International Journal of Pharma and Bio Sciences
    ISSN 0975-6299

Int J Pharm Bio Sci Volume 15 Issue 1, January - March, Pages:29-38

Comparing Pelvic Interferential Therapy and Posterior Tibial Nerve Stimulation for Neurogenic Detrusor Over Activity in Spinal Cord Injury.

Shreya Chawla, Dr. Chitra Kataria, Dr. Dinesh Suman, Nikita Tripathi and Vivek Singh

The Aim and objective of the study is to evaluate the comparative effectiveness of pelvic interferential therapy (PIFT) and transcutaneous posteriortibial nerve stimulation (PTNS) on volume at first detrusor contraction, detrusor pressure of neurogenic detrusor overactivity (NDO), number of leakagesand incontinence on ICIQ-UI-SF scale in spinal cord injury patients (SCI) with neurogenic detrusor overactivity (NDO) associated incontinence. In thisrandomized clinical trial, 33 SCI subjects with NDO with subjective complaints of frequent urination and leakages participated. Subjects were randomizedinto 3 groups: Pelvic IFT (Group1), Transcutaneous PTNS (Group 2), and control (Group3). Electrical stimulation using interferential therapy andtranscutaneous posterior tibial nerve stimulation using TENS. Antimuscarinic drugs and behavioral training were given to both group 1 and group 2. Electricalstimulation was given to both groups for 20 minutes 5 times a week for 4 weeks. At the same time, the control group (group 3) received only antimuscarinicdrugs and behavioral training. Pre-intervention and post-intervention recording of the urodynamic study (UDS) was performed, and volume at first detrusorcontraction and detrusor pressure was noted. Subjects were asked to complete the ICIQ-UI-SF scale before and after the treatment for several leakages andincontinence measurements. On comparing the three groups, there is no statistically significant difference in several leakages, detrusor pressure, and volumeat first detrusor contraction, which means all three treatments had the same effect on these outcomes. Still, there is a statistically significant difference inincontinence. The mean value of PIFT (Group1) is lesser than PTNS (Group-2) and control (Group-3). Pelvic Interferential therapy is clinically more effectivein reducing urinary incontinence episodes than transcutaneous posterior tibial nerve stimulation and anticholinergic drugs in patients with spinal cord injury.Pelvic Interferential therapy is easy to use, clinically effective, and safe with no significant side effects, and it can be easily combined with antimuscarinic drugsand behavioral training.

Keywords: Pelvic Interferential therapy, Transcutaneous posterior nerve stimulation, Spinal cord injury, Neurogenic detrusor overactivity, Urodynamic study
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