This study evaluates the therapeutic effectiveness of Transcutaneous Electrical Nerve Stimulation (TENS) of the posterior tibial nerve, for treating urinary incontