Modern physiotherapy technologies in medical rehabilitation of children with megaureter with concomitant neurogenic bladder dysfunction

This article discusses the issues of medical rehabilitation of children with megaureter with concomitant neurogenic bladder dysfunction. Objective of the study: scientific substantiation of the use of selective chromotherapy in medical rehabilitation of children with megaureter with concomitant neurogenic bladder dysfunction. Materials and research methods: clinical observations and special studies were carried out in dynamics in 40 children, aged 1 to 7, with megaureter after ureteral surgery. Of these, 20 children made up the main group (received selective chromotherapy, blue spectrum); 20 children — the control group (without physiotherapy). Based on the studies carried out, a beneficial effect of medical rehabilitation with the inclusion of selective chromotherapy in children with megaureter and concomitant neurogenic bladder dysfunction was revealed. The inclusion of selective chromotherapy in the program of medical rehabilitation of children with megaureter contributed to a decrease in the activity of inflammation in the renal parenchyma (decrease in proteinuria, leukocyturia). Selective chromotherapy had a positive effect on the urodynamics of the lower urinary tract (reduction in the number of urgent urges and episodes of urinary incontinence, decreased frequency of urination, improved uroflowmetry indicators). The effectiveness of medical rehabilitation with the inclusion of selective chromotherapy was 80.0 %, while in the control group — 40.0 %.

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Medical rehabilitation of children with hydronephrosis with concomitant neurogenic bladder dysfunction

Russian Journal of Physiotherapy Balneology and Rehabilitation ◽

10.17816/1681-3456-2020-19-1-3 ◽

2020 ◽

Vol 19 (1) ◽

pp. 20-24

Author(s):

Elena V. Novikova ◽

Maya A. Khan ◽

Irina I. Ivanova ◽

Olga V. Trunova

Keyword(s):

Urinary Tract ◽

Neurogenic Bladder ◽

High Intensity ◽

Bladder Dysfunction ◽

Medical Rehabilitation ◽

Neurogenic Bladder Dysfunction ◽

Clinical Observations ◽

Magnetic Therapy ◽

Special Studies ◽

Positive Effect

Background. After operations on the ureter, it is important to use medical rehabilitation technologies aimed at preventing urodynamic disorders of the upper and lower urinary tract, stimulating reparative processes. In recent years, special attention has been drawn to high-intensity pulsed magnetotherapy, which has a more pronounced and long-lasting stimulating effect compared to other types of electrical stimulation. Aim: to substantiate the feasibility of including high-intensity pulsed magnetic therapy in the comprehensive medical rehabilitation of children with hydronephrosis and concomitant neurogenic bladder dysfunction. Methods. Clinical observations and special studies with the inclusion of high-intensity pulse magnetic therapy in the course of therapy were conducted in 100 children aged 4 to 15 years with hydronephrosis, a condition after surgery. Results. Medical rehabilitation with the inclusion of high-intensity pulsed magnetic therapy had a positive effect on the urodynamics of the urinary tract, renal blood flow, helped to stop inflammation in the renal parenchyma and restore the rhythm of urination in children with hydronephrosis and concomitant neurogenic bladder dysfunction. Conclusion. According to the research results, the feasibility of including high-intensity pulsed magnetic therapy in the complex of medical rehabilitation of children with hydronephrosis, concomitant neurogenic bladder dysfunction, is scientifically justified.

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Medical rehabilitation of children with hydronephrosis with concomitant neurogenic bladder dysfunction

Fizioterapevt (Physiotherapist) ◽

10.33920/med-14-2006-04 ◽

2020 ◽

pp. 32-37

Author(s):

Elena Novikova ◽

Maya Khan ◽

I. Ivanova ◽

Olga Trunova

Keyword(s):

Urinary Tract ◽

Neurogenic Bladder ◽

High Intensity ◽

Bladder Dysfunction ◽

Medical Rehabilitation ◽

Neurogenic Bladder Dysfunction ◽

Clinical Observations ◽

Special Studies ◽

Modern Technologies ◽

Lower Urinary

The article presents modern technologies for medical rehabilitation of children with hydronephrosis, with concomitant neurogenic bladder dysfunction. The problem of medical rehabilitation of children with hydronephrosis is due to the high frequency of occurrence; the possibility of developing chronic kidney disease; early disability. After operations on the ureter, it is important to use medical rehabilitation technologies aimed at preventing urodynamic disorders in the upper and lower urinary tract, stimulating reparative processes. Among the medical rehabilitation technologies, in recent years, special attention has been drawn to high-intensity pulsed magnetotherapy, which has a more pronounced and lasting stimulating eff ect compared to various types of electrical stimulation. Clinical observations and special studies were conducted in 100 children with hydronephrosis, the state after surgery, aged 4 to 15 years. According to the research results: The feasibility of including high-intensity pulsed magnetotherapy in the complex of medical rehabilitation of children with hydronephrosis, with concomitant neurogenic bladder dysfunction. Medical rehabilitation, with the inclusion of high-intensity pulsed magnetotherapy, had a positive eff ect on the urodynamics of the urinary tract, renal blood fl ow, helped to stop infl ammation in the renal parenchyma and restore the urination rhythm in children with hydronephrosis, with concomitant neurogenic bladder dysfunction.

