The Prevalence of Bladder and Bowel Dysfunction in Children with Cerebral Palsy and its Association with Motor, Cognitive, and Autonomic Function.

IF 1.1 4区医学 Q4 CLINICAL NEUROLOGY Developmental Neurorehabilitation Pub Date : 2023-04-01 DOI:10.1080/17518423.2023.2193268

Moriah Baram, Luba Zuk, Tohar Stattler, Michal Katz-Leurer

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Abstract

Purpose: To describe the prevalence of bladder and bowel dysfunction (BBD) in 8-10-year-old children with cerebral palsy and its association with motor, cognitive, and autonomic dysfunction.

Methods: A cross-sectional, random sample study of parents of 8-10-year-old children with cerebral palsy. Tools: The Enuresis/Urinary Incontinence Parental Questionnaire, the Functional Independence Measure children's version, the autonomic signs questionnaire, and the Gross Motor Function Classification System.

Results: 39 out of 59 parents consented to participate, whereas 25.64% reported complete continence. Of the 29 children with BBD, 21 (72.4%) had lower urinary tract symptoms and bowel problems. Only two of the children received conservative and noninvasive treatments. Lastly, motor, cognitive and autonomic impairments were associated with incontinence.

Conclusions: BBD is common in 8-10-year-old children with cerebral palsy at all levels of functioning. Most having both lower urinary tract symptoms and bowel problems.

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脑瘫患儿膀胱和肠功能障碍的患病率及其与运动、认知和自主神经功能的关系

目的:描述8-10岁脑瘫儿童膀胱和肠功能障碍(BBD)的患病率及其与运动、认知和自主神经功能障碍的关系。方法:对8 ~ 10岁脑瘫患儿家长进行横断面随机抽样调查。工具:遗尿/尿失禁家长问卷、功能独立量表儿童版、自主神经体征问卷、大肌肉运动功能分类系统。结果:59名家长中有39名同意参与，25.64%的家长报告完全尿失禁。在29名患有BBD的儿童中，21名(72.4%)有下尿路症状和肠道问题。只有两名儿童接受了保守和非侵入性治疗。最后，运动、认知和自主神经损伤与尿失禁有关。结论:BBD在8-10岁脑瘫患儿的各个功能水平中都很常见。大多数都有下尿路症状和肠道问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Developmental Neurorehabilitation CLINICAL NEUROLOGY-PEDIATRICS

CiteScore

3.10

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Developmental Neurorehabilitation aims to enhance recovery, rehabilitation and education of people with brain injury, neurological disorders, and other developmental, physical and intellectual disabilities. Although there is an emphasis on childhood, developmental disability can be considered from a lifespan perspective. This perspective acknowledges that development occurs throughout a person’s life and thus a range of impairments or diseases can cause a disability that can affect development at any stage of life.