Relationship Between Pelvic Angle, Femoral Anteversion, and Hip Muscle Strength Ratios in Bladder-bowel Dysfunction

Summary

Bladder and bowel dysfunction is a combination of lower urinary tract and bowel dysfunction seen in children over 5 years of age without identifiable or discernible neurological abnormalities. The proper functioning of the bladder, bowel, nerves, pelvic floor muscles and related anatomical structures provides the bowel and lower urinary tract function. Dysfunction of any structure of the pelvic floor can potentially cause to bladder and bowel dysfunction. The ability of the pelvic floor muscles to perform the correct contraction and relaxation function is also closely related to the position of the pelvis, muscle strength of the hip muscles, and femoral anteversion. Disruption of one of the links forming the chain causes a change in the mobility and stability of all mechanically related structures and may affect the optimal force that the pelvic floor muscles can produce.

As far as investigators know, there is no study in the literature examining the relationship between BBD and pelvic angle, femoral anteversion angle, femoral internal/external rotation angle ratio and hip muscle strength ratios in children with bladder-bowel dysfunction. Considering the close relationship between pelvis position, hip muscle strength, and femoral anteversion with the pelvic floor, investigators think that this relationship should be evaluated in children with BBD and will contribute to the literature.

Conditions

• Bladder and Bowel Dysfunction, Femoral Anteversion
• Bladder and Bowel Dysfunction, Hip Strength Ratios
• Bladder and Bowel Dysfunction, Pelvic Angle

Interventions

OTHER

Scales and measurements for bladder and bowel dysfunction, pelvic angle, proximal hip strength, femoral hip anteversion

Assessments Children whose physical examination has been completed and diagnosed with BBD will be evaluated with following assessments. Demographic Data Form Questionnaire Forms Dysfunctional Voiding and Incontinence Scoring System Bladder Diary Bowel Diary EMG-uroflowmetry Ultrasonography Post Voiding Residual Measurement: Bladder wall thickness Pelvic Floor Muscle Activation Measurement: Pelvic Floor Muscle Strength Assessment: Hip agonist-antagonist muscle ratios Pelvic angle measurement Femoral anteversiyon angle measurement Femoral internal and external rotation angle:

Sponsors & Collaborators

• Bahçeşehir University

  collaborator OTHER

• Halil Tugtepe

  lead OTHER

Principal Investigators

• Aygül Köseoğlu, PT, MSc · Tuğtepe Pediatric Urology Clinic

• Halil Tuğtepe, MD, Prof Dr, · Tuğtepe Pediatric Urology Clinic

• Pelin Pişirici, PT, PhD · Bahçeşehir University Faculty of Health Sciences

• Tuğçe Atalay, PT · Tuğtepe Pediatric Urology Clinic

• Ece Zeynep Saatçi, PT · Tuğtepe Pediatric Urology Clinic

• Melis Ünal, PT · Tuğtepe Pediatric Urology Clinic

Eligibility

Min Age

5 Years

Max Age

12 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2022-01-15

Primary Completion

2023-09-01

Completion

2024-02-09

Countries

• Turkey (Türkiye)

Study Locations