Bladder and Bowel Control in Children with Cerebral Palsy
Posted: 01 Aug 2016 08:47 PM PDT from Your Therapy Source
Bladder and bowel control children cerebral palsy
The Journal of Pediatric Urology published research on interviews regarding 346 children with bilateral cerebral palsy (BCP) to describe the age of bladder and bowel control, intellectual impairment and severity of motor disability.
The results indicated the following:
- median age for daytime bladder and bowel continence in BCP children was 5.4 years compared with 2.4 years in the controls. 大小便的控制- 雙側腦癱的孩子：5.4歲 ，一般孩子：2.4歲
- at 13.8 years of age, 59.4% of BCP children and 99% of controls were continent by day and 51.9% of BCP children compared with 99.4% of controls were continent for bowel and bladder at night.在13.8歲，59.4%腦癱孩子及99%的正常孩子都可達成白天的大小便控制;在13.8歲，51.9%腦癱孩子及99.4%的正常孩子都可達成晚上的大小便控制
- there was no difference between the attainment of daytime bladder and bowel control in children with cerebral palsy.
- Night-time bladder and bowel control was slower and less completely attained, with 50% of BCP children continent by the age of 11.8 years compared with 3 years in control children.夜間的大小便控制更慢達成，約50%的腦癱孩子在11.8歲完成，而一般孩子則再3歲即可達到目標。
- Gross Motor Functional Classification Score (GMFCS) and intellectual ability were strongly associated with continence attainment but gender was not.大小便的控制與大肢體行動力及智力有關與性別無關
The researchers concluded that 60.8% of children with BCP were continent by day and 54.6% by night at the age of 17 years. Of the children with BCP who were continent during the day, 86% achieved this by 5.5 years old. The majority (88%) of the children with BCP GMFCS I/II with normal, specific or mild learning impairment were continent for bladder and bowel by day and night.
Reference: Wright AJ, et al. Bladder and bowel continence in bilateral cerebral palsy: A population study. J Pediatr Urol. 2016 Jun 11. pii: S1477-5131(16)30116-4. doi: 10.1016/j.jpurol.2016.05.027. [Epub ahead of print]