The Relationship Between Pelvic Floor Dysfunction and Quality of Life, Functional Capacity, Gait Parameters, and Static Balance in Children With Defecation Disorders

Defecation disorders are common in children and may adversely affect pelvic floor function, gait, balance, functional capacity, and health-related quality of life. Although pelvic floor dysfunction is considered an important component of defecation disorders, its relationship with gait characteristics, plantar pressure distribution, static balance, functional capacity, and health-related quality of life has not been fully investigated in children. The aim of this study is to investigate the relationship between pelvic floor function and gait parameters, plantar pressure distribution, static balance, functional capacity, and health-related quality of life in children with defecation disorders. Pelvic floor function will be evaluated using surface electromyography and the Kelly Continence Score. Gait parameters, plantar pressure distribution, static balance, functional capacity, and health-related quality of life will be assessed using validated and standardized assessment methods.

Inclusion Criteria: * Being between 6 and 18 years of age * Diagnosed with a defecation disorder by a pediatric surgeon according to Rome IV clinical criteria * Having a history of constipation or fecal incontinence lasting at least 3 months * Cognitive and auditory abilities sufficient to understand and follow simple verbal commands * Written consent provided by the child's parent or legal guardian Exclusion Criteria: * Having orthopedic or neurological conditions that would impair lower extremity movements or walking * History of surgery within the last 6 months * History of neurological disorders (e.g., cerebral palsy, epilepsy, neuromuscular diseases) * Having visual or hearing impairments severe enough to prevent participation in the study