Metrika članka

  • citati u SCindeksu: 0
  • citati u CrossRef-u:0
  • citati u Google Scholaru:[=>]
  • posete u poslednjih 30 dana:27
  • preuzimanja u poslednjih 30 dana:13
članak: 1 od 31  
Back povratak na rezultate
Vojnosanitetski pregled
2020, vol. 77, br. 1, str. 87-91
jezik rada: engleski
vrsta rada: aktuelni problemi
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



(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


Bekkali, N.L.H.L., van den Berg, M.M.M., Dijkgraaf, M.G.W., van Wijk, M.P., Bongers, M.E.J., Liem, O., Benninga, M.A. (2009) Rectal Fecal Impaction Treatment in Childhood Constipation: Enemas Versus High Doses Oral PEG. Pediatrics, 124(6): e1108-e1115
Bongers, M.E., Benninga, M.A. (2011) Long-term follow-up and course of life in children with constipation. J Pediatr Gastroenterol Nutr, 53(2): 55-61
Bongers, M.E.J., van Wijk, M.P., Reitsma, J.B., Benninga, M.A. (2010) Long-Term Prognosis for Childhood Constipation: Clinical Outcomes in Adulthood. Pediatrics, 126(1): e156-e162
Burgers, R.E., Mugie, S.M., Chase, J., Cooper, C.S., von Gontard, A., Rittig, C.S., Homsy, Y., Bauer, S.B., Benninga, M.A. (2013) Management of Functional Constipation in Children with Lower Urinary Tract Symptoms: Report from the Standardization Committee of the International Children's Continence Society. Journal of Urology, 190(1): 29-36
Chase, J.W., Homsy, Y., Siggaard, C., Sit, F., Bower, W.F. (2004) Functional constipation in children. Journal of Urology, 171(6 Part 2): 2641-2643
Chase, J., Robertson, V.J., Southwell, B., Hutson, J., Gibb, S. (2005) Pilot study using transcutaneous electrical stimulation (interferential current) to treat chronic treatment-resistant constipation and soiling in children. Journal of Gastroenterology and Hepatology, 20(7): 1054-1061
Clarke, M.C.C., Chase, J.W., Gibb, S., Robertson, V.J., Catto-Smith, A., Hutson, J.M., Southwell, B.R. (2009) Decreased colonic transit time after transcutaneous interferential electrical stimulation in children with slow transit constipation. Journal of Pediatric Surgery, 44(2): 408-412
Clarke, M.C.C., Chase, J.W., Gibb, S., Hutson, J.M., Southwell, B.R. (2009) Improvement of quality of life in children with slow transit constipation after treatment with transcutaneous electrical stimulation. Journal of Pediatric Surgery, 44(6): 1268-1273
Clarke, M.C.C., Catto-Smith, A.G., King, S.K., Dinning, P.G., Cook, I.J., Chase, J.W., Gibb, S.M., Robertson, V.J., di Simpson,, Hutson, J.M., Southwell, B.R. (2012) Transabdominal electrical stimulation increases colonic propagating pressure waves in paediatric slow transit constipation. Journal of Pediatric Surgery, 47(12): 2279-2284
Cook, B.J., Lim, E., Cook, D.J., Hughes, J., Chow, C.W., Stanton, M.P., Bidarkar, S.S., Southwell, B.R., Hutson, J.M. (2005) Radionuclear transit to assess sites of delay in large bowel transit in children with chronic idiopathic constipation. Journal of Pediatric Surgery, 40(3): 478-483
Hyams, J.S., di Lorenzo, C., Saps, M., Shulman, R.J., Staiano, A., van Tilburg, M. (2016) Childhood Functional Gastrointestinal Disorders: Child/Adolescent. Gastroenterology, 150(6): 1456-1468.e2
Kajbafzadeh, A., Sharifi-Rad, L., Ghahestani, S.M., Ahmadi, H., Kajbafzadeh, M., Mahboubi, A.H. (2011) Animated Biofeedback: An Ideal Treatment for Children with Dysfunctional Elimination Syndrome. Journal of Urology, 186(6): 2379-2385
Keshtgar, A.S., Ward, H.C., Clayden, G.S. (2009) Transcutaneous needle-free injection of botulinum toxin: A novel treatment of childhood constipation and anal fissure. Journal of Pediatric Surgery, 44(9): 1791-1798
Leong, L.C.Y., Yik, Y.I., Catto-Smith, A.G., Robertson, V.J., Hutson, J.M., Southwell, B.R. (2011) Long-term effects of transabdominal electrical stimulation in treating children with slow-transit constipation. Journal of Pediatric Surgery, 46(12): 2309-2312
