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Titre : | Effects of Bilateral Transcutaneous Tibial Nerve Stimulation on Neurogenic Detrusor Overactivity in Spinal Cord Injury: A Urodynamic Study (2021) |
Auteurs : | Kornkamon Kamboonlert ; Sirikwan Panyasriwanit ; Natthiya Tantisiriwat ; Wasuwat Kitisomprayoonkul |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 6, 2021) |
Article en page(s) : | p. 1165-1169 |
Note générale : | https://doi.org/10.1016/j.apmr.2020.10.130 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Neurostimulation électrique transcutanée (TENS) ; Réadaptation ; Traumatismes de la moelle épinière ; Vessie neurologique ; Vessie urinaire |
Résumé : |
Objective
To study the short-term effect of bilateral transcutaneous tibial nerve stimulation (TTNS) on urodynamic study (UDM) parameters in spinal cord injury (SCI) patients with neurogenic detrusor overactivity (NDO). Design Single-blinded sham-controlled study. Setting Rehabilitation center. Participants SCI patients with NDO (N=17) were recruited. Fifteen patients (mean age, 40±18y) completed the study. Most of the patients had chronic incomplete SCI. Interventions UDM was performed 3 times. The first UDM was performed after taking anticholinergics for 1 hour to assess the effects of medication. After stopping anticholinergics for a 5 half-lives, the second UDM was performed immediately after a 20-minute sham TTNS (switch on for 30s at the beginning, switch off for 20min, and switch on for 30s before stopping). The third UDM was performed immediately after a 20-minute bilateral TTNS. Main Outcome Measures Reflex volume (mL), cystometric capacity (mL), maximum pressure detrusor (mmH2O), and bladder compliance (mL/mmH2O). Results UDM tracings were interpreted by 2 blinded assessors. This study used per-protocol analysis and repeated measures Analysis of variance with Bonferroni post hoc analysis. When compared with sham stimulation, bilateral TTNS and anticholinergics produced greater increases in reflex volume (136.1±99.88, 212.2±112.82, and 226.3±111.52 mL; P<.001 cystometric capacity and ml p compliance no significant differences were found in reflex volume or between bilateral ttns anticholinergics>.05). The maximum pressure detrusor was not significantly different between groups (P>.05). Conclusion Bilateral TTNS may be an effective short-term intervention to improve UDM parameters in SCI with NDO. Further study is necessary to determine the long-term effects and benefits of combined bilateral TTNS with anticholinergics. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999320312491#! |