Evidence map›Paper›PMID 41992564›Full record

ArticleAnnals of rehabilitation medicine2026

Electrode Placement and Continence Outcomes in Pediatric Hirschsprung's Disease: Rectal Versus Surface Stimulation After Trans-Anal Pull-Through Surgeries.

Fathia Ahmed, Safi Ahmed, Hany Elgohary, Shymaa Salem, Enas Abutaleb, Mohamed Eldesoky

Abstract read
In one paragraph

Article in Annals of rehabilitation medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Fathia AhmedDepartment of Physical Therapy in Pediatrics and Pediatric Surgery, Faculty of Physical Therapy, Merit University, Sohag, Egypt.
Safi AhmedDepartment of Physical Therapy, Faculty of Applied Medical Sciences, Jerash University, Jerash, Jordan.
Hany ElgoharyDepartment of Physical Therapy, Faculty of Applied Medical Sciences, Jerash University, Jerash, Jordan.
Shymaa SalemDepartment of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Sphinx University, Assiut, Egypt.
Enas AbutalebDepartment of Health and Rehabilitation Science, Faculty of Applied Health Sciences, University of Tabuk, Kingdom of Saudi Arabia.
Mohamed EldesokyDepartment of Health and Rehabilitation Science, Faculty of Applied Health Sciences, University of Tabuk, Kingdom of Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To compare the outcome of rectal and surface electrode stimulation, when performed concomitantly with routine anal sphincter (AS) exercises and bio-feedback training, in children who have received corrective surgery to address Hirschsprung disease (HD).

methodsSixty-seven patients (pediatric) who underwent corrective surgery due to HD were randomly assigned to Group A (rectal electrode, n=34) or Group B (surface electrode, n=33). The two groups were given the same protocols of AS and bio-feedback training. The Pediatric Quality of Life Inventory (PedsQL), Bowel Function Score (BFS), Pediatric Incontinence and Constipation Scoring System Scale (PICSS) were measured at baseline, post intervention and follow-up.

resultsThere were significant improvements in both groups over time across all outcomes. PedsQL increased (d=0.42-1.28, η²p up to 0.37), BFS improved notably (d=1.21, η²p=0.35), and PICSS decreased (d up to 1.15, η²p=0.33). The greatest gains occurred from baseline to follow-up, with smaller but significant changes from post-treatment to follow-up, indicating sustained effects. Conclusion: Electrical stimulation with rectal electrodes, combined with AS exercises and bio-feedback training, is a major way of improving bowel functioning, continence and quality of life in Hirschsprung child. Such results highlight the promise of multimodal rehabilitation and should be supported by additional multicenter studies.

Indexed as

Anal sphincterChildElectric stimulationHirschsprung diseaseRehabilitation

Identifiers

PMID41992564
PMCPMC13136042

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.