Complementary and Integrative Management of Pediatric Lower Urinary Tract Dysfunction Implemented within an Interprofessional Clinic

Morgan, Kathryn E.; Leroy, Susan V.; Corbett, Sean T.; Shepard, Jaclyn A.

doi:10.3390/children6080088

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Complementary and Integrative Management of Pediatric Lower Urinary Tract Dysfunction Implemented within an Interprofessional Clinic

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Department of Pediatric Urology, University of Virginia, P.O. Box 800422, Charlottesville, VA 22908, USA

Department of Psychiatry and Neurobehavioral Sciences, University of Virginia School of Medicine, P.O. Box 800223, Charlottesville, VA 22908, USA

Author to whom correspondence should be addressed.

Children 2019, 6(8), 88; https://doi.org/10.3390/children6080088

Received: 1 June 2019 / Revised: 11 July 2019 / Accepted: 19 July 2019 / Published: 30 July 2019

(This article belongs to the Special Issue Complementary and Integrative Movement Therapies for Children)

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Abstract

Lower urinary tract dysfunction in children is a common multifactorial functional problem that often correlates with bowel dysfunction and behavioral disorders. Ideal management combines integrative therapies that optimize bladder and bowel habits, address behavioral issues, foster mind–body connection, and improve pelvic floor muscle dysfunction. Movement therapies that teach diaphragmatic breathing and relaxation, mind–body awareness, and healthy pelvic floor muscle function are vital for long-term symptom improvement in children. This paper outlines recommendations for integrative management of these patients and discusses a recently developed interprofessional clinic that aims to better meet these patients’ complex needs and to provide patients with an integrated holistic plan of care. Additional work is needed to scientifically assess these treatment models and educate providers across the various disciplines that evaluate and treat these patients. View Full-Text

Keywords: lower urinary tract dysfunction; dysfunctional voiding; bladder and bowel dysfunction; constipation; interprofessional; movement therapy; body awareness; biofeedback; pelvic floor dysfunction

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Morgan, K.E.; Leroy, S.V.; Corbett, S.T.; Shepard, J.A. Complementary and Integrative Management of Pediatric Lower Urinary Tract Dysfunction Implemented within an Interprofessional Clinic. Children 2019, 6, 88. https://doi.org/10.3390/children6080088

AMA Style

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

Chicago/Turabian Style

Morgan, Kathryn E., Susan V. Leroy, Sean T. Corbett, and Jaclyn A. Shepard. 2019. "Complementary and Integrative Management of Pediatric Lower Urinary Tract Dysfunction Implemented within an Interprofessional Clinic" Children 6, no. 8: 88. https://doi.org/10.3390/children6080088

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Complementary and Integrative Management of Pediatric Lower Urinary Tract Dysfunction Implemented within an Interprofessional Clinic

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