Pediatrics in Review
HOME HELP CONTACT US SUBSCRIPTIONS CME ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

(Pediatrics in Review. 2009;30:396-400. doi:10.1542/10.1542/pir.30-10-396)
© 2009 American Academy of Pediatrics
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Rapid Responses: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Rapid Responses are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via CrossRef
Google Scholar
Right arrow Articles by Adams, D.
Right arrow Articles by Vohra, S.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Adams, D.
Right arrow Articles by Vohra, S.
Related Collections
Right arrow Complementary, Holistic, and Integrative Medicine
Right arrow Renal Disorders
Right arrow Psychosocial Issues and Problems
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Facebook   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Complementary, Holistic, and Integrative Medicine

Nocturnal Enuresis


Denise Adams, BSc*
Sunita Vohra, MD, MSc*
 * Complementary and Alternative Research and Education (CARE) Program, Department of Pediatrics, Faculty of Medicine, University of Alberta, Edmonton, Alberta, Canada. On behalf of the American Academy of Pediatrics Section on Complementary and Integrative Medicine

The first 300 words of the full text of this article appear below.


   Introduction
 
Nocturnal enuresis (NE) is characterized by the involuntary discharge of urine at night in those 5 years of age or older. Primary NE (PNE) is diagnosed in an individual who has never achieved nighttime dryness; in secondary NE (SNE), incontinence follows a dry period of at least 6 months. In either, the enuresis must not be due exclusively to a medical condition or diuretic therapy. Prevalence is estimated at 5% to 10% among 5-year-olds, 3% to 5% among 10-year-olds, and 1% among those 15 years of age and older. Between 5% and 10% of cases resolve annually without treatment. (1) The causes of PNE and SNE remain unclear, although physical, neurologic, and psychological factors; genetics; sleep structure; and other medical conditions have been implicated. (2)

Treatment for NE includes pharmacologic and nonpharmacologic options, and many families are interested in complementary and integrative approaches. This review assesses the efficacy and safety of acupuncture/acupressure, hypnosis, and biofeedback in treating NE.


   Acupuncture/Acupressure
 
Originally developed as a health-care tool in China thousands of years ago, the stimulation of specific points on the body (called acupoints) may be carried out by a variety of techniques, including insertion of thin needles (acupuncture), surface pressure (acupressure), electricity (electro-acupuncture), and laser (laser acupuncture). The effect of acupuncture on PNE was assessed through two recent systematic reviews. (3)(4) The Cochrane review summarized the results of three randomized controlled trials (RCTs). (5)(6)(7)

In the first study, 111 patients ages 5 to 15 years were assigned randomly to two different forms of acupuncture. (5) In the treatment group, a needle was embedded under the skin and left in place; in the control group, a needle was placed on the skin surface for 30 minutes each day. . . . [Full Text of this Article]


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Facebook Facebook   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?




HOME HELP CONTACT US SUBSCRIPTIONS CME ARCHIVE SEARCH TABLE OF CONTENTS
Pediatrics Pediatrics in Review
Copyright © 2009 by the American Academy of Pediatrics.