Examination of posture, balance and quality of life in children with monosymtomatic nocturnal enuresis

This study aimed to evaluate and compare spinal posture, balance and quality of life related urinary incontinence of children with primary monosymptomatic nocturnal enuresis and healthy children. 35 children with primary monosymptomatic nocturnal enuresis and 34 healthy children were included in this study. After the physical and sociodemographic characteristics of the children were recorded, they were asked to fill out a 4 day bladder diary and a 7 day bowel diary. With Continence Specific Paediatric Quality of Life Measurement Tool the quality of life, with Dysfunctional Voiding and Incontinence Scoring System and Bladder and Bowel Dysfunction Questionnaire the symptom severity, with Spinal Mouse device spinal posture, with Biodex Balance device static and dynamic balance of the children were evaluated. Also, the parent's quality of life was determined by Short Form- 36. It was found that there is increased lumbal lordosis (p=0,018) and sacral-hip angles (p=0,029), worse mediolateral dynamic balance (p=0,049), decreased static balance (p=0,001) while eyes closed on foam surface, negatively affected quality of life (p=0,001) and symptom severity (p=0,001) in children with primary monosymptomatic nocturnal enuresis in comparison with healthy children. The quality of life of the parents of the healthy group was found to be worse (p=0,034) in the general health sub parameters than the parents of children with primary monosymptomatic nocturnal enuresis group's parents, but other sub parameters of quality of life were similar (p>0,05). As a result of this study, it was found that the children with primary monosymptomatic nocturnal enuresis in comparison with healthy children had worse posture, static and dynamic balance, and their quality of life and symptom severity were negatively affected. Keywords: Pediatric incontinence, Nocturnal enuresis, Posture, Balance, Quality of life