Issue 4-98, 2020
Review article
Complex Application of Laser Radiation and Interference Currents in Medical Rehabilitation of Children with Neurogenic Dysfunction of the Bladder
1,2,3 Novikova E.V., 2 Menovshikova L.B., 4
PrikulsV.F., 4 Trunova O.V.
1 Moscow Scientific Practical Center of Medical Rehabilitation, Restorative and Sports Medicine, Moscow, Russian Federation
2 Children's City Clinical Hospital named after N.F. Filatov, Moscow, Russian Federation
3 M. Sechenov First Moscow State Medical University, Moscow, Russian Federation
4 Moscow Regional Research Institute named after M.F. Vladimirsky, Russian Federation
ABSTRACT
The article is devoted to the medical rehabilitation of children with neurogenic bladder dysfunction. Medical rehabilitationof children with neurogenic bladder dysfunction includes behavioral therapy, medication, biofeedback, and physicaltherapy. The popularity of physiotherapy methods is explained by the influence on the main links of pathogenesis, theabsence 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 inthe medical rehabilitation of children with PDMP.Materials and methods. Clinical observations and special studies were conducted in 40 children with hyperactive bladderaged 3 to 10 years. The main group consisted of 20 children who received laser therapy and interference currents, 20-acomparison group (without physical therapy).Results. Positive dynamics was observed by the middle of the course of medical rehabilitation, a third of patients showeda decrease in urgency and urgent urinary incontinence, there was a tendency to normalize the number of urinations perday, by the end of the course of medical rehabilitation, the dynamics of clinical symptoms was more pronounced andreliable. The favorable influence of interference currents and laser radiation on the clinical course of neurogenic bladderdysfunction, 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 neurogenicbladder dysfunction is scientifically proved.Conclusion. Medical rehabilitation of children with neurogenic bladder dysfunction with the inclusion of laser radiationand 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 medicalrehabilitation with the inclusion of laser radiation and interference currents was 85.0 %, in the comparison group only60.0 % (p < 0.05).
KEYWORDS: neurogenic bladder dysfunction, overactive bladder, medical rehabilitation, interference currents, laser radiation
FOR CITATION: Novikova E.V., Menovshikova L.B., Prikuls V.F., Trunova O.V. Complex Application of Laser Radiation and Interference Currents in Medical Rehabilitation of Children with Neurogenic Dysfunction of the Bladder. Bulletin of Rehabilitation Medicine. 2020; 4 (98): 71–76. https://doi.org/10.38025/2078-1962-2020-98-4-71-76
References:
- Menovshchikova L.B., Nikolaev S.N., Khan M.A. Osnovnye principy diagnostiki i lecheniya rasstrojstv mocheispuskaniya u detej I podrostkov [The main principles of diagnosis and treatment of urination disorders in children and adolescents]. Methodical recommendations № 10. Medicine. 2013: 38 p. (In Russ.).
- Lyubarskaya Yu.O., Atduev V.A. Giperaktivnyj mochevoj puzyr’ [Hyperactive Bladder] Remedium Privolzhye. 2014; (5): 36-41 (In Russ.).
- Wu C, Franco I. Management of vesicoureteral reflux in neurogenic bladder. Investig Clin Urol. 2017; (58): 54-58. DOI: 10.4111/icu.2017.58. S1. S54
- Khan M.A., Menovshchikova L.B., Novikova E.V. Medicinskaya reabilitaciya detej s nejrogennoj disfunkciej mochevogo puzyrya [Medical rehabilitation of children with neurogenic dysfunction of the urinary bladder]. Doctor. ru. 2013; (10): 60-61 (In Russ.).
- Osipov I.B., Sarychev S.A. Konservativnoe lechenie narushenij rezervuarnoj funkcii mochevogo puzyrya u detej s mielodisplaziej [Conservative treatment of violations of the reservoir function of the bladder in children with myelodysplasia]. Pediatr. 2012; V.3(4): 67-73 (In Russ.).
