Ostalo
https://doi.org/10.24141/1/3/2/10
Neuromodulation as a Treatment of Choice for a Child with Neurogenic Bladder − Case Report
Darija Dobrić
; Poliklinika za dječje bolesti Helena, Zagreb, Hrvatska
Andrea Cvitković Roić
; Poliklinika za dječje bolesti Helena, Zagreb, Hrvatska
Vesna Kumanović
; Poliklinika za dječje bolesti Helena, Zagreb, Hrvatska
Marinela Škunca
; Poliklinika za dječje bolesti Helena, Zagreb, Hrvatska
Sažetak
Introduction. Neurogenic bladder occurs due to an inherent or acquired impairment of the lower urinary tract. Although the incidence of spinal abnormalities is decreasing, it continues to be the leading cause of neurogenic bladder occurring in approximately 95% of children with this impairment. Neuromodulation as a physiotherapeutic intervention has a significant role in the rehabilitation of children with neurogenic bladder.
The aim of this paper was to present the case of a child with neurogenic bladder due to spina bifida and the possibilities of neuromodulation rehabilitation therapy.
Elaboration. The study presents the case of a child with neurogenic bladder as a consequence of spina bifida where retention of urine occurred after surgical treatment. A specific initial physiotherapeutic assessment showed a decreased amount of urine with incomplete discharge, loss of bladder fullness sensation and urine loss during the day and night. Physiotherapeutic intervention included neuromodulation each day according to the default protocol for 20–30 min. The child’s parents were educated about continuing home-based therapy with the purchased device.
Conclusion. Neurogenic bladder requires a multidisciplinary approach to achieve the best quality of life for a child. Neuromodulation as a form of therapeutic treatment is a simple method which has proven to have a positive effect in many urinary disorders; it does not require special preparation of the child, it is a simple method, the results depend on each child individually.
Ključne riječi
neurogenic bladder; neuromodulation; physiotherapy
Hrčak ID:
190993
URI
Datum izdavanja:
18.12.2017.
Posjeta: 2.265 *