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Complex Application of Laser Radiation and Interference Currents in Medical Rehabilitation of Children with Neurogenic Dysfunction of the Bladder

Journal of restorative medicine and rehabilitation ◽

10.38025/2078-1962-2020-98-4-71-76 ◽

2020 ◽

Vol 98 (4) ◽

pp. 71-76

Author(s):

E.V. Novikova ◽

L.B. Menovshikova ◽

V.F. Prikuls ◽

O.V. Trunova

Keyword(s):

Laser Radiation ◽

Physical Therapy ◽

Neurogenic Bladder ◽

Comparison Group ◽

Bladder Dysfunction ◽

Clinical Symptoms ◽

Behavioral Therapy ◽

Medical Rehabilitation ◽

Favorable Effect ◽

Neurogenic Bladder Dysfunction

The article is devoted to the medical rehabilitation of children with neurogenic bladder dysfunction. Medical rehabilitation of children with neurogenic bladder dysfunction includes behavioral therapy, medication, biofeedback, and physical therapy. The popularity of physiotherapy methods is explained by the influence on the main links of pathogenesis, the absence of side effects and the possibility of use in young children. The aim of the study was to study the effectiveness of complex application of laser radiation and interference currents in the medical rehabilitation of children with PDMP. Materials and methods. Clinical observations and special studies were conducted in 40 children with hyperactive bladder aged 3 to 10 years. The main group consisted of 20 children who received laser therapy and interference currents, 20-a comparison group (without physical therapy). Results. Positive dynamics was observed by the middle of the course of medical rehabilitation, a third of patients showed a decrease in urgency and urgent urinary incontinence, there was a tendency to normalize the number of urinations per day, by the end of the course of medical rehabilitation, the dynamics of clinical symptoms was more pronounced and reliable. The favorable influence of interference currents and laser radiation on the clinical course of neurogenic bladder dysfunction, the state of urodynamics and speed characteristics of the act of urination was revealed. The feasibility of including interference currents and laser radiation in the medical rehabilitation of children with neurogenic bladder dysfunction is scientifically proved. Conclusion. Medical rehabilitation of children with neurogenic bladder dysfunction with the inclusion of laser radiation and interference currents has a favorable effect on the symptoms of hyperactivity of the bladder, indicators of uroflowmetry, cystometry and helps restore the normal rhythm of urination. As a result of the research, the effectiveness of medical rehabilitation with the inclusion of laser radiation and interference currents was 85.0 %, in the comparison group only 60.0 % (p < 0.05).

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Immunotherapy to reduce frequency of urinary tract infections in people with neurogenic bladder dysfunction; a pilot randomised, placebo-controlled trial

Clinical Rehabilitation ◽

10.1177/0269215520946065 ◽

2020 ◽

Vol 34 (12) ◽

pp. 1458-1464

Author(s):

Derick T Wade ◽

James Cooper ◽

Nicholas Peckham ◽

Maurizio Belci

Keyword(s):

Urinary Tract ◽

Neurogenic Bladder ◽

Urinary Tract Infections ◽

Bladder Dysfunction ◽

Controlled Trial ◽

Control Group ◽

Neurogenic Bladder Dysfunction ◽

Matching Placebo ◽

Cord Injury ◽

Tract Infections

Objective: To establish the feasibility of a randomized, placebo-controlled trial to investigate the effect of a specific immunotherapy bacterial lysate OM-89 (Uro-Vaxom®) in reducing the frequency of urinary tract infections in people with neurogenic bladder dysfunction. Design: A parallel-group, double-blind, randomized, placebo-controlled trial. Setting: Patients at home, recruited through out-patient contact, social media and patient support groups. Subjects: People with a spinal cord injury, multiple sclerosis, transverse myelitis or cauda equina syndrome who had suffered three or more clinically diagnosed urinary tract infections treated with antibiotics over the preceding 12 months. Interventions: All participants took one capsule of oral OM-89 immunotherapy (6 mg) or matching Placebo (randomisation ratio 1:1), once daily in the morning for 3 months. Main measures: The primary outcome was occurrence of a symptomatic urinary tract infection treated with an antibiotic, assessed at 3 and 6 months. Feasibility measures included recruitment, retention and practical difficulties. Results: Of 115 patients screened, 49 were recruited, one withdrew before randomization, and 23 were allocated to the control group receiving matching placebo. Six participants, all in the control group, discontinued the intervention; all participants provided full data at both follow-up times. Over 6 months, 18/25 active group patients had 55 infections, and 18/23 control group patients had 47 infections. Most research and clinical procedures were practical, and acceptable to participants. Conclusion: It is feasible to undertake a larger trial. We recommend broader inclusion criteria to increase eligibility and generalizability.

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