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Badalov N.G.

Federal Scientific and Clinical Center of Medical Rehabilitation and Balneology;
I.M. Sechenov First Moscow State Medical University (Sechenov University)

Borodulina I.V.

Russian Medical Academy of Continuing Postgraduate Education

Efimova V.I.

Scientific and Practical Center of Medical and Social Rehabilitation named after L.I. Shvetsova

Yakovlev M.Yu.

National Medical Research Centre for Rehabilitation and Balneology

Noninvasive peripheral magnetic stimulation in the treatment of neurogenic urination disorders in children

Authors:

Badalov N.G., Borodulina I.V., Efimova V.I., Yakovlev M.Yu.

More about the authors

Journal: Problems of Balneology, Physiotherapy and Exercise Therapy. 2023;100(4): 18‑27

DOI: 10.17116/kurort202310004118

Views: 1625

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Table of contents

NONINVASIVE PERIPHERAL MAGNETIC STIMULATION IN THE TREATMENT OF NEUROGENIC URINATION DISORDERS IN CHILDREN
NONINVASIVE PERIPHERAL MAGNETIC STIMULATION IN THE TREATMENT OF NEUROGENIC URINATION DISORDERS IN CHILDREN

To cite this article:

Badalov NG, Borodulina IV, Efimova VI, Yakovlev MYu. Noninvasive peripheral magnetic stimulation in the treatment of neurogenic urination disorders in children. Problems of Balneology, Physiotherapy and Exercise Therapy. 2023;100(4):18‑27. (In Russ.)
https://doi.org/10.17116/kurort202310004118

 
Подписка 2025-2 (Problems of Balneology, Physiotherapy and Exercise Therapy)
 
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Neurogenic urination disorders in children are often clinically represented by urinary incontinence (UI). The prevalence of UI reaches 8.6%, but tends to decrease in frequency with age. One of the methods of non-drug therapy of UI is extracorporeal magnetic stimulation (ExMI) — a type of non-invasive peripheral magnetic stimulation, which is widely used in adult urological practice. However, the effectiveness of the method in children has not been studied.

OBJECTIVE

To study the effectiveness and safety of ExMI in the rehabilitation of children with neurogenic UI.

MATERIAL AND METHODS

A prospective open randomized comparative clinical trial included 75 children (from 5 years to 16 years and 6 months) with neurogenic UI, who were divided by simple randomization into a main group (n=39), who received a standard rehabilitation and ExMI program for 21 days, and a comparison group (n=36), in which the standard rehabilitation program did not include the use of ExMI.

RESULT AND DISCUSSION

A prospective open randomized comparative study revealed that the clinical effectiveness of the ExMI method in the complex rehabilitation of children with neurogenic UI is 94.8%, which is 25.4% higher than in the comparison group. After treatment, patients in the main group had a noticeable decrease in UI episodes, an increase in the micturition volume, and an improvement in the quality of life. Patients with various background neurological pathology responded to treatment, which indicates the common pathogenetic mechanisms of the development of LUTS in these conditions and the independence of the final effect from the basic diagnosis.

CONCLUSION

The use of the perineal ExMI method in children with neurogenic UI increases the effectiveness of rehabilitation and is a promising and safe direction of rehabilitation treatment.

Keywords:

magnetic stimulation
urinary incontinence
children

Authors:

Badalov N.G.

Federal Scientific and Clinical Center of Medical Rehabilitation and Balneology;
I.M. Sechenov First Moscow State Medical University (Sechenov University)

Borodulina I.V.

Russian Medical Academy of Continuing Postgraduate Education

Efimova V.I.

Scientific and Practical Center of Medical and Social Rehabilitation named after L.I. Shvetsova

Yakovlev M.Yu.

National Medical Research Centre for Rehabilitation and Balneology

Received:

01.03.2023

Accepted:

08.05.2023

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