New Generation Rehabilitation Approach in Children With Dysfunctional Voiding

New Generation Rehabilitation Approach in Children With Dysfunctional Voiding: Pelvic Floor Muscle Training and Dynamic Neuromuscular Stabilization Training With Transabdominal Ultrasound, a Randomized Controlled Trial

The investigators hypothesize that Dynamic Neuromuscular Stabilization training, a next-generation exercise approach, and transabdominal ultrasound-guided pelvic floor muscle training (PFMT) will be more effective than PFMT guided solely by transabdominal ultrasound in reducing post-void residual volume, improving voiding disorder symptoms, and enhancing pelvic floor muscle relaxation in children with dysfunctional voiding.

Inclusion Criteria:

• Children aged 6-14 years,
• Diagnosed with dysfunctional urination according to uroflowmetry measurement results and clinical examination findings,
• Children who consent to participate in the study with the consent of their mother, father or legal guardian (legal representative) will be included in the study.

Exclusion criteria:

• Children under 6 years of age,
• Those with anatomical changes in the urinary system,
• Those with spina bifida,
• Those with a history of active urinary tract infection,
• Those with a neurological disease,
• Those with accompanying respiratory system disease,
• Those with cognitive impairment,
• Those with mental retardation,
• Children whose bladder image is unclear in the pelvic floor evaluation with US,
• Children who have previously undergone orthopedic surgery will not be included in the study.

PS:

• Children who cannot comply with the application of pelvic floor muscle training,
• Children who have missed 2 or more sessions of the treatment program will be excluded from the study.