Intérêt de la stimulation transcrânienne dans les troubles pelvi-périnéaux

Vacher, Pierre; Charlanes, A.; Chesnel, C.; Pagès, Arnaud; Malot, C.; Breton, F. Le; Amarenco, G.; Manceau, Philippe

doi:10.1016/j.purol.2019.03.001

Cited by 5 publications

(3 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Function magnetic stimulation (FMS) is a kind of treatment that generates a magnetic field through a coil, which further generates an induced electric field to depolarize the nerve tissue, so as to stimulate the nerve or muscle and produce an excitatory or inhibitory neuromuscular effect. It has the advantages of being painless, noninvasive, simple and easy to use, and is currently used clinically to treat psychological disorders, stroke, and SCI at present (12,13). With the development of FMS therapy in recent years, many researchers have applied FMS therapy to urinary retention after SCI and reported positive clinical outcomes (14).…”

Section: Introduction Background and Rationalementioning

confidence: 99%

Effects of central-peripheral FMS on urinary retention after spinal cord injury: a pilot randomized controlled trial protocol

Dong,

Tao,

Gong

et al. 2024

Front. Neurol.

View full text Add to dashboard Cite

BackgroundUrinary retention is a common complication of spinal cord injury (SCI), which can seriously affect the quality of life of patients. Function magnetic stimulation (FMS) has been widely used in the recovery of neurological function in various diseases, but its application in urinary retention after SCI remains unclear. Therefore, we would like to conduct a pilot randomized controlled trial (RCT) to observe the feasible effect of FMS on urinary retention after SCI, to explore its mechanism of action.Method/designThis is a single-center pilot RCT, which 60 patients with urinary retention after SCI will be selected, numbered in chronological order of hospitalization, and randomly divided into 4 groups using the random number table method, Groups A (control group), Group B, Group C, and Group D; Each group will receive the same conventional rehabilitation treatment. The whole intervention period 2 weeks and will be evaluated before and after treatment to collect data on residual bladder volume, functional near-infrared spectroscopy (fNIRS), changes in voiding condition, changes in surface electromyography (SEMG) values of pelvic floor muscle and quality of life scores (QoL).Study hypothesisWe hypothesized that FMS for the treatment of urinary retention after SCI would have a significant clinical feasible effect;and that peripheral combined with central FMS would be more effective than single-site FMS for the treatment of urinary retention after SCI.Objective(1) To illustrate the clinical effectiveness of FMS in the treatment of urinary retention after SCI and to provide a new treatment modality for the patients; (2) Comparison of the differences in the efficacy of central and peripheral single FMS and combined central and peripheral FMS in the treatment of urinary retention after SCI; (3) To explore the central control mechanisms of bladder function recovery after SCI in conjunction with changes in fNIRS.Trial registrationThis study has been ethically approved by the Scientific and Ethics Committee of the First Affiliated Hospital of Gannan Medical university with approval number (LLSC-2022112401). It has been registered with the China Clinical Trials Registry with the registration number: ChiCTR2200067143.

show abstract

Section: Introduction Background and Rationalementioning

confidence: 99%

Effects of central-peripheral FMS on urinary retention after spinal cord injury: a pilot randomized controlled trial protocol

Dong,

Tao,

Gong

et al. 2024

Front. Neurol.

View full text Add to dashboard Cite

show abstract

“…15 About clinical outcomes, a recent review found that cortical inhibition can be modulated to improve urinary continence and decrease neurogenic bladder hyperactivity in patients with Parkinson's disease and multiple sclerosis. 16 In this context, therapeutic strategies targeting brain structures involved in UI and pelvic floor dysfunction may be an efficient adjunct therapy to boost the clinical efficacy of exercise therapy. 17 Transcranial direct current stimulation (tDCS) is a non-invasive, non-pharmacological, and well-accepted strategy to influence brain activity through manipulation of neuronal excitability 18 beyond the stimulation period.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of transcranial direct current stimulation (tDCS) combined with pelvic floor muscle training (PFMT) in female urinary incontinence: randomized controlled trial

Brandão,

Dias,

Monteiro

et al. 2024

Brain Imaging and Stimul.

