Kinésithérapie et symptômes du bas appareil urinaire chez des patients atteints de la sclérose en plaques : étude contrôlée randomisée

Gaspard, Laurent; Tombal, Bertrand; Opsomer, Reinier-Jacques; Castille, Yves; Pesch, Vincent Van; Detrembleur, Christine

doi:10.1016/j.purol.2014.05.003

Cited by 21 publications

(6 citation statements)

References 21 publications

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“…The combination of PFMT and NMES offers some advantage in the reduction of PFM tone and symptoms of OAB. Kinesitherapie et symptomes du bas appareil urinaire chez des patients atteints de la sclerose en plaques: etude controlee randomisee (Physiotherapy and neurogenic lower urinary tract dysfunction in multiple sclerosis patients: a randomized controlled trial) 17 ) Gaspard L, Tombal B, Opsomer RJ, Castille Y, Pesch V, Detrembleur C 5/10 Women with MS Pelvic floor muscle training vs. transcutaneous posterior tibial nerve stimulation 9 sessions Pelvic floor muscle training and transcutaneous posterior tibial nerve stimulation improved symptoms related to urgency in the same way in MS patients with mild disability. Randomized trial of percutaneous tibial nerve stimulation versus extended-release tolterodine: results from the overactive bladder innovative therapy trial 18 ) Peters KM, MacDiarmid SA, Wooldridge LS, Leong FC, Shobeiri SA, Rovner ES, Siegel SW, Tate SB, Jarnagin BK, Rosenblatt PL, Feagins BA 5/10 100 adults with urinary frequency Percutaneous tibial nerve stimulation to extended-release tolterodine 12 weeks This multicenter, randomized trial demonstrates that percutaneous tibial nerve stimulation is safe with statistically significant improvements in patient assessment of OAB symptoms, and with objective effectiveness comparable to that of pharmacotherapy.…”

Section: Resultsmentioning

confidence: 99%

“…Another study 17 ) compared the efficacy of pelvic floor muscle training vs. transcutaneous PTNS and found no differences between the groups for quality of life or overactive bladder and frequency of urgency episodes (p=0.197, p=0.532 and p=0.788, respectively). In the study by Peters et al 18 ) , a 13-week subjective global response assessment for overall bladder symptoms demonstrated that percutaneous tibial nerve stimulation participants achieved statistically significant improvement in bladder symptoms, with 54.5% of the participants reporting moderately or markedly improved responses from baseline compared to 20.9% of the sham participants (p<0.001).…”

Section: Discussionmentioning

confidence: 99%

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Electrostimulation of the posterior tibial nerve in individuals with overactive bladder: a literature review

Garcia

Pereira

2018

J Phys Ther Sci

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[Purpose] This study aims to gather scientific evidence to identify whether clinical trials on Electrostimulation of the Posterior Tibial Nerve (ESPTN) in individuals with overactive bladder present an adequate methodological standard according to the PEDro (Physiotherapy Evidence Database) criteria. [Methods] Integral literature review, including randomized controlled clinical trials found in PEDro. [Results] We found 16 articles, of which only one did not meet the inclusion criteria. This article has shown that ESPTN is a conservative tool of physiotherapy that is less invasive than other therapies, is well tolerated by patients and has been shown to be effective in the treatment of overactive bladder. However, few standardized clinical studies have been conducted, and only 26.6% of the articles included in this review obtained a score of more than five items on the PEDro scale. [Conclusion] This article has shown that ESPTN is a conservative tool of physiotherapy that is less invasive than other therapies, is well tolerated by patients and has been shown to be effective in the treatment of overactive bladder. Thus, there is a need for more clinical articles that follow the quality criteria for randomized clinical trials, allowing more reliable scientific results.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Electrostimulation of the posterior tibial nerve in individuals with overactive bladder: a literature review

