Year: 2026 | Month: May | Volume: 13 | Issue: 5 | Pages: 855-860
DOI: https://doi.org/10.52403/ijrr.20260587
Effect of Pelvic Floor Muscle Stimulation in Paediatric Paraspinal Ewing’s Sarcoma with Cauda Equina Syndrome - A Case Study
Dr. Anuradha A. Daptardar1, Dr. Mrunali Janavlekar1
1Department of Physiotherapy, Tata Memorial Hospital, Parel, Mumbai.
Corresponding Author: Dr. Mrunali Janavlekar
ABSTRACT
Background: Ewing’s sarcoma causing cauda equina syndrome is a rare entity. Cauda equina syndrome causes cord compression due to which there may be loss of bowel –bladder control
Clinical Description: We report a case study of a 4-year-old female, case of paraspinal Ewing’s Sarcoma with cauda equina syndrome having bowel-bladder incontinence. The patient while undergoing chemo-radiotherapy was referred to physiotherapy department for management of bowel-bladder incontinence.
Management & Outcome: Pelvic floor muscles stimulation (PFMS) i.e. faradic stimulation was given for 6 weeks to the vaginal and anal area. Pelvic floor muscle exercises were started along with PFMS. Assessment was done at baseline and post treatment completion using the Modified Oxford Scale (MOS) for pelvic floor muscle strength, Manual Muscle testing (MMT) for Lower limb muscle strength along with lower extremity functional scale (LEFS), Paediatric balance score (PBS) and the Childhood bladder and bowel dysfunction questionnaire (CBBD).
Conclusion: There was significant improvement in LEFS, PBS and CBBD. PFMS along with exercises is safe and feasible to improve bowel-bladder dysfunction in paediatric patient with paraspinal ES with cauda equina syndrome.
Keywords: Pelvic floor muscle stimulation, Paraspinal Ewing’s sarcoma, Cauda equina syndrome
[PDF Full Text]