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ENURESIS - Bed WettingStudiesResults of the present study strongly suggest the effectiveness of chiropractic
treatment for primary nocturnal enuresis. Twenty-five percent of the treatment-group
children had 50% or more reduction in the wet night frequency from baseline to
post-treatment while none among the control group had such reduction. The post-treatment
mean wet night frequency of 7.6 nights/ 2 wk for the treatment group was significantly
less than its baseline mean wet night frequency of 9.1 nights/2 wk. For the control group,
there was practically no change (12.1 to 12.2 nights/2 wk) in the mean wet night frequency
from the baseline to the post-treatment. Improvement was obtained after the first adjustment and remained stable. The treatment
effect, i.e. change from bed wetting to non bed-wetting, in children that had never been
dry was large and relatively immediate. Examination found fixation in L3 and both SI joints, following the restoration of SI
function the patient’s mother reported the patient was now aware of bladder
distention approximately 30 minutes before it was necessary to void. A slight loss of
bladder sensitivity occurred 4 months after the release from treatment and responded
immediately to manipulation. In 171 children suffering with enuresis, The average number of bed wettings per week
was 7, while at the end of the study the average number of bed wettings per week was
reduced to 4. Additionally, 1% of patients were considered "dry" at the
beginning of the study, while 15.5% were considered "dry" at the end of the
study. A controlled clinical trial of 46 primary enuretic children was over a period of 14
weeks to assist in evaluating the influence of chiropractic care. Subjects were between
five and 13 years of age. There were 31 in the treatment group, which received a spinal
evaluation and/or adjustment at a minimum of every ten days. The remaining 15 subjects
were control which came in with the same frequency but received a "sham"
adjustment over an equal period of time. Chiropractic care was rendered for ten weeks,
preceded and followed by a 14-day non-treatment baseline. The mean post-treatment
frequency of wet nights for the treatment group was significantly less than its
pre-treatment frequency; while there was practically no difference between mean pre- and
post-frequency for the control group. Subjects receiving chiropractic care averaged a
17.9% reduction in wet nights for the control over the same period of time. The patient's enuresis resolved with the use of manipulation. This happened in a manner
that could not be attributed to time or placebo effect. Back to TopQuestionsBack to Top |
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© 1996-2003 Craig M. Anderson, D.C.
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