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IJPR.2017.196

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Type of Article:  Original Research

Volume 5; Issue 5 (September 2017)

Page No.: 2306-2313

DOI: https://dx.doi.org/10.16965/ijpr.2017.196

URODYNAMIC EFFECT OF PERCUTANEOUS POSTERIOR TIBIAL NERVE STIMULATION FOR URINARY INCONTINENCE IN PARAPARETIC PATIENTS

Yasser lbrahim Seada 1, Bassam Abdelmageed Elnassag 2, Waleed Talat Mansour 3, Mohamad Saeid Tawfik 4.

1 Assistant Professor, Faculty of Physical Therapy, Cairo University, Egypt.

2 Lecturer, Faculty of Physical Therapy, Cairo University, Egypt.

3 Professor, Faculty of Physical Therapy, Cairo University, Egypt.

4 Assistant Professor, Faculty of Medicine, Zagazig University. Faculty of Medicine, Najran University, Saudi Arabia.

Corresponding Author: Dr. Bassam A. Elnassag, Lecturer, Faculty of Physical Therapy, Cairo University, 7 Ahmed El-Zayat Street, Dokki, Giza, Egypt. E-Mail: drbassam_2000@yahoo.com

ABSTRACT

Background: Urinary incontinence is one of the most inconvenient problems in patients with spinal cord injury. This study was done to evaluate the effectiveness of Percutaneous Posterior Tibial Nerve Stimulation (PPTNS) in treatment of urinary incontinence in patients with dorsal level (T7-T12) Paraparesis.

Materials and Methods: This study was a randomized controlled study included 30 traumatic paraparetic patients of both sexes. They were randomly divided into two equal groups: Group I (GI) was a control group treated by physical therapy program for bladder training and placebo PPTNS. Group II (GII) was an experimental group treated by the same physical therapy program in addition to real PPTNS. All patients received the treatment program for 40 minutes, three days/week day after day for 12 weeks. All patients were assessed before initiating conservative treatment and after the end of treatment program by: Electromyographic measurement for detrusor and pelvic floor muscles’ activity, urine testing by cystometry and bladder residual volume measurement.

Results: There was a statistically significant improvement in GII than GI, regarding all variables (P <0.001).

Conclusion: PPTNS is an effective method in treating urinary incontinence in paraparetic patients and considered as a treatment modality filling the gap between conservative and surgical therapies in patients with certain types of urinary incontinence.

Key words: Percutaneous Posterior Tibial Nerve Stimulation, Cystometry, Electromyography, Urinary Incontinence, Paraparesis.

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Cite this article: Yasser lbrahim Seada, Bassam Abdelmageed Elnassag, Waleed Talat Mansour, Mohamad Saeid Tawfik. URODYNAMIC EFFECT OF PERCUTANEOUS POSTERIOR TIBIAL NERVE STIMULATION FOR URINARY INCONTINENCE IN PARAPARETIC PATIENTS. Int J Physiother Res 2017;5(5):2306-2313. DOI: 10.16965/ijpr.2017.196