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Biofeedback for Pediatric Incontinence

Biofeedback uses sensors to produce a visual representation of muscle contraction and relaxation. It is a great modality for improving awareness of the musculature used for bowel and bladder control – the pelvic floor. While relatively new in pediatrics, biofeedback has led to improved success for children who have difficulty with elimination. Our therapists will work with your child to improve coordination of the pelvic floor muscles in conjunction with bowel and/or bladder movements.

Who can benefit from Biofeedback?Pediatric Incontinence

Children who have difficulty with coordinating the muscles of the pelvic floor for proper voiding and elimination. If your child has had difficulty with appropriately emptying his or her bladder and/or bowels, biofeedback can improve awareness and coordination of these muscles for improved success. Biofeedback is a very effective treatment for elimination disorders including urinary incontinence, fecal incontinence, constipation, encopresis and bedwetting.

What should I expect in treatment?

​Therapists utilize a biofeedback machine, from which peri-anal sensors are placed in order to get a visual of the actions of the pelvic floor muscles with the use of computer software.

With this technology, the therapist can help the child learn how to contract and relax the pelvic floor and can teach strengthening exercises in order to accommodate proper bowel and bladder emptying. Behavioral strategies for improved success with toileting throughout the day will also be addressed. Your initial evaluation will be 60 minutes long and will include a written report for the parent and physician. Ongoing appointments are 45-60 minutes long on a weekly basis.

Frequently Asked Questions

Where are the sensors placed?

The sensors will be placed around the anus in order to pick up the signals from the pelvic floor muscles – the muscles that contract in order to “hold it” and  relax in order to allow us to empty our bowel and bladder.

Will there be any “electrical shock?”

No. Biofeedback does not involve any kind of electrical stimulation or “shock.” Sensors will simply identify the action of the muscle.

When can I expect to see results?

​With the combination of behavioral and biofeedback interventions, you may see changes as early as a couple weeks after beginning therapy. However, please keep in mind that each child is different and will learn at a different pace.