The Relationship Between Pelvic Floor Dysfunction and Quality of Life, Functional Capacity, Gait Parameters, and Static Balance in Children With Defecation Disorders
Defecation disorders are common in children and may adversely affect pelvic floor function, gait, balance, functional capacity, and health-related quality of life. Although pelvic floor dysfunction is considered an important component of defecation disorders, its relationship with gait characteristics, plantar pressure distribution, static balance, functional capacity, and health-related quality of life has not been fully investigated in children.
The aim of this study is to investigate the relationship between pelvic floor function and gait parameters, plantar pressure distribution, static balance, functional capacity, and health-related quality of life in children with defecation disorders. Pelvic floor function will be evaluated using surface electromyography and the Kelly Continence Score. Gait parameters, plantar pressure distribution, static balance, functional capacity, and health-related quality of life will be assessed using validated and standardized assessment methods.
Eligibility
Sex
ALL
Min age
6 Years
Max age
18 Years
Healthy volunteers
Accepted
Inclusion Criteria:
* Being between 6 and 18 years of age
* Diagnosed with a defecation disorder by a pediatric surgeon according to Rome IV clinical criteria
* Having a history of constipation or fecal incontinence lasting at least 3 months
* Cognitive and auditory abilities sufficient to understand and follow simple verbal commands
* Written consent provided by the child's parent or legal guardian
Exclusion Criteria:
* Having orthopedic or neurological conditions that would impair lower extremity movements or walking
* History of surgery within the last 6 months
* History of neurological disorders (e.g., cerebral palsy, epilepsy, neuromuscular diseases)
* Having visual or hearing impairments severe enough to prevent participation in the study
Primary outcome measure(s)
Resting Pelvic Floor Muscle Activity (µV) — Baseline (at study entry) Resting pelvic floor muscle activity will be quantified using the MyOnyx surface electromyography (sEMG) system. Average onset time and work mean values during the resting phase will be recorded.
Pelvic Floor Muscle Maximum Voluntary Contraction (µV) — Baseline (at study entry) Pelvic floor muscle activity during maximum voluntary contraction will be quantified using the MyOnyx surface electromyography (sEMG) system. Average onset time and work mean values during maximum voluntary contraction will be recorded.
Pelvic Floor Muscle Activity During Straining (µV) — Baseline (at study entry) Pelvic floor muscle activity during straining will be quantified using the MyOnyx surface electromyography (sEMG) system. Average onset time and work mean values during straining will be recorded.
Pediatric Quality of Life Inventory (PedsQL™ 4.0) Child Self-Report Total Score — Baseline (at study entry) Health-related quality of life will be assessed using the Pediatric Quality of Life Inventory (PedsQL™ 4.0) child self-report form. The total score will be calculated and reported.
Pediatric Quality of Life Inventory (PedsQL™ 4.0) Parent Proxy-Report Total Score — Baseline (at study entry) Health-related quality of life will be assessed using the Pediatric Quality of Life Inventory (PedsQL™ 4.0) parent proxy-report form. The total score will be calculated and reported.
Trial sites (2)
Facility
City
Region
Status
Ege University
Izmir
Bornova
Not Yet Recruiting
Ege University Faculty of Medicine, Department of Pediatric Surgery
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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