The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog is intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at www.Vicus.com, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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    Treating giggle incontinence

    incontinenceIt’s a rare condition in which urination occurs during laughing. Researchers from North Shore-Long Island Jewish Health System, in New York studied the value of biofeedback in a small group of children.

    First, the details.

    • The medical records of 12 children with giggle incontinence were reviewed for incontinence severity, voiding patterns, associated symptoms, and medical history including prior treatment.
    • They were taught Kegel (KAY-gul or KEY-gul) exercises and instructed to perform them at home between sessions.

    And, the results.

    • 1 child had a partial response to first line therapy with timed voiding and bowel management.
    • 7 children were treated with anticholinergic drugs and/or pseudoephedrine with a partial response in 3.
    • The 9 children with giggle incontinence that didn’t respond to therapy underwent biofeedback for 2 to 8 sessions.
    • The 6 patients who underwent 4 or more sessions had a full response that lasted at least 6 months, and the 3 with fewer than 4 sessions had a partial response.

    The bottom line?
    In this study, treatment with education and drugs only led to a partial response in some cases. Biofeedback supplemented this treatment or avoided adding drugs when at least 4 sessions were performed.

    The authors concluded, “Biofeedback therapy should be incorporated in the treatment algorithm for giggle incontinence in children, and it should be considered before pharmacotherapy.”

    It’s a rare condition with few studies.

    Last year, researchers from Poland reported that based on their experience in 1 child with giggle incontinence, “Pelvic muscle exercises with biofeedback technique are a promising additional mode of treatment for children with voiding disorders.”

    Researchers in Spain have reported that in a group of 34 children that included 3 with giggle incontinence, pelvic floor muscles training with biofeedback is a simple and effective method… [and] should be used… [with] other therapies.

    11/1/09 20:31 JR

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