- Pushkar’ D.YUu, Alyaev Yu.G., Glybochko P.V. Urologiya. Rossijskie klinicheskie rekomendacii [Urology. Russian clinical recommendations.]. M. GEHOTAR- Media. 2014: 192 p. (In Russ.).
- Glybochko P.V., Alyaeva Yu.G. Integrativnaya urologiya: rukovodstvo dlya vrachej [Integrative Urology: A Guide for Doctors]. M. Medforum. 2014: 432 p. (In Russ.).
- Costa Monteiro L.M., Cruz G.O., Fontes J.M., Vieira ETRC, Santos E.N., Araujo G.F., Ramos E.G. Early treatment improves urodynamic prognosis in neurogenic voiding dysfunction: 20 years of experience. Rio de Janeiro. Jornal de Pediatria. 2017; 93:4: 420-427. DOI:10.1016/j.jped.2016.11.010.
- Guseva N.B. Dlin V.V., Korsunsky A.A. Nokturiya kak simptom giperaktivnogo mochevogo puzyrya u detej [Knoturia as a symptom of a hyperactive bladder in children]. Pediatriya. 2015; V.94(3): 175-181 (In Russ.).
- Brownrigg N., Braga L., Rickard M., Farrokhyar F., Easterbrook B., Dekirmendjian A., Jegatheeswaran K., DeMaria J., Lorenzo A. The impact of a bladder training video versus standard urotherapy on quality of life of children with bladder and bowel dysfunction: A randomized controlled trial. International Urology and Nephrology. 2017; 49(12): 2105-2109.
- Vishnevsky E.L., Guseva N.B., Ignatiev R.O. Sposob lecheniya detej s nejrogennoj disfunkciej mochevogo puzyrya pri snizhenii aktivnosti pozyva k mocheispuskaniyu metodom biologicheski obratnoj svyazi [The method of treatment of children with neurogenic dysfunction of the bladder with a decrease in the activity of urge to urinate by the method of biologically feedback]. Patent RF no 2452531.2012. (In Russ.).
- Dumoulin C., Hay-Smith J. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database of Systematic Reviews. 2010; (20): 1. https:// www.ncbi.nlm.nih.gov/pubmed/20091581
- Khan M.A., Pogonchenkova I.V., Novikova E.V. Menovschikova L.B. Etapnaya medicinskaya reabilitaciya detej s obstruktivnoj uropatiej. [Stage medical rehabilitation of children with obstructive uropathy]. Bulletin of Rehabilitation Medicine . 2017; 6(82): 81-85 (In Russ.).
- Menovshchikova L.B., Han M.A., Novikova E.V. Fizicheskie metody v lechenii giperaktivnogo mochevogo puzyrya [Physical methods in the treatment of overactive bladder]. Detskaya hirurgiya. 2008; (5): 21-24 (In Russ.).
- Novikova E.V., Kuyantseva L.V., Rassulova M.A., Trunova O.V. Sovremennye tekhnologii lazernogo izlucheniya v pediatrii [Modern technologies of laser radiation in ped iatrics]. Voprosy kurortologii, fizioterapiiilechebnoj fizicheskojkul'tury. 2016; (2):119-120 (In Russ.).
- Kajbafzadeh A., Sharifi-Rad L., Ladi-Seyedian S., Mozafarpour S. Transcutaneous interferential electrical stimulation for the management of non-neuropathic underactive bladder in children: a randomised clinical trial. BJU International. 2016; 117(5): 793-800.
- Novikova E.V., Nikolaev S.N., Fanaskova E.R. Medicinskaya reabilitaciya detej so spinal’nym dizrafizmom. [Medical rehabilitation of children with spinal dysraphism]. Bulletin of Rehabilitation Medicin e 2015; 6(70): 32-35 (In Russ.).

The content is available under the Creative Commons Attribution 4.0 License.
©
This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.