Home Transcutaneous Electrical Stimulation Therapy to Treat Children With Anorectal Retention: A Pilot Study.

Details

Serval ID
serval:BIB_341BE7276853
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Home Transcutaneous Electrical Stimulation Therapy to Treat Children With Anorectal Retention: A Pilot Study.
Journal
Neuromodulation : journal of the International Neuromodulation Society
Author(s)
Yik Y.I., Stathopoulos L., Hutson J.M., Southwell B.R.
ISSN
1525-1403 (Electronic)
ISSN-L
1094-7159
Publication state
Published
Issued date
07/2016
Peer-reviewed
Oui
Volume
19
Number
5
Pages
515-521
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
As transcutaneous electrical stimulation (TES) increased defecation in children and adults with Slow-Transit Constipation (STC), we performed a pilot study to test if TES can improve symptoms (defecation and soiling) in children with chronic constipation without STC and transit delay in the anorectum.
Children with treatment-resistant constipation presenting to a tertiary hospital had gastrointestinal nuclear transit study (NTS) showing normal proximal colonic transit and anorectal holdup of tracer. TES was administered at home (1 hour/day for 3 months) using a battery-powered interferential stimulator, with four adhesive electrodes (4 × 4 cm) connected so currents cross within the lower abdomen at the level of S2-S4. Stimulation was added to existing laxatives. Daily continence diary, and quality-of-life questionnaires (PedsQL4.0) were compared before and after TES.
Ten children (4 females: 5-10 years, mean 8 years) had holdup in the anorectum by NTS. Nine had <3 bowel motions (BM)/week. After three months TES, defecation frequency increased in 9/10 (mean 0.9-4.1 BM/week, p = 0.004), with 6/9 improved to ≥3 BM/week. Soiling reduced in 9/10 from 5.9 to 1.9 days/week with soiling, p = 0.004. Ten were on laxatives, and nine reduced/stopped laxative use. Quality-of-life improved to within the normal range.
TES improved symptoms of constipation in >50% of children with treatment-resistant constipation with isolated holdup in the anorectum. Further studies (RCTs) are warranted in these children.

Keywords
Child, Child, Preschool, Constipation/psychology, Constipation/therapy, Female, Home Care Services, Humans, Male, Outcome Assessment (Health Care), Pilot Projects, Quality of Life, Transcutaneous Electric Nerve Stimulation/methods
Pubmed
Web of science
Create date
06/10/2016 15:23
Last modification date
20/08/2019 14:20
Usage data