Loening-Baucke, V. (1990) Modulation of abnormal defecation dynamics by biofeedback treatment in chronically constipated children with encopresis. Journal of Pediatrics, 116(2): 214-222
Loening-Baucke, V., Pashankar, D.S. (2006) A Randomized, Prospective, Comparison Study of Polyethylene Glycol 3350 Without Electrolytes and Milk of Magnesia for Children with Constipation and Fecal Incontinence. Pediatrics, 118(2): 528-535
Mugie, S.M., di Lorenzo, C., Benninga, M.A. (2011) Constipation in childhood. Nature Reviews Gastroenterology & Hepatology, 8(9): 502-511
Rasquin, A., di Lorenzo, C., Forbes, D., Guiraldes, E., Hyams, J.S., Staiano, A.S., Walker, L.S. (2006) Childhood Functional Gastrointestinal Disorders: Child/Adolescent. Gastroenterology, 130(5): 1527-1537
Sapsford, R. (2004) Rehabilitation of pelvic floor muscles utilizing trunk stabilization. Manual Therapy, 9(1): 3-12
Sapsford, R.R., Hodges, P.W., Richardson, C.A., Cooper, D.H., Markwell, S.J., Jull, G.A. (2001) Co-activation of the abdominal and pelvic floor muscles during voluntary exercises. Neurourology and Urodynamics, 20(1): 31-42
Silva, C.A.G., Motta, M.E.F.A. (2013) The use of abdominal muscle training, breathing exercises and abdominal massage to treat paediatric chronic functional constipation. Colorectal Disease, 15(5): e250-e255
van der Plas, R.N., Benninga, M.A., Büller, H.A., Bossuyt, P.M., Akkermans, L.M.A., Redekop, W.K., Taminiau, J.A. (1996) Biofeedback training in treatment of childhood constipation: A randomised controlled study. Lancet, 348(9030): 776-780
van Dijk, M., Benninga, M.A., Grootenhuis, M.A., Nieuwenhuizen, A.O.O., Last, B.F. (2007) Chronic childhood constipation: A review of the literature and the introduction of a protocolized behavioral intervention program. Patient Education and Counseling, 67(1-2): 63-77
van Engelenburg-Van, L.M.L., Bols, E.M., Benninga, M.A., Verwijs, W.A., Bluijssen, N.M.W.L., de Bie, R.A. (2013) The effect of pelvic physiotherapy on reduction of functional constipation in children: Design of a multicentre randomised controlled trial. BMC Pediatrics, 13(1): 112-112
van Engelenburg-Van, L.M.L., Bols, E.M.J., Benninga, M.A., Verwijs, W.A., de Bie, R.A. (2017) Effectiveness of Pelvic Physiotherapy in Children with Functional Constipation Compared with Standard Medical Care. Gastroenterology, 152(1): 82-91
van Ginkel, R., Buller, H.A., Boeckxstaens, G.E., van der Plas, R.N., Taminiau, J.A.J.M., Benninga, M.A. (2001) The Effect of Anorectal Manometry on the Outcome of Treatment in Severe Childhood Constipation: A Randomized, Controlled Trial. Pediatrics, 108(1): e9-e9
Wald, A., Chandra, R., Gabel, S., Chiponis, D. (1987) Evaluation of Biofeedback in Childhood Encopresis. Journal of Pediatric Gastroenterology and Nutrition, 6(4): 554-558
Yik, Y.I., Clarke, M.C.C., Catto-Smith, A.G., Robertson, V.J., Sutcliffe, J.R., Chase, J.W., Gibb, S., Cain, T.M., Cook, D.J., Tudball, C.F., Hutson, J.M., Southwell, B.R. (2011) Slow-transit constipation with concurrent upper gastrointestinal dysmotility and its response to transcutaneous electrical stimulation. Pediatric Surgery International, 27(7): 705-711
Živković, V., Lazović, M., Stanković, I., Vlajković, M., Slavković, A. (2011) The evaluation of combined standard urotherapy, abdominal and pelvic floor retraining in children with dysfunctional voiding. J Pediatr Urol, 7(3): 336-377
Živković, V.D., Lazović, M., Stanković, I., Dimitrijević, L., Kocić, M., Vlajković, M., Stević, M., Slavković, A., Đorđević, I., Hrković, M. (2014) Scintigraphy evaluation of the types of functional constipation in children with bowel bladder dysfunction. Journal of Pediatric Urology, 10(6): 1111-1116
Živković, V.D., Stanković, I., Dimitrijević, L., Kocić, M., Čolović, H., Vlajković, M., Slavković, A., Lazović, M. (2017) Are Interferential Electrical Stimulation and Diaphragmatic Breathing Exercises Beneficial in Children with Bladder and Bowel Dysfunction?. Urology, 102: 207-212