Physical Therapy Post-Graduate Program, Universidade Federal de São Carlos (UFSCar), São Carlos, SP, Brazil; Laboratory of Research on Women's Health (LAMU), UFSCar, São Carlos, SP, Brazil.
Physical Therapy Post-Graduate Program, Universidade Federal de São Carlos (UFSCar), São Carlos, SP, Brazil; Laboratory of Research on Electrophysical Agents (LAREF), Physical Therapy Department, UFSCar, São Carlos, SP, Brazil.
Eur J Obstet Gynecol Reprod Biol. 2021 Dec;267:167-173. doi: 10.1016/j.ejogrb.2021.10.025. Epub 2021 Oct 31.
INTRODUCTION: Urinary urgency is a very strong urge to urinate that is difficult to postpone and control. One of the physiotherapeutic resources that can be used in the treatment of urinary urgency is electrical nerve stimulation. The objective of this study is to investigate the effects of parasacral and tibial nerve transcutaneous electrical stimulation in improving urinary urgency in adult women. MATERIAL AND METHODS: Single-blinded randomized controlled clinical trial. PARTICIPANTS: Ninety-nine adult women with urgency. INTERVENTIONS: Transcutaneous electrostimulation for 12, 20-min sessions, twice a week. The tibial and parasacral groups received a current of F = 10 Hz and 200 μs pulse duration, while the sham group received a current of F = 100 Hz and 100 μs pulse duration, the active electrode placed over the scapula. Primary and secondary outcome measures: The primary outcome measure was urinary urgency, measured by the International Consultation on Incontinence Questionnaire Overactive Bladder (ICIQ-OAB) and Overactive Bladder questionnaire-Validated 8-Question Awareness Tool (OAB-V8). Secondary outcomes were quality of life with the King's Health Questionnaire (KHQ) and voiding habits with the 24-h voiding diary. Assessments occurred pretreatment, after the sixth and 12th post-treatment sessions and at the 30-day follow-up. RESULTS: Both parasacral and tibial groups in the post-treatment presented fewer episodes of urgency than the sham group. The parasacral group showed better results than the sham group post-treatment for ICIQ-OAB scores, and in KHQ domains Impact of Incontinence and task limitations. Parasacral group participants had OAB-V8 score lower than 8 in the post-treatment and follow-up. CONCLUSION: Both tibial and parasacral groups had a positive and similar effect on reducing urinary urgency in adult women. Relative to the quality of life, transcutaneous parasacral electrostimulation was superior to transcutaneous tibial electrostimulation. CLINICAL TRIAL REGISTRATION: Brazilian Registry of Clinical Trials (ReBEC), http://ensaiosclinicos.gov.br, protocol RBR-9rf33n.
介绍：尿急是一种强烈的排尿冲动，难以延迟和控制。可用于治疗尿急的物理治疗资源之一是电神经刺激。本研究的目的是调查骶旁和胫骨神经经皮电刺激在改善成年女性尿急中的效果。 材料和方法：单盲随机对照临床试验。 参与者：99 名成年女性尿急患者。 干预措施：经皮电刺激 12 次，每次 20 分钟，每周两次。胫骨组和骶旁组接受 F=10Hz、200μs 脉冲持续时间的电流，而假刺激组接受 F=100Hz、100μs 脉冲持续时间的电流，将活动电极放置在肩胛骨上。主要和次要结局测量：主要结局测量是尿急，通过国际尿失禁咨询问卷过度活动膀胱（ICIQ-OAB）和过度活动膀胱问卷-验证 8 项意识工具（OAB-V8）进行测量。次要结局是生活质量（King's Health Questionnaire，KHQ）和排尿习惯（24 小时排尿日记）。评估在治疗前、治疗后第 6 次和第 12 次以及 30 天随访时进行。 结果：治疗后，骶旁组和胫骨组尿急发作次数均少于假刺激组。治疗后，骶旁组 ICIQ-OAB 评分和 KHQ 中尿失禁影响和任务限制领域优于假刺激组。骶旁组参与者在治疗后和随访时 OAB-V8 评分低于 8。 结论：胫骨组和骶旁组均对减少成年女性尿急有积极且相似的作用。相对于生活质量，经皮骶旁电刺激优于经皮胫骨电刺激。 临床试验注册：巴西临床试验注册处（ReBEC），http://ensaiosclinicos.gov.br，方案 RBR-9rf33n。
Eur J Obstet Gynecol Reprod Biol. 2021-12
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