Wii-based balance exercises for children with lower urinary tract dysfunction
The Effect of Video Game-Based Balance Exercises Added to Standard Rehabilitation on Clinical Symptoms and Pelvic Floor Muscle Functions in Children With Lower Urinary Tract Dysfunction
This will test whether adding Wii-based balance games to standard therapy helps children aged 5–12 who have lower urinary tract dysfunction.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 30 (estimated) |
| Ages | 5 Years to 12 Years |
| Sex | All |
| Sponsor | Bahçeşehir University Academic / other |
| Locations | 1 site (Istanbul) |
| Trial ID | NCT07126977 on ClinicalTrials.gov |
What this trial studies
This single-center randomized trial will enroll 30 children aged 5–12 with lower urinary tract dysfunction and randomly assign them to standard treatment alone or standard treatment plus video game–based balance exercises. The experimental group will use a Wii console and Wii Balance Board to play selected balance games twice weekly for 8 weeks, with each session including a warm-up, ~20 minutes of balance games, and a cool-down. All participants receive the same standard program of urotherapy, diaphragmatic breathing, biofeedback-assisted pelvic floor muscle training, and functional exercises. Outcomes include bladder diaries, uroflowmetry, post-void residual ultrasonography, pelvic floor EMG, the DVISS symptom score, and pediatric incontinence quality-of-life measures.
Who should consider this trial
Good fit: Ideal candidates are children aged 5–12 with a pediatric urologist–confirmed diagnosis of lower urinary tract dysfunction who can use the Wii Balance Board and whose parent and child can participate voluntarily.
Not a fit: Children with neurologic conditions, anatomical urinary tract anomalies, recent urological surgery, constipation or fecal incontinence, prior pelvic floor rehabilitation, regular medication use, cognitive limitations, or physical impairments preventing Wii use are unlikely to benefit from this program.
Why it matters
Potential benefit: If successful, adding game-based balance training could reduce urinary symptoms and improve pelvic floor function while making rehabilitation more engaging for children.
How similar studies have performed: Using exergames to improve balance is supported in other pediatric and adult rehabilitation settings, but applying game-based balance training specifically for pediatric lower urinary tract dysfunction is relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Being between 5 and 12 years of age * Having a diagnosis of "Lower Urinary Tract Dysfunction" made by a pediatric urologist according to the criteria defined by the ICCS * Voluntary participation of both the parent and the child in the study Exclusion Criteria: * Having any neurologically based condition * Presence of any condition in the parent or child that affects the ability to respond to the assessment tools (e.g., intellectual disability, developmental delay, cognitive problems) * Having any physical impairment (orthopedic, structural, etc.) that prevents the use of Wii-Fit * Presence of malformations or anatomical anomalies in the urinary tract system * History of urological surgery * Having constipation and/or fecal incontinence * Previous participation in pelvic floor muscle rehabilitation * Regular use of medication
Where this trial is running
Istanbul
- Tuğtepe Pediatric Urology and Surgery Clinic — Istanbul, Turkey (Türkiye) (Recruiting)
Study contacts
- Principal investigator: Tuğçe Oskay, BSc, PT — Bahçeşehir Univ, Grad Sch of Health Sci, MSc Physiotherapy & Rehabilitation, Istanbul, Turkey
- Study coordinator: Tuğçe Oskay, BSc, PT
- Email: tugce.oskay@bahcesehir.edu.tr
- Phone: +90 5419079413
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.