Reformer Pilates Exerises in Bladder and Bowel Dysfunction
Condition: BLADDER AND BOWEL DYSFUNCTION
MeSH terms: Intestinal Diseases; Gastrointestinal Diseases
Study type: Interventional

Summary: 
      Bladder and bowel dysfunction (BBD) describes the urinary tract symptoms associated with
      bowel complaints. Urotherapy and pharmacological treatments are used in conservative BBD
      treatment. Pilates is an exercise method that includes a series of movements that both
      strengthen and increase flexibility of the entire body without focusing on a specific muscle.
      Reformer pilates is a specific type that provides resistance exercise at certain weights with
      the pulley system relying basically on the same principles. Pilates exercises provide
      breathing and activation of the deep stabilizing muscles of the trunk in coordination with
      the pelvic floor muscles (PFMs).

      Despite the increasing number of health care professionals using the pilates-based approach
      in rehabilitation. The pilates-based exercises in rehabilitation is still insufficient in the
      literature7. To our knowledge, none of studies which were investigated the usefulness of
      pilates-based exercise principle in children with BBD. This study was aimed to investigate
      the effect of reformer pilates exercises on bladder and bowel dysfunction symptoms and
      quality of life in children with bladder and bowel dysfunction.
    

Detailed description: 
      Bladder and bowel dysfunction (BBD) describes the urinary tract symptoms associated with
      bowel complaints. BBD symptoms are thought to represent 40% of pediatric urology
      consultations. In children who do not have any neurological or physiological problems,
      micturition and defecation occur with the coordinated work of the involuntary bladder and
      bowel, voluntary contracting external urethral sphincter and external anorectal sphincter.
      For normal micturition and defecation, the pelvic floor muscles must be able to relax
      properly. This relaxation may not be achieved even in children with no neurological or
      physiological problems.

      Urotherapy and pharmacological treatments are used in conservative BBD treatment. Urotherapy
      includes education of the child and family, diet (adequate fiber and fluid consumption),
      regular optimal voiding, daily physical activity, teaching normal toilet use, pelvic floor
      muscle training and relaxation. Pilates is an exercise method that includes a series of
      movements that both strengthen and increase flexibility of the entire body without focusing
      on a specific muscle. It includes exercises that can work the pelvic floor muscles (PFMs),
      while avoiding intense abdominal contractions, holding breath, or straining that can create
      increased pressure on the pelvic floor.

      Reformer pilates is a specific type that provides resistance exercise at certain weights with
      the pulley system relying basically on the same principles. Pilates exercises provide
      breathing and activation of the deep stabilizing muscles of the trunk in coordination with
      the PFMs. It includes exercises that focus on pelvic stability, mobility and body alignment.
      PFMs activation is carried out simultaneously with the trunk muscles in various positions in
      coordination with breathing. Such exercises are known to have an important role related to
      continence, maintenance of intra-abdominal pressure and respiratory mechanics.

      Despite the increasing number of health care professionals using the pilates-based approach
      in rehabilitation. The pilates-based exercises in rehabilitation is still insufficient in the
      literature. To our knowledge, none of studies which were investigated the usefulness of
      pilates-based exercise principle in children with BBD. This study was aimed to investigate
      the effect of reformer pilates exercises on bladder and bowel dysfunction symptoms and
      quality of life in children with bladder and bowel dysfunction.
    

Intervention name(s): exercise; Urotherapy
Intervention type(s): Other; Other
Intervention description(s): Reformer pilates is a specific type that provides resistance exercise at certain weights with the pulley system relying basically on the same principles. Pilates exercises provide breathing and activation of the deep stabilizing muscles of the trunk in coordination with the PFMs. It includes exercises that focus on pelvic stability, mobility and body alignment. PFMs activation is carried out simultaneously with the trunk muscles in various positions in coordination with breathing.; Urotherapy includes education of the child and family, diet (adequate fiber and fluid consumption), regular optimal voiding, daily physical activity, teaching normal toilet use, pelvic floor muscle training and relaxation
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Children between ages 5-18, who were diagnosed with bladder and bowel dysfunction without any neurological abnormalities were invited. Children with neuropathic or anatomical abnormalities in the urinary tract or gastrointestinal tract, inflammatory bowel disease or any other disorder affecting bladder or bowel function and who requested withdrawal from the study at any stage were excluded.
The children who met the inclusion criteria were invited for pre-intervention meeting and assessments. The aim of study and reformer pilates exercise intervention explained parents and children during the meeting. The children and their parents who want to join exercise sessions during the study were assigned in the reformer pilates group and who did not accept to perform reformer pilates exercises were assigned in the urotherapy group
Masking: Single (Outcomes Assessor)
Primary purpose: Other
Keywords: Reformer; Pilates; Urotherapy; Quality of life; Bladder and bowel dysfunction