{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T18:18:05Z","timestamp":1783707485349,"version":"3.55.0"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T00:00:00Z","timestamp":1665187200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Biofeedback with home pelvic floor exercises were recommended as non\u2010pharmacologic treatment for non\u2010neurogenic Lower Urinary Tract Symptoms (LUTS) in children. Fitball is recommended to improve all\u2010over flexibility, balance, and coordination, especially for pelvic floor. Aim of the study was to investigate efficacy of standard home pelvic floor exercises versus exercises using fitball.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From April 2021 to February 2022 to all children arrived in our clinic with non\u2010neurogenic LUTS nonresponder at urotherapy, our pelvic floor rehabilitative program was proposed. During the rehabilitation children performed: standard urotherapy, pelvic floor animated biofeedback therapy and pelvic floor exercises in a standard way and using a fitball. After the first session, patients received prescription to repeat at home the same exercises performed at hospital. Children who chose classic exercises were enrolled in group A and they who chose fitball in group B. Continence rate, pelvic floor muscles activity, adherence and satisfaction were evaluated by means of bladder diary, external pubococcygeus test and Likert\u2010type psychometric scale (from 1\u2009=\u2009very unsatisfied to 5\u2009=\u2009very satisfied) respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010six children affected by LUTS were enrolled: 13 in group A and 13 in B. At 4th control urinary incontinence was reduced by 72,5% in A and 71.4% in B. Pubococcygeus\u00a0test increased in both groups. Adherence at home was 92% in group A and 62% in group B. Satisfaction with the treatment (4 or 5 points) was 95% in both groups. Four patients of group A and all of group B decided to maintain home exercises including fitball.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our preliminary study shows that efficacy of home exercises, with or without fitball, is comparable. Satisfaction with fitball is high, regardless results obtained, because parents and children have learned a new, interesting and stimulating way to manage urinary problems. The opportunity to perform these exercises using fitball, it's an important finding for pediatric population.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25060","type":"journal-article","created":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T09:34:57Z","timestamp":1665221697000},"page":"146-152","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Home pelvic floor exercises in children with non\u2010neurogenic Lower Urinary Tract Symptoms: Is fitball an alternative to classic exercises?"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9092-915X","authenticated-orcid":false,"given":"Maria Laura","family":"Sollini","sequence":"first","affiliation":[{"name":"Clinical Sciences and Translational Medicine, Physical and Rehabilitation Medicine University of Rome Tor Vergata Rome Italy"},{"name":"Division of Neuro\u2010Urology Bambino Gesu' Children's Hospital, IRCCS Rome Italy"},{"name":"\u201cSanta Lucia\u201d Foundation, I.R.C.C.S. Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0934-8631","authenticated-orcid":false,"given":"Maria Luisa","family":"Capitanucci","sequence":"additional","affiliation":[{"name":"Division of Neuro\u2010Urology Bambino Gesu' Children's Hospital, IRCCS Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2246-348X","authenticated-orcid":false,"given":"Calogero","family":"Foti","sequence":"additional","affiliation":[{"name":"Clinical Sciences and Translational Medicine, Physical and Rehabilitation Medicine University of Rome Tor Vergata Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7445-4441","authenticated-orcid":false,"given":"Ugo","family":"Nocentini","sequence":"additional","affiliation":[{"name":"Clinical Sciences and Translational Medicine, Physical and Rehabilitation Medicine University of Rome Tor Vergata Rome Italy"},{"name":"\u201cSanta Lucia\u201d Foundation, I.R.C.C.S. Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1685-8936","authenticated-orcid":false,"given":"Enrico","family":"Castelli","sequence":"additional","affiliation":[{"name":"Department of Neurorehabilitation Bambino Gesu' Children's Hospital, IRCCS Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9626-9519","authenticated-orcid":false,"given":"Giovanni","family":"Mosiello","sequence":"additional","affiliation":[{"name":"Division of Neuro\u2010Urology Bambino Gesu' Children's Hospital, IRCCS Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,10,8]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-42193-3_2"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22911"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2020.11.006"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)65607-8"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2014.09.025"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(48)90266-X"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-103-4-507"},{"key":"e_1_2_11_9_1","first-page":"42","volume-title":"Pelvic Floor Re\u2010education","author":"Laycock J.","year":"1994"},{"key":"e_1_2_11_10_1","article-title":"Guida alla Cartella Clinica Pelviperineologica\u2010Evoluzione della cartella clinica informatica e del sistema IPGH","author":"Societ\u00e0 Interdisciplinare del Pavimento Pelvico","year":"2009","journal-title":"Rivista Italiana di Colon\u2010 Proctologia"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2018.10.027"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-020-03681-w"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22728"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S228222"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/003655902320248218"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(96)00364-0"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(94)70259-4"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-006-0277-1"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)56331-4"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)68065-0"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-014-2336-0"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.25060","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/nau.25060","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.25060","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T02:20:50Z","timestamp":1692584450000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.25060"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,8]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1002\/nau.25060"],"URL":"https:\/\/doi.org\/10.1002\/nau.25060","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,8]]},"assertion":[{"value":"2022-07-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-09-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-10-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}