Bladder and Bowel Dysfunction Rehabilitation in Children with Acquired Brain Injury
<b>Objective:</b> To evaluate neurogenic bladder and bowel dysfunction (NBBD) in children with cerebral palsy (CP) and acquired brain injury (ABI), a condition considered less frequent in those patients than in children with spinal cord injury (SCI), and to study the relationship between...
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MDPI AG
2024-11-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/11/11/1382 |
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| author | Rita Chiminello Chiara Pellegrino Noemi Deanesi Giulia Barone Ida Barretta Gaia Paolella Maria Luisa Capitanucci Antonio Maria Zaccara Maria Laura Sollini Giacomo Esposito Donatella Lettori Gessica Della Bella Enrico Castelli Giovanni Mosiello |
| author_facet | Rita Chiminello Chiara Pellegrino Noemi Deanesi Giulia Barone Ida Barretta Gaia Paolella Maria Luisa Capitanucci Antonio Maria Zaccara Maria Laura Sollini Giacomo Esposito Donatella Lettori Gessica Della Bella Enrico Castelli Giovanni Mosiello |
| author_sort | Rita Chiminello |
| collection | DOAJ |
| description | <b>Objective:</b> To evaluate neurogenic bladder and bowel dysfunction (NBBD) in children with cerebral palsy (CP) and acquired brain injury (ABI), a condition considered less frequent in those patients than in children with spinal cord injury (SCI), and to study the relationship between NBBD and disability grade in this population. <b>Study Design:</b> We retrospectively reviewed the clinical data of all patients (aged 3–18 years old) admitted during a three-month observation in our neurorehabilitation department. Data collected were as follows: demographic parameters; disability status (Wee-FIM Scale, Gross Motor Function Classification System (GMFCS) and the Communication Function Classification System); and gastrointestinal and urological symptoms (diaries, Bristol scale, Pad Test and International Consultation on Incontinence Modular Questionnaire). <b>Results:</b> Sixty patients were enrolled (31 females, 29 males): 30 CP, 17 ABI, 3 SCI, and 10 others with neurological diseases. All presented urinary incontinence without gender differences. CP and ABI had major incidences of bowel dysfunction (50% and 64.7%, respectively) and SCI of urinary tract infections (66.6%) and enuresis (100%). A major incidence of symptoms was recorded in patients with higher GMFCS levels (level 3-4-5). <b>Conclusions:</b> NBBD has a high frequency in children with CP and ABI, as in SCI. More attention is needed from pediatricians and pediatric urologists for this clinical entity. Further studies are needed to better understand clinical relevance and, therefore, to establish specific management. |
| format | Article |
| id | doaj-art-b6ac7943f8924290b76aa1aab0e1b72f |
| institution | Kabale University |
| issn | 2227-9067 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj-art-b6ac7943f8924290b76aa1aab0e1b72f2024-11-26T17:57:40ZengMDPI AGChildren2227-90672024-11-011111138210.3390/children11111382Bladder and Bowel Dysfunction Rehabilitation in Children with Acquired Brain InjuryRita Chiminello0Chiara Pellegrino1Noemi Deanesi2Giulia Barone3Ida Barretta4Gaia Paolella5Maria Luisa Capitanucci6Antonio Maria Zaccara7Maria Laura Sollini8Giacomo Esposito9Donatella Lettori10Gessica Della Bella11Enrico Castelli12Giovanni Mosiello13Neurorehabilitation Unit, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, ItalyDivision of Neuro-Urology, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, ItalyDivision of Neuro-Urology, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, ItalyDivision of Neuro-Urology, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, ItalyDivision of Neuro-Urology, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, ItalyDivision of Neuro-Urology, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, ItalyDivision of Neuro-Urology, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, ItalyDivision of Neuro-Urology, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, ItalyDivision of Neuro-Urology, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, ItalyNeurosurgery Unit, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, ItalyNeurorehabilitation Unit, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, ItalyNeurorehabilitation and Adapted Physical Activity Day Hospital, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, ItalyNeurorehabilitation Unit, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, ItalyDivision of Neuro-Urology, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, Italy<b>Objective:</b> To evaluate neurogenic bladder and bowel dysfunction (NBBD) in children with cerebral palsy (CP) and acquired brain injury (ABI), a condition considered less frequent in those patients than in children with spinal cord injury (SCI), and to study the relationship between NBBD and disability grade in this population. <b>Study Design:</b> We retrospectively reviewed the clinical data of all patients (aged 3–18 years old) admitted during a three-month observation in our neurorehabilitation department. Data collected were as follows: demographic parameters; disability status (Wee-FIM Scale, Gross Motor Function Classification System (GMFCS) and the Communication Function Classification System); and gastrointestinal and urological symptoms (diaries, Bristol scale, Pad Test and International Consultation on Incontinence Modular Questionnaire). <b>Results:</b> Sixty patients were enrolled (31 females, 29 males): 30 CP, 17 ABI, 3 SCI, and 10 others with neurological diseases. All presented urinary incontinence without gender differences. CP and ABI had major incidences of bowel dysfunction (50% and 64.7%, respectively) and SCI of urinary tract infections (66.6%) and enuresis (100%). A major incidence of symptoms was recorded in patients with higher GMFCS levels (level 3-4-5). <b>Conclusions:</b> NBBD has a high frequency in children with CP and ABI, as in SCI. More attention is needed from pediatricians and pediatric urologists for this clinical entity. Further studies are needed to better understand clinical relevance and, therefore, to establish specific management.https://www.mdpi.com/2227-9067/11/11/1382neurogenic bladder dysfunctionneurogenic bowel dysfunctioncerebral palsyacquired brain injurypediatric urologycontinence |
| spellingShingle | Rita Chiminello Chiara Pellegrino Noemi Deanesi Giulia Barone Ida Barretta Gaia Paolella Maria Luisa Capitanucci Antonio Maria Zaccara Maria Laura Sollini Giacomo Esposito Donatella Lettori Gessica Della Bella Enrico Castelli Giovanni Mosiello Bladder and Bowel Dysfunction Rehabilitation in Children with Acquired Brain Injury Children neurogenic bladder dysfunction neurogenic bowel dysfunction cerebral palsy acquired brain injury pediatric urology continence |
| title | Bladder and Bowel Dysfunction Rehabilitation in Children with Acquired Brain Injury |
| title_full | Bladder and Bowel Dysfunction Rehabilitation in Children with Acquired Brain Injury |
| title_fullStr | Bladder and Bowel Dysfunction Rehabilitation in Children with Acquired Brain Injury |
| title_full_unstemmed | Bladder and Bowel Dysfunction Rehabilitation in Children with Acquired Brain Injury |
| title_short | Bladder and Bowel Dysfunction Rehabilitation in Children with Acquired Brain Injury |
| title_sort | bladder and bowel dysfunction rehabilitation in children with acquired brain injury |
| topic | neurogenic bladder dysfunction neurogenic bowel dysfunction cerebral palsy acquired brain injury pediatric urology continence |
| url | https://www.mdpi.com/2227-9067/11/11/1382 |
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