Transcutaneous Electrical Stimulation To Relieve Chronic Constipation In Children

经皮电刺激缓解儿童慢性便秘

• 批准号: nhmrc : 384434
• 负责人: A/Pr Bridget Southwell
• 金额: $ 23.14万
• 依托单位: Murdoch Childrens Research Institute
• 依托单位国家: 澳大利亚
• 项目类别: NHMRC Project Grants
• 财政年份: 2006
• 资助国家: 澳大利亚
• 起止时间: 2006-01-01 至 2008-12-31
• 项目状态: 已结题
• 来源: https://researchdata.edu.au/transcutaneous-electrical-stimulation-constipation-children/95702
• 关键词: Transcutaneous; Electrical; Stimulation; Relieve; Chronic

We have over 300 children with chronic treatment-resistant constipation at Royal Children's Hospital Melbourne. We have a new physiotherapy technique that may overcome constipation and stop soiling in many of these children. In 2003-4, we ran a pilot study to test a technique used by physiotherapists to treat urinary incontinence. We have called the method TESIC (transcutaneous electrical stimulation using interferential current). TESIC uses suction electrodes placed on the belly and back at the level of the belly button. The electrical stimulation is applied using a current (interferential current) that stimulates deep into the abdomen. We tested 8 children and had very encouraging results with improved constipatio in 5-8 and all with soiling stopped. Parents and children are keen to use this technique but first we need to establish that the results are reproducible in a larger group of 70 children. We also need to know if the effect was just a placebo response (due to time spent with the physiotherapists), and how long the effect lasts. We will also measure changes in soiling. Faecal soiling is smelly and antisocial. Relief of soiling has a big impact on a child's ability to fit in at school and to attend normal schooling. We will measure outcomes using daily diaries kept by children, questionnaires, how quickly food moves through the bowel and pressures within the bowel. We have a multidiciplinary team of experienced clinicians and scientists with expertise in these techniques and in constipation and incontinence in children (paediatric surgeon, gastroenterologist, manometry nurse, incontinence paediatrician and physiotherapist, expert in electrical stimulation and gut nervous system scientist). This technique could revolutionise treatment of chronic constipation. Most physiotherapists have TESIC machines, allowing delivery Australia wide. It is non-invasive and should also be able to be used by adults, including the elderly in nursing homes.

在墨尔本的皇家儿童医院，我们有超过300名患有慢性难治性便秘的儿童。我们有一种新的物理治疗技术，可以克服便秘，并停止在许多这些孩子弄脏。在2003- 2004年，我们进行了一项试点研究，以测试物理治疗师用于治疗尿失禁的技术。我们称这种方法为TESIC（使用干扰电流的经皮电刺激）。TESIC使用放置在腹部和背部肚脐水平的吸引电极。电刺激使用刺激腹部深处的电流（干扰电流）来施加。我们测试了8名儿童，结果非常令人鼓舞，5-8岁的便秘得到了改善，所有的污垢都停止了。父母和孩子都热衷于使用这种技术，但首先我们需要确定结果在70名儿童的更大群体中是可重复的。我们还需要知道这种效果是否只是一种安慰剂反应（由于与物理治疗师在一起的时间），以及这种效果持续多久。我们还将测量土壤的变化。粪便污染是难闻的和反社会的。消除污垢对儿童适应学校和正常上学的能力有很大影响。我们将使用儿童的每日日记，问卷调查，食物在肠道中移动的速度和肠道内的压力来衡量结果。我们拥有一支由经验丰富的临床医生和科学家组成的多学科团队，他们在这些技术以及儿童便秘和失禁方面具有专业知识（儿科外科医生，胃肠病学家，测压护士，失禁儿科医生和理疗师，电刺激专家和肠道神经系统科学家）。这项技术可能会彻底改变慢性便秘的治疗方法。大多数物理治疗师都有TESIC机器，允许在澳大利亚范围内提供。它是非侵入性的，也应该能够被成年人使用，包括养老院的老年人。