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Lower Urinary Tract SymptomsNCT06251557

Core Massage and Exercise in Pediatric LUTD

A study testing Massage Therapy, Exercise Training and Pelvic Floor Electromyography (EMG) Biofeedback Therapy in people with Lower Urinary Tract Symptoms, run by Hacettepe University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Lower urinary tract dysfunctions (LUTD) are common in the pediatric population and include symptoms related to functional disorders. LUTD limits children and their parents socially, physically, and financially; leads to secondary comorbidities in the long term and negatively affects quality of life. Read more about this study

Who is it for?
Ages 7 to 15 years
Conditions the study is for
Lower Urinary Tract Symptoms
What is being tested?
Massage Therapy, Exercise Training and Pelvic Floor Electromyography (EMG) Biofeedback Therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
42 participants
Where
1 siteTurkey (Türkiye)
Study dates
20 Apr 2024to 16 Mar 2026
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 7 to 15 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Children between the ages of 7 and 15
  • Presence of symptoms of functional lower urinary tract dysfunction
  • Do not have a condition (such as autism, ADHD-Attention Deficit and Hyperactivity Disorder) that would prevent cooperation with the assessments and interventions in the study
  • Consented to participate in the study by their parents

Who cannot join

  • Symptomatic urinary tract infection,
  • A neurological disease,
  • Neurogenic bladder/bowel diagnosis,
  • Monosymptomatic enuresis,
  • Anatomical anomaly that may affect bladder/bowel function,
  • Fecal incontinence,
  • Disruption of skin integrity or open wound at the massage site and
  • An orthopedic problem that would prevent them from performing the exercises in the study

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Burcu Sert Gürsen

    Ankara, 06820

Other trials in Turkey (Türkiye)

About this study

Official title: Core-Based Massage and Exercise Training in Children With Lower Urinary Tract Dysfunction: A Randomized Controlled Trial

Lower urinary tract dysfunctions (LUTD) are common in the pediatric population and include symptoms related to functional disorders. LUTD limits children and their parents socially, physically, and financially; leads to secondary comorbidities in the long term and negatively affects quality of life. Therefore, effective treatment of LUTD is important. Treatment options in children with LUTD include standard urotherapy, physiotherapy and rehabilitation practices, pharmacologic approaches, and Botulinum toxin type A injections. Pharmacologic treatment and invasive approaches have high side effect rates and compliance problems; therefore, conservative treatment methods should be completed first. The literature focuses on standard urotherapy, pharmacologic approaches and biofeedback therapy. However, standard urotherapy and biofeedback are first-line treatments for pediatric LUTD, but their success rates are often limited. In addition, the pelvic floor contributes to abdomino-lumbopelvic stability and works in synergy with diaphragm, deep abdominal muscles and spinal segments. To the best of our knowledge, there is no study in this population that comprehensively addresses the anatomical structures closely related to the pelvic floor with a more holistic perspective beyond the standard patient education and pelvic floor. Therefore, The aim of our study is to demonstrate the additional effects of core-based massage and exercise training in children with LUTD compared to standard urotherapy and pelvic floor biofeedback therapy in a randomized controlled design.

