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Vojnosanitetski pregled
2020, vol. 77, br. 1, str. 87-91
jezik rada: engleski
vrsta rada: aktuelni problemi
doi:10.2298/VSP170503039S
Creative Commons License 4.0
Uloga fizikalne terapije u lečenju dece sa hroničnom funkcionalnom opstipacijom
aCollege of Health Studies, Ćuprija
bUniversity of Niš, Faculty of Medicine + Clinical Center Niš, Clinic of Physical Medicine and Rehabilitation, Niš

e-adresa: snssavic@mts.rs

Sažetak

(ne postoji na srpskom)
<Conclusion> Chronic constipation is a common, frustrating and time consuming problem in childhood. Despite the standard medical treatment, 50% of children continued to be constipated after a five-year follow-up. Since dysfunction of the PFMs is the major reason for FFR in children, physiotherapy interventions might play an important role to increase the success rate. They include diaphragmatic breathing, pelvic floor exercises with or without biofeedback to teach children awareness, proper muscle function and relaxation during defecation. Although the mechanism of interferential current action is not completely understood, positive effects include increase in defecation frequency, improvement in rectal sensory perception, reduction in fecal incontinence and abdominal pain. As these effects might last up to 2 years, interferential currents are considered to be effective modality in the management of chronic functional constipation in children. New, randomized, controlled clinical trials are needed to confirm the promising role of physical modalities in the treatment of constipated pediatric patients.

Ključne reči

Reference

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