Introduction: Nocturnal enuresis is a common pediatric condition with low scientific value in literature. Nocturnal enuresis is a frequent complaint of patients who present to chiropractic clinics. Early management can often avoid the development of socially disruptive and stressful conditions in the future. The purpose of this study is the resolution of nocturnal enuresis in a 10-year-old female patient after receiving chiropractic care.
Design architecture: Case report.
Methods: Databases searched were PubMed, Mantis, Cochrane, Index to Chiropractic Literature, CINAHL and Google Scholar. Keywords were
Presenting concerns: A 10-year-old female child presented to the chiropractor’s office alleging constant nighttime bedwetting. This condition affected the self-esteem of the patient. Behavioral and medical approaches were unsuccessful.
Interventions: The outcome measures assessed were the amount of urination (little, moderate or full diapers) against dry nights and the patient’s overall sense of well-being rated on a global well-being scale. The patient completed the initial questionnaire and responded to the diagnostic criteria for nocturnal enuresis. A chiropractor performed an exhaustive history and spinal examination. The patient was treated on 14 occasions over 10 weeks. Throughout the 10 weeks, the patient kept a diary to record the number of wet and/or dry nights per week
and a global well-being scale was completed at every second week until the end of the treatment plan.
Outcomes: Results show a decline in nocturnal enuresis and at the end, complete resolution. Also, there was a positive change in the global well-being scale score of 10/10 by the end of the treatment plan.
Conclusion: It appears that chiropractic treatment may have a role in the improvement of nocturnal enuresis.
Author keywords: nocturnal enuresis, bedwetting, chiropractic, child and conservative management
Author affiliation: Private Practice of Chiropractic, Hawkesbury, Ontario, Canada
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