Long-term effects of transabdominal electrical stimulation in treating children with slow-transit constipation
Aims: Transcutaneous electrical stimulation (TES) was used to treat children with slow-transit constipation (STC) for 1 to 2 months in a randomized controlled trial during 2006 to 2008. We aimed to determine long-term outcomes, hypothesizing that TES produced sustained improvement. Methods: Physioth...
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my.um.eprints.146932015-11-09T01:48:15Z http://eprints.um.edu.my/14693/ Long-term effects of transabdominal electrical stimulation in treating children with slow-transit constipation Leong, L.C. Y. Yik, Y.I. Catto-Smith, A.G. Robertson, V.J. Hutson, J.M. Southwell, B.R. RJ Pediatrics Aims: Transcutaneous electrical stimulation (TES) was used to treat children with slow-transit constipation (STC) for 1 to 2 months in a randomized controlled trial during 2006 to 2008. We aimed to determine long-term outcomes, hypothesizing that TES produced sustained improvement. Methods: Physiotherapists administered 1 to 2 months of TES to 39 children (20 minutes, 3 times a week). Fifteen continued to self-administer TES (30 minutes daily for more than 2 months). Mean long-term follow-up of 30 of 39 patients was conducted using questionnaire review 3.5 years (range 1.9-4.7 years) later. Outcomes were evaluated by confidence intervals or paired t test. Results: Seventy-three percent of patients perceived improvement, lasting more than 2 years in 33% and less than 6 months in 25% to 33%. Defecation frequency improved in 30%. Stools got wetter in 62% after stimulation and then drier again. Soiling improved in 75% and abdominal pain in 59%. Laxative use stopped in 52%, and 43% with appendicostomies stopped washouts. Soiling/Holschneider continence score improved in 81% (P = .0002). Timed sits switched to urge-initiated defecations in 80% patients. Eighty percent of relapsed patients elected to have home stimulation. Conclusion: TES holds promise for STC children. Improvement occurred in two thirds of children, lasting more than 2 years in one third, whereas symptoms recurred after 6 months in one third of children. (C) 2011 Elsevier Inc. All rights reserved. Elsevier 2010 Article PeerReviewed Leong, L.C. Y. and Yik, Y.I. and Catto-Smith, A.G. and Robertson, V.J. and Hutson, J.M. and Southwell, B.R. (2010) Long-term effects of transabdominal electrical stimulation in treating children with slow-transit constipation. Journal of Pediatric Surgery, 46 (12). pp. 2309-2312. |
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RJ Pediatrics Leong, L.C. Y. Yik, Y.I. Catto-Smith, A.G. Robertson, V.J. Hutson, J.M. Southwell, B.R. Long-term effects of transabdominal electrical stimulation in treating children with slow-transit constipation |
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Aims: Transcutaneous electrical stimulation (TES) was used to treat children with slow-transit constipation (STC) for 1 to 2 months in a randomized controlled trial during 2006 to 2008. We aimed to determine long-term outcomes, hypothesizing that TES produced sustained improvement. Methods: Physiotherapists administered 1 to 2 months of TES to 39 children (20 minutes, 3 times a week). Fifteen continued to self-administer TES (30 minutes daily for more than 2 months). Mean long-term follow-up of 30 of 39 patients was conducted using questionnaire review 3.5 years (range 1.9-4.7 years) later. Outcomes were evaluated by confidence intervals or paired t test. Results: Seventy-three percent of patients perceived improvement, lasting more than 2 years in 33% and less than 6 months in 25% to 33%. Defecation frequency improved in 30%. Stools got wetter in 62% after stimulation and then drier again. Soiling improved in 75% and abdominal pain in 59%. Laxative use stopped in 52%, and 43% with appendicostomies stopped washouts. Soiling/Holschneider continence score improved in 81% (P = .0002). Timed sits switched to urge-initiated defecations in 80% patients. Eighty percent of relapsed patients elected to have home stimulation. Conclusion: TES holds promise for STC children. Improvement occurred in two thirds of children, lasting more than 2 years in one third, whereas symptoms recurred after 6 months in one third of children. (C) 2011 Elsevier Inc. All rights reserved. |
format |
Article |
author |
Leong, L.C. Y. Yik, Y.I. Catto-Smith, A.G. Robertson, V.J. Hutson, J.M. Southwell, B.R. |
author_facet |
Leong, L.C. Y. Yik, Y.I. Catto-Smith, A.G. Robertson, V.J. Hutson, J.M. Southwell, B.R. |
author_sort |
Leong, L.C. Y. |
title |
Long-term effects of transabdominal electrical stimulation in treating children with slow-transit constipation |
title_short |
Long-term effects of transabdominal electrical stimulation in treating children with slow-transit constipation |
title_full |
Long-term effects of transabdominal electrical stimulation in treating children with slow-transit constipation |
title_fullStr |
Long-term effects of transabdominal electrical stimulation in treating children with slow-transit constipation |
title_full_unstemmed |
Long-term effects of transabdominal electrical stimulation in treating children with slow-transit constipation |
title_sort |
long-term effects of transabdominal electrical stimulation in treating children with slow-transit constipation |
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Elsevier |
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2010 |
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http://eprints.um.edu.my/14693/ |
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1643689878718775296 |
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13.160551 |