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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Main Authors:	Leong, L.C. Y., Yik, Y.I., Catto-Smith, A.G., Robertson, V.J., Hutson, J.M., Southwell, B.R.
Format:	Article
Published:	Elsevier 2010
Subjects:	RJ Pediatrics
Online Access:	http://eprints.um.edu.my/14693/

id	um-14693
recordtype	eprints
spelling	um-146932015-11-09T01:48:15Z 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.; Yik, Y.I.; Catto-Smith, A.G.; Robertson, V.J.; Hutson, J.M.; Southwell, B.R. (2010) Long-term effects of transabdominal electrical stimulation in treating children with slow-transit constipation. Journal of Pediatric Surgery <http://eprints.um.edu.my/view/publication/Journal_of_Pediatric_Surgery.html>, 46 (12). pp. 2309-2312. http://eprints.um.edu.my/14693/
repository_type	Digital Repository
institution_category	Local University
institution	University Malaya
building	UM Research Repository
collection	Online Access
topic	RJ Pediatrics
spellingShingle	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
description	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
publisher	Elsevier
publishDate	2010
url	http://eprints.um.edu.my/14693/
first_indexed	2018-09-06T06:24:54Z
last_indexed	2018-09-06T06:24:54Z
_version_	1610838279046823936

Long-term effects of transabdominal electrical stimulation in treating children with slow-transit constipation

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