Pelvic floor training with or without dynamic neuromuscular stabilization for children with dysfunctional voiding
Effects of Adding Dynamic Neuromuscular Stabilization to Pelvic Floor Muscle Training on Voiding Dysfunction in Children: A Randomized Controlled Trial
This will see if adding dynamic neuromuscular stabilization (spinal stabilization and muscle-synergy exercises) to standard pelvic floor muscle training helps children aged 5–18 with dysfunctional voiding improve symptoms and quality of life.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 48 (estimated) |
| Ages | 5 Years to 18 Years |
| Sex | All |
| Sponsor | Necmettin Erbakan University Academic / other |
| Locations | 2 sites (Konya, Konya and 1 other locations) |
| Trial ID | NCT07267364 on ClinicalTrials.gov |
What this trial studies
Children diagnosed with dysfunctional voiding are randomized to pelvic floor muscle training (PFMT) alone or PFMT plus dynamic neuromuscular stabilization (DNS). PFMT is delivered three times weekly for 10 weeks and uses video instruction to teach pelvic floor awareness and contraction/relaxation techniques. DNS starts with spinal stabilization exercises and targets coordinated muscle synergies to support bladder control. Outcomes measured at baseline and after treatment include the Voiding Disorders Symptom Score (VODS) and the Pediatric Quality of Life Inventory (PedsQL 4.0).
Who should consider this trial
Good fit: Children aged 5–18 diagnosed with dysfunctional voiding by ICCS criteria who can attend in-person sessions and whose parent/guardian can provide consent are the intended participants.
Not a fit: Children with organic urologic abnormalities (such as urethral obstruction, ectopic ureter, VUR), neurogenic bladder or spina bifida, diabetes, significant cognitive impairment, those under 5, or those already receiving PTC training or electrical stimulation are unlikely to benefit from this protocol.
Why it matters
Potential benefit: If successful, adding DNS to PFMT could reduce urinary symptoms and improve quality of life for affected children, potentially reducing the need for more invasive treatments.
How similar studies have performed: Pelvic floor muscle training is an established treatment for pediatric dysfunctional voiding, but combining PFMT with DNS is relatively novel and has limited prior pediatric evidence.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Having been diagnosed with voiding dysfunction according to ICCS diagnostic criteria in a urology outpatient clinic, * Being 5-18 years old, * The child and their parent/guardian agree to participate in the study voluntarily and provide signed consent. Exclusion Criteria: * Organic pathologies such as urethral obstruction, ectopic ureter, spinal dysraphism, and diabetes * Diagnosis of VUR or neurogenic bladder * Cognitive and mental impairment * Having spina bifida * Being under 5 years of age * Receiving treatment such as PTC training or electrical stimulation
Where this trial is running
Konya, Konya and 1 other locations
- Necmettin Erbakan University — Konya, Konya, Turkey (Türkiye) (Recruiting)
- Hanife Dogan — Konya, Konya, Turkey (Türkiye) (Recruiting)
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.