p = 0.495).
Interpretation
The children and adolescents with nocturnal enuresis had lower lumbopelvic muscle
endurance, stability, and mobility compared to those without nocturnal enuresis; however,
the respiratory functions were similar. The lumbopelvic structure changes may be taken
into consideration for the management of nocturnal enuresis.
Keywords
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Article info
Publication history
Published online: November 24, 2022
Accepted:
November 22,
2022
Received:
June 27,
2022
Identification
Copyright
© 2022 Elsevier Ltd. All rights reserved.