Garcia

Pereira

2018

J Phys Ther Sci

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“…Gaspard et al. [33] compared the effect of TTNS with pelvic floor muscle exercises including biofeedback in patients with multiple sclerosis. The patients were randomly assigned to TTNS ( n = 15) and pelvic floor muscle exercises ( n = 16).…”

Section: Discussionmentioning

confidence: 99%

bTUNED: transcutaneous tibial nerve stimulation for neurogenic lower urinary tract dysfunction

et al. 2023

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ObjectiveTo present the protocol for a randomized controlled trial (RCT) evaluating the efficacy and safety of transcutaneous tibial nerve stimulation (TTNS) for refractory neurogenic lower urinary tract dysfunction (NLUTD).Study Design and ResultsbTUNED (bladder and TranscUtaneous tibial Nerve stimulation for nEurogenic lower urinary tract Dysfunction) is an international multicentre, sham‐controlled, double‐blind RCT investigating the efficacy and safety of TTNS. The primary outcome is success of TTNS, defined as improvements in key bladder diary variables at study end compared to baseline values. The focus of the treatment is defined by the Self‐Assessment Goal Achievement (SAGA) questionnaire. Secondary outcomes are the effect of TTNS on urodynamic, neurophysiological, and bowel function outcome measures, as well as the safety of TTNS.ConclusionsA total of 240 patients with refractory NLUTD will be included and randomized 1:1 into the verum or sham TTNS group from March 2020 until August 2026. TTNS will be performed twice a week for 30 min during 6 weeks. The patients will attend baseline assessments, 12 treatment visits and follow‐up assessments at the study end.

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“…The severity of urinary incontinence was measured in six studies [17][18][19][20][21][22]. The implementation of PFMT significantly reduced the severity of urinary incontinence symptoms, and the clinical outcomes proved to be even better in cases of supervised training under a physiotherapist.…”

Section: Librarymentioning

confidence: 99%

Pelvic Floor Muscle Training and Its Benefits for Multiple Sclerosis Patients Suffering From Urinary Incontinence and Sexual Dysfunction

Sapouna,

Thanopoulou,

Papriakas

et al. 2023

Cureus

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Several reports have been published during the last decade studying the effect of pelvic floor muscle training (PFMT) in treating urinary incontinence and sexual dysfunction in multiple sclerosis (MS) patients. The aim of the current study is to bring up-to-date findings of earlier systematic reviews, taking into account data published up till June 2023. Databases such as PubMed, Scopus, and EBSCOhost were screened for randomized controlled studies, clinical trials, and systematic reviews. The keywords for the current review were MS, urinary incontinence, sexual function, and PFMT. The implementation of predetermined eligibility criteria permitted an appropriate and convenient study selection. English language publications alone were considered. After removing duplicates and screening the initially recovered articles, an initial search within the present review identified 19 studies. Finally, 10 randomized control trials and two systematic reviews were eligible for evaluation and included in the current review. The outcome measures were the severity of incontinence or overactive bladder, leakage episodes, sexual dysfunction, health-related quality of life, and adherence to PFMT. PFMT is a convenient and effective treatment tool that can significantly improve health-related quality of life and reduce the severity of urinary incontinence and overactive bladder symptoms in people with MS. The present review confirms the effectiveness of specific exercises on leakage episodes, pad usage, sexual dysfunction, compliance to treatment, and treatment satisfaction. Further research is needed to strengthen the reported results.

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Kinésithérapie et symptômes du bas appareil urinaire chez des patients atteints de la sclérose en plaques : étude contrôlée randomisée

Cited by 21 publications

References 21 publications

Electrostimulation of the posterior tibial nerve in individuals with overactive bladder: a literature review

Electrostimulation of the posterior tibial nerve in individuals with overactive bladder: a literature review

bTUNED: transcutaneous tibial nerve stimulation for neurogenic lower urinary tract dysfunction

Pelvic Floor Muscle Training and Its Benefits for Multiple Sclerosis Patients Suffering From Urinary Incontinence and Sexual Dysfunction

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