Read the detailed description

Pediatric lower urinary tract dysfunction (LUTD) is a common and multifactorial health problem. A holistic perspective is required in treatment. Therefore, the aim of our study is to demonstrate the additional effects of massage therapy and exercise training for the abdomino-lumbopelvic area in children with LUTD compared to standard urotherapy and pelvic floor biofeedback therapy in a randomized controlled design. At the beginning of our study, sample size was estimated using the G Power 3.1.9.7 program. To detect a clinically significant difference of 30% between the groups (80% improvement in the research arm and 50% in the control arm) with 80% power and an alpha level of 0.05 based on a one-sided hypothesis, the minimum sample size was determined to be 42 participants, with 21 allocated to each group. The study will include 42 volunteer children aged 7-15 years with symptoms associated with functional LUTD, accompanied by their parents. Children will be randomly assigned to 2 separate groups according to an online computer generated, gender stratified block randomization list. Group 1 will receive core-based massage and exercise training in addition to standard urotherapy and pelvic floor EMG biofeedback therapy. Group 2 will receive only standard urotherapy and pelvic floor EMG biofeedback therapy. The treatments will be applied 2 days a week for 6 weeks. Children will be evaluated at the beginning of the study and at the end of the treatment (6th week). The primary outcome measure is the "Dysfunctional Voiding and Incontinence Score". Secondary outcome measures are 3-day voiding and defecation diaries data, uroflowmetry parameters, residual urine volume after voiding by pelvic ultrasound and physical fitness parameters. SPSS program will be used for data analysis. In the comparison of numerical data between 2 independent groups, "Independent Groups T Test" will be used when parametric assumptions are met and "Mann-Whitney U test" will be used when parametric assumptions are not met. In the analysis of change within the dependent group, "Significance Test of the Difference Between Two Pairs" will be used when parametric assumptions are met and "Wilcoxon Test" will be used when parametric assumptions are not met. In the examination of the change in outcome measurements over time, the effect of the treatments in both groups on the dependent variables in all evaluations (In-group factor, Time; pre-treatment and post-treatment) will be tested with "Repeated Measures of Anova" using Treatment Group*Time (2*2) factors. Type-1 error level for statistical significance will be based on 5%.

Being tested
Massage Therapy, Exercise Training, Pelvic Floor Electromyography (EMG) Biofeedback Therapy, Standard Urotherapy
Keywords
Children, Biofeedback therapy, Urotherapy, core-based exercise, massage
Medical subject headings
Lower Urinary Tract Symptoms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Massage TherapyOther

    10 minutes abdominal massage and 10 minutes lower back massage will be applied in each session. It will take 20 minutes in total.

  • Exercise TrainingOther

    Exercise training will last approximately 10 minutes in each session. In the exercise training, lumbopelvic stabilization exercises (bridge, cat-and-cow and squatting exercises) will be performed for 10 repetitions, lumbopelvic flexibility exercises (child position, happy baby position, adductor muscle stretching, psoas muscle stretching) will be performed for 20 seconds and 5 repetitions, and diaphragmatic breathing exercises will be performed for 5 repetitions in supine, side lying and sitting positions.

  • Pelvic Floor Electromyography (EMG) Biofeedback TherapyDevice

    Biofeedback therapy will be applied for 20 minutes in each session. During the application, adhesive surface electrodes will be placed on the perineum at 3 o'clock and 9 o'clock for each child. Through these electrodes, the activity signals of the muscles in that area will be recorded superficially. By monitoring the regional muscle activity, feedback is provided to increase and/or decrease the activity according to the activity pattern. As a result, pelvic floor biofeedback therapy will teach the child the correct use of the pelvic floor muscles. During the session, pelvic floor awareness and relaxation exercises specific to the child will be practiced with visual animations.

  • Standard UrotherapyBehavioural

    The anatomy of the urinary system and related structures, the causes of voiding dysfunction and symptoms will be explained to the family and the child with visuals. A written form including timed voiding during the day, appropriate fluid intake, correct toilet posture, adequate and balanced nutrition will be given.

Study groups in NCT06251557
Study groupRoleWhat they receive
Core-Based Massage and Exercise Training in addition to Standard Urotherapy and Biofeedback TherapyExperimentalGroup 1 will receive abdomino-lumbopelvic massage and exercise training in addition to standard urotherapy and pelvic floor EMG biofeedback therapy.
Receives: Other: Massage Therapy; Other: Exercise Training; Device: Pelvic Floor Electromyography (EMG) Biofeedback Therapy; Behavioral: Standard Urotherapy
Standard Urotherapy and Biofeedback TherapyActive comparatorGroup 2 will receive only standard urotherapy and pelvic floor EMG biofeedback therapy.
Receives: Device: Pelvic Floor Electromyography (EMG) Biofeedback Therapy; Behavioral: Standard Urotherapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Symptom score

    Dysfunctional Voiding and Incontinence Symptoms Score (DVISS) Questionnaire will be used to evaluate the symptom score.

