Electrostimulation PROTOCOL Incontinence

Hospital Universitário Professor Edgard Santos

Status: Completed

Conditions: Female Stress Incontinence

Treatments: Other: Electro-stimulation

Study type: Interventional

Funder types: Other

Identifiers

NCT03682926

ROAND2015

Details and patient eligibility

About

To verify the effect of an adapted electrostimulation (EE) protocol for stress and mixed urinary incontinence (SUI / M) and its impact on quality of life (QoL)

Full description

Controlled and randomized clinical trial performed at the Physiotherapy Outpatient Clinic at the Magalhães Neto Pavilion of ComHUPES / UFBA. Women aged between 30 and 65 years and diagnosis of SUI / IUM. The patients were allocated to two groups (GA) submitted to selective electrostimulation for tonic fiber, phasic fibers IIa / IIb and different times of electrical stimulation; (GB) used 50hz for all fibers by 20mm, both answered the questionnaire King's Health Questionnaire (KHQ).

Enrollment: 20 patients

Sex: Female

Ages: 30 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• women between the ages of 30 and 65
• With diagnosis of stress urinary incontinence and / or mixed
• Perineal muscle weakness
• Accepted to sign the TCLE

Exclusion criteria

• Women with neurological changes
• Pregnant women
• IUD use
• Pacemaker
• Genitourinary tract infection
• Cancer
• Refuse to sign the TCLE

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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20 participants in 2 patient groups

electrostimulation individualized

Experimental group

Description:

Selective electrostimulation for tonic fiber, phasic fiber FIa and FIIb and different stimulus times. Muscle fibers (Tonic) with a frequency of 20Hz, pulse width (t) of 700μs to 1ms, time of rise and fall of the wave of 1.0 seconds, duration of contraction and repetition was based on the perineal evaluation But the resting time was twice as long as sustained. For the IIa (phasic) fibers the frequency was 50 Hz with a pulse width of 400μs to 500μs, for 3 seconds of sustentation and 6 seconds of relaxation, time of rise of 0,5 seconds and 0,5 seconds of descent. E for type IIb (phasic) fibers, 80 Hz frequency, pulse width 250μs to 400μs, 1 second contraction for 3 seconds rest and 0.2 seconds rise and fall time.

Treatment:

Other: Electro-stimulation

electrostimulation with fixed protocol

Active Comparator group

Description:

Intervention -Electro-stimulate all fibers with a single electrical parameter. Pulse width 700μs, rise and fall time of 2 seconds each, sustain time of 4 seconds and rest 8 seconds for 20 minutes, the intensity will be modulated, as in the previous group by patient tolerance in milliamperes.

Treatment:

Other: Electro-stimulation