EFFECT OF NOVENARY ASANAS: A METHOD TO AMELIORATE PELVIC STRENGTH AND REDUCE FREQUENCY OF BEDWETTING

A. Mittal¹, D.V. Shah¹

¹Dr. D. Y. Patil Vidyapeeth, Dr. D. Y. Patil College of Physiotherapy, Pune, India

Background: Primary Nocturnal Enuresis also known as bedwetting is defined as involuntary loss of urine which occurs at night by children old enough who are expected to have bladder control. Prevalence of nocturnal enuresis has been found more in male children than in female children. It has been recorded that prevalence of nocturnal enuresis in India is 7.61% to 16.3%. EMG is a diagnostic procedure used in the evaluation of muscular function. It is a non-invasive electrodiagnostic method by using button electrode. Perianal muscles are easily accessible with surface button electrode and is useful for children. It can be utilized as diagnostic tool as well as intervention. Novenary asanas plays an important role for cognition and executive functions. Certain Novenary asanas and postures have proved to overcome bedwetting in children.

Purpose: Child with enuresis has not established bladder control. It was necessary to treat the condition and make child emotionally and physically strong. Pelvic floor muscles have important role to control bed wetting in enuresis. Many therapeutic approaches were used for enuresis and it was found that asanas strengthens the pelvic floor muscles. There is scarcity of literature for effect of Novenary asanas on enuresis. So, the present study was focused to apply various Novenary asanas to strengthen the pelvic floor muscles and decrease the rate of bed wetting in children with enuresis.

Methods: A Randomized control trial was conducted in Pune, Maharashtra. A sample size of 30 was arrived by using the prevalence of nocturnal enuresis in India by MedCalc 18.2.1 software. The Institutional approval (DYPCPT/ISEC/50/2022) was taken from Dr. D.Y. Patil Vidhyapeeth, Pune. The study includes thirty children with PNE( Primary Nocturnal Enuresis), 20 boys and 10 girls, range 5-11 years of age accordance with the inclusion requirement. Children were divided into two random groups, the yoga group and the conventional group. Twenty sessions with run time of 30 minutes were held for five days a week. Clinical parameters such as sEMG, DVSS, Bladder diary were recorded prior to and following treatment sessions.

Results: The MedCalc 18.2.1 software was used to analyze the data. It was normally distributed for group A(Yoga) and B(Conventional), t-Test was applied. For DVSS outcome the data was statistically significant within the group A and B. But, for intergroup the results were not significant. Similarly, for sEMG results were significant within both the groups, whereas intergroup comparison was statistically not significant. The third component, Bladder diary, showed decreased frequency of voiding in both the groups after 4 weeks.

Conclusions: The children with enuresis were treated with yoga and pelvic floor exercises in different groups were both the interventions has significant effect on pelvic muscle strength, child's voiding function and frequency of bedwetting.

Implications: Novenary asanas has equivalent effects as other therapies to treat nocturnal enuresis. Hence, novenary asanas can be used as the first line of treatment for bedwetting and can be incorporated as a home protocol.

Funding acknowledgements: Self Funding

Keywords:
Bedwetting
Pelvic Floor muscle strength
Surface EMG

Topics:
Paediatrics
Disability & rehabilitation
Health promotion & wellbeing/healthy ageing/physical activity

Did this work require ethics approval? Yes

Institution: Dr. D. Y. Patil Vidyapeeth, Pune

Committee: Dr. D. Y. Patil College of Physiotherapy, Pune

Ethics number: DYPCPT/ISEC/50/2022