About this trial
The aim of our study is to investigate the effects of physiotherapy in children with Hirschsprung's disease who have bowel symptoms after surgery.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Children aged 5-18 who have undergone surgery for Hirschsprung's disease and have intestinal symptoms, and who come for routine check-ups.
Volunteering to participate in the study
Disqualifiers
Presence of a congenital and/or chronic disease
Those with missing assessment parameters
Having a history of any additional orthopedic, neurological or psychiatric disease that will affect the evaluation parameters
Loss of sensation
Trial design
Single group
Treatments tested in this trial
Physiotherapy
BehavioralThe treatment program will include patient education, lifestyle recommendations, breathing exercises, pelvic floor muscle training, and stabilization exercises. The treatment program will last for a total of 8 weeks.
Treatment groups
Trial outcomes
Primary outcomes
Bowel function
Bowel function will be evaluated with a bowel diary. They will be asked to keep a bowel diary for 1 week, including the number and type of daily stools and the number of incontinent stools.
Secondary outcomes
Constipation
Children's constipation will be evaluated with the Rome IV criteria. These criteria include; two or less defecation per week, fecal incontinence at least once a week, history of holding/ delaying the large toilet, painful and difficult bowel movements, presence of large feces in the rectum, presence of a history of large feces that can block the toilet. An increase in the number of symptoms indicates the severity of constipation.
Pelvic floor muscle function
Pelvic floor muscle function will be evaluated with palpation form anus. The presence of correct contraction and relaxation of the pelvic floor muscle will be determined.
Life quality
Life quality will be assessed with the Pediatric Quality of Life Inventory (PedsQL). The PedsQL consists of 23 items. It are scored between 0-100. The higher the total score of the life quality, the better health-related life quality is perceived.
Perception of improvement
Subjective perception of improvement will be assessed as -1 (worse), 0 (no change) and 1 (better).
Locations
Sponsors and contacts
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