Surface Electromyography of Perianal Muscles in Children with and without Enuresis: A Cross-sectional StudyCorrespondence Address :
Dr. Padmaja Guruprasad,
Pimpale Gurav, Pune, Maharashtra, India.
Introduction: Enuresis or bedwetting is the most common urological problem seen in children from the age of 5-15 years. Various diagnostic procedures like urodynamics study, urinary system ultrasonography and Electromyography (EMG) are widely used. In most cases endo-anal probe is used for the procedure of EMG which is an invasive technique but surface EMG is pain free and easier.
Aim: To assess the activity of perianal muscle in children with enuresis using surface EMG.
Materials and Methods: Present study was a cross-sectional study in which 20 healthy children and 20 enuretic children in the age group of 5-15 years participated. Both boys and girls without central nervous system disorder were included. Surface EMG of the perianal muscles were performed. The homogenecity of demographic data like age, weight and height were checked using student’s t-test. Normality of the data was established using Shapiro-Wilk’s test.
Results: On analysis, the mean age (years) of normal children was 8.75±2.09 and for enuretic children was 9.3±2.63. The mean value of amplitudes of surface EMG (Quotient of Motor Unit action Potential-QMUP) in normal children was 428.6 ±118.6 μV and for enuretic children was 248.01±45.85 μV (p<0.05). Mean score is enuretic girls was 260±42.95 and normal girls was 414.7±118.1 (p<0.05). Similarily, mean score for enuretic boys was 236±47.71 and normal boys were 442.8±123.7 (p<0.05).
Conclusion: The perianal muscle activity is lowered in children with enuresis than in their age matched normal children. In the enuretic children, there is a need to manage pelvic floor muscle strength along with neuronal control.
Bedwetting, Electrodiagnosis, Paediatric population, Pelvic floor muscles, Urodynamics
Date of Submission: Jun 10, 2021
Date of Peer Review: Jul 24, 2021
Date of Acceptance: Nov 08, 2021
Date of Publishing: Jan 01, 2022
• Financial or Other Competing Interests: None
• Was Ethics Committee Approval obtained for this study? Yes
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. No
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ETYMOLOGY: Author Origin
- Emerging Sources Citation Index (Web of Science, thomsonreuters)
- Index Copernicus ICV 2017: 134.54
- Academic Search Complete Database
- Directory of Open Access Journals (DOAJ)
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- HINARI Access to Research in Health Programme
- Indian Science Abstracts (ISA)
- Journal seek Database
- Popline (reproductive health literature)