View full text Add to dashboard Cite

INTRODUCTION: Pelvic floor muscle training (PFMT) is widely regarded as the most conservative and effective non-pharmacological treatment option for women suffering from urinary incontinence (UI). Transcranial direct current stimulation (tDCS) is a non-invasive, non-pharmacological neuromodulation technique that has demonstrated promising results in a variety of medical conditions. However, there has been little research into the feasibility of tDCS as an adjunct therapy to PFMT in improving symptoms in women with UI. OBJECTIVE: To explore the feasibility (recruitment and retention) of tDCS as an adjunct therapy to PFMT to relieve symptoms of female UI. METHODS AND MATERIALS: Eleven female patients were randomly assigned to receive 12 non-consecutive sessions of PFMT combined with 20 minutes (2mA) of anodal (Cz) or sham tDCS for 4 weeks. Feasibility (primary outcome) was assessed through recruitment and retention rates. Secondary outcomes included four domains: (1) urinary leakage, (2) severity of incontinence, (3) impact on quality of life, and (4) symptoms and adverse events. RESULTS: Eleven patients were evaluated, and nine women completed the treatment protocol. The recruitment rate was 100%, and retention was 81.8%. Clinical results showed that anodal tDCS is viable as adjunctive therapy to PFMT protocol and may result in minimal clinically important differences (MCID) in UI symptoms. CONCLUSION: The high rate of recruitment and retention indicates that tDCS in combination with PFMT is a feasible adjunct therapy for female UI treatment. This research supports the recommendation for a full RCT, with prioritization of outcomes required for hypothesis testing.

show abstract

“…They live in an electromagnetic environment (EMF), of natural but also artificial origin, and the latter is the result of the increased use of electrical energy, necessary to operate surveillance devices, household appliances, and communications...etc. Also medical equipment used in the diagnosis of diseases such as magnetic resonance imaging (MRI) and therapeutic applications in psychiatry and neurology such as transuranic magnetic stimulation (TMS) [17] and electrical stimulation therapy (EST) [2]. This raises questions about the possible effects of exposure to these fields on human health and on the proper functioning of the devices (ICEDs) [21], [22].…”

Section: Introductionmentioning

confidence: 99%

In Vitro Modeling of Implantable Cardiac Pacemakers Submitted to Conducted Disturbance

2022

View full text Add to dashboard Cite

The work presented describes the modeling of a measurement bench in the presence of an implantable single-chamber pacemaker in vitro subjected to a conducted disturbance. The source of disturbance is a sinusoidal electrical signal with amplitude of 10 V; the frequency ranges studied correspond to the frequencies of the electrical distribution network (50/60 Hz) and to the frequencies of domestic applications (10/25KHz). The numerical simulations were carried out according to two methods, the first based on the finite element method using the Comsol multiphysics software, the second is based on the impedance method. The results obtained by the two methods are in good agreement, and this will allow us to calculate the voltage induced between the ends of the stimulator. These results allowed us to validate the proposed model.

show abstract

Intérêt de la stimulation transcrânienne dans les troubles pelvi-périnéaux

Cited by 5 publications

References 51 publications

Effects of central-peripheral FMS on urinary retention after spinal cord injury: a pilot randomized controlled trial protocol

Effects of central-peripheral FMS on urinary retention after spinal cord injury: a pilot randomized controlled trial protocol

Feasibility of transcranial direct current stimulation (tDCS) combined with pelvic floor muscle training (PFMT) in female urinary incontinence: randomized controlled trial

In Vitro Modeling of Implantable Cardiac Pacemakers Submitted to Conducted Disturbance

Contact Info

Product

Resources

About