Transcutaneous tibial nerve stimulation in the treatment of lower urinary tract symptoms and its impact on health-related quality of life in patients with Parkinson disease: a randomized controlled trial
| Autor: | Anelyssa Abreu, Renata Martins Campos, Carlos Arturo Levi DʼAncona, Adelia Lucio, Maria Carolina Perissinotto |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Urinary incontinence Disease law.invention Randomized controlled trial Lower Urinary Tract Symptoms Lower urinary tract symptoms law Surveys and Questionnaires medicine Nocturia Humans In patient Aged Advanced and Specialized Nursing medicine.diagnostic_test business.industry Parkinson Disease Urinary Incontinence Urge Middle Aged medicine.disease Surgery Medical–Surgical Nursing Treatment Outcome Urinary Incontinence Overactive bladder Anesthesia Quality of Life Transcutaneous Electric Nerve Stimulation Urodynamic testing Female medicine.symptom Tibial Nerve business |
| Zdroj: | Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society. 42(1) |
| ISSN: | 1528-3976 |
| Popis: | PURPOSE A randomized controlled trial study was performed to evaluate the efficacy of transcutaneous tibial nerve stimulation (TTNS) and sham TTNS, in patients with Parkinson disease (PD) with lower urinary tract symptoms (LUTS). DESIGN Randomized controlled trial. SUBJECTS AND SETTINGS Thirteen patients with a diagnosis of PD and bothersome LUTS were randomly allocated to one of the following groups: Group I: TTNS group (n = 8) and group II: Sham group (n = 5). Both groups attended twice a week during 5 weeks; each session lasted 30 minutes. METHODS Eight patients received TTNS treatment and 5 subjects allocated to group II were managed with sham surface electrodes that delivered no electrical stimulation. Assessments were performed before and after the treatment; they included a 3-day bladder diary, Overactive Bladder Questionnaire (OAB-V8), and the International Consultation on Incontinence Quality of Life Questionnaire Short Form (ICIQ-SF), and urodynamic evaluation. RESULTS Following 5 weeks of treatment, patients allocated to TTNS demonstrated statistically significant reductions in the number of urgency episodes (P = .004) and reductions in nocturia episodes (P < .01). Participants allocated to active treatment also showed better results after treatment in the OAB-V8 and ICIQ-SF scores (P < .01, respectively). Urodynamic testing revealed that patients in the active treatment group showed improvements in intravesical volume at strong desire to void (P < .05) and volume at urgency (P < .01) when compared to subjects in the sham treatment group. CONCLUSION These findings suggest that TTNS is effective in the treatment of LUTS in patients with PD, reducing urgency and nocturia episodes and improving urodynamic parameters as well as symptom scores measured by the OAB-V8 and health-related quality-of-life scores measured by the ICIQ-SF. |
| Databáze: | OpenAIRE |
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