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Treatment of the monosymptomatic Nocturnal enuresis
Scheible, B. [1]

Journal: Unpublished MSc thesis Wiener Schule für Osteopathie, Date: 2009/03, Pages: 73, type of study: clinical trial

Free full text   (https://www.osteopathicresearch.org/s/orw/item/2921)

Keywords:

children [228]
nocturnal enuresis [3]
pediatrics [375]
osteopathic manipulative treatment [2973]
OMT [2951]
clinical trial [612]
WSO [433]

Abstract:

Study Design clinical study with a within-subject-design; 26 childen participate in the study. After the first contact with case history and first examination the test persons do not receive any treatment for a period of six weeks. Six weeks later four osteopathic treatments are carried out within a period of six weeks. Another six weeks after the end of the tratment interval the test persons are contacted by phone to estabish the possible relapse rate. Outline/Problem Definition 15-20 percent of the children older than 5 years and 1-2 percent of the adolescents still wet their bed at night.Primary monosympomatic nocturnal enuresis means that the children have never been dry at night since birth and there are no other bladder symptoms existing. Research Question & Objective Do children wet their bed during the night less often after four osteopathic treatments within a period of six weeks, and how high is the relapse rate six weeks after the end of the course of treatments? Hypothesis Four osteopathic treatments, within an period of six weeks, reduce the frequency of bedwetting. Relevance for the Patients 15-20 percent of the children older than 5 years and 1-2 percent of the adolescents still wet their bed at night.Both the parents and the children are subject to a lot of pressure. Relevance for Osteopathy Complementary therapy to deal with the issue of bedwetting. Conventional therapies, i.e. medications, have a high relapse rate after discontinuing. Methodology Clinical study with a within-subject-design.The following issues are compared: frequency of enuresis per week within period A(= without teatment)and frequency of enuresis per week within period B (= during and immediatley after four osteopathic treatments). Possible relapses six weeks later are documented. Results The hypothesis that an osteopathic treatment tailored to the needs of the inividial test persons can reduce the frequency of bedwetting in children with the monosymptomatic primary nocturnal enuresis cold be confirmed. In the treatment interval more children became dry than in the oberservation interval and the number of wet nights per week could be significantly reduced. Another advantage in comparison with other interventions is the high sustainability. Critical Reflection/Perspectives/Conclusions Small study group, age between 5 an 14 years. Other forms of enuresis should be investigated.

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