Effects of Transcutaneous Tibial Nerve Stimulation for Overactive Bladder Symptoms in Adults

Dow University of Health Sciences

Status: Completed

Conditions: Nocturia; Urge Incontinence; Overactive Bladder

Treatments: Other: Pelvic floor muscles strengthening; Other: Transcutaneous tibial nerve stimulation along with pelvic floor muscle srengthening

Study type: Interventional

Funder types: Other

Identifiers

NCT05464589

SSubhan

Details and patient eligibility

About

For overactive bladder symptoms, there are numerous physiotherapy techniques have been found to be beneficial. Transcutaneous electrical stimulation of the tibial nerve is one of those treatment options, that is entirely a non-invasive, easy to apply, and cost-effective technique.

Transcutaneous stimulation of the tibial nerve targets the sacral nerve plexus that contracts the pelvic floor muscles and controls the bladder function.

This research aims to study the effectiveness of transcutaneous tibial nerve stimulation in adults with overactive bladder symptoms along with the conventional physiotherapy for overactive bladder (pelvic floor muscle training through Kegel's exercises) among 60 patients with overactive bladder symptoms on the basis of non-probability purposive sampling technique with screening for study criteria through a consultant urologist. After taking informed consent, all participants will be randomly allocated into two groups. Group A will receive pelvic floor muscles training through Kegels exercises along with transcutaneous electrical stimulation of the tibial nerve and Group B will receive pelvic floor muscles training through Kegels exercises. The treatment duration will of six weeks. Outcomes will be assessed before the start of the treatment and after the end of the treatment sessions.

Enrollment: 60 patients

Sex: All

Ages: 30 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Clinically diagnosed overactive bladder
• A total OABSS score of 3 or more and an urgency score of 2 or more
• 30-65 years old

Exclusion criteria

• Pregnancy
• Acute urinary tract infection (within 15 days)
• Any surgical procedure for urinary incontinence
• Genito-urinary cancer history
• Stage II pelvic organ prolapse according to pelvic organ prolapse-quantification system
• Lesion on the site of stimulation or around it
• Pelvic pacemakers
• Lower limbs prostheses
• Patients who will not be able to perform Kegel's exercises
• An impaired sensation at the site of stimulation.
• Patients receiving any treatment other than the prescribed medications by the referring physician (that will be the same for all patients of both groups) will be excluded.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups

Transcutaneous Tibial Nerve Stimulation + Pelvic Floor Muscle Strengthening

Experimental group

Description:

Pelvic floor muscle strengthening through Kegel exercises along with the transcutaneous tibial nerve stimulation. Pelvic Floor Muscle-strengthening exercises - Kegels' exercises 15 repetitions, 3 times a day For 6 weeks, daily. Transcutaneous Tibial Nerve Stimulation for 30 minutes on the right lower limb 6 sessions, one per week.

Treatment:

Other: Transcutaneous tibial nerve stimulation along with pelvic floor muscle srengthening

Pelvic Floor Muscle Strengthening

Active Comparator group

Description:

Pelvic floor muscle strengthening through Kegel exercises. Pelvic floor muscle exercises - Kegels; exercises 15 repetitions, 3 times a day For 6 weeks, daily.

Treatment:

Other: Pelvic floor muscles strengthening