    Measured: Change in symptom score from baseline up to end of 6th week

Secondary outcomes (8)
  1. Frequency of voiding and incontinence

    3-day voiding diary will be used to evaluate the frequency of voiding, incontinence and defecation.

    Measured: Change in frequency of voiding, incontinence and defecation from baseline up to end of 6th week

  2. Maximum and mean voided volumes

    3-day voiding diary will be used to evaluate the maximum and mean voided volumes (ml)

    Measured: Change in maximum and mean voided volumes (ml) from baseline up to end of 6th week

  3. Uroflowmeter parameters- Maximum Flow Rate

    Uroflowmeter test report will be used to evaluate the maximum flow rate (ml/sn)

    Measured: Change in uroflowmeter parameters from baseline up to end of 6th week

  4. Uroflowmeter parameters- Curve Type

    Uroflowmeter test report will be used to record flow curve type.

    Measured: Change in uroflowmeter curve type from baseline up to end of 6th week

  5. Residual urine volume after voiding

    Pelvic ultrasound will be used to evaluate residual urine volume (ml) after voiding.

    Measured: Change in residual urine volume after voiding from baseline up to end of 6th week

  6. Physical Fitness Assessment-Thoracic Expansion Capacity

    Thoracic expansion capacity (cm)

    Measured: Change in parameters from baseline up to end of 6th week

  7. Physical Fitness Assessment- Sit-Up test

    Sit-Up test (number of repetitions in 30 seconds)

    Measured: Change in parameters from baseline up to end of 6th week

  8. Physical Fitness Assessment- Sit and Reach Test

    Sit and Reach Test (cm)

    Measured: Change in parameters from baseline up to end of 6th week

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Feb 2024
  2. Study start20 Apr 2024
  3. Primary completion3 Feb 2026
  4. Study completion16 Mar 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
42 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06251557
Sponsor's protocol ID
KA-23059
Status last verified
Apr 2026
First submitted
1 Feb 2024
Last updated
30 Apr 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Austin PF, Bauer SB, Bower W, Chase J, Franco I, Hoebeke P, Rittig S, Walle JV, von Gontard A, Wright A, Yang SS, Neveus T. The standardization of terminology of lower urinary tract function in children and adolescents: Update report from the standardization committee of the International Children's Continence Society. Neurourol Urodyn. 2016 Apr;35(4):471-81. doi: 10.1002/nau.22751. Epub 2015 Mar 14.

    PubMed 25772695
  • Akbal C, Genc Y, Burgu B, Ozden E, Tekgul S. Dysfunctional voiding and incontinence scoring system: quantitative evaluation of incontinence symptoms in pediatric population. J Urol. 2005 Mar;173(3):969-73. doi: 10.1097/01.ju.0000152183.91888.f6.

    PubMed 15711352
  • Morgan KE, Leroy SV, Corbett ST, Shepard JA. Complementary and Integrative Management of Pediatric Lower Urinary Tract Dysfunction Implemented within an Interprofessional Clinic. Children (Basel). 2019 Jul 30;6(8):88. doi: 10.3390/children6080088.

    PubMed 31366055

Questions about this trial

What is this clinical trial studying?

A study testing Massage Therapy, Exercise Training and Pelvic Floor Electromyography (EMG) Biofeedback Therapy in people with Lower Urinary Tract Symptoms, run by Hacettepe University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 30 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Symptom score (time frame: Change in symptom score from baseline up to end of 6th week). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06251557, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Apr 2026; AzTrials last refreshed its copy on 31 Oct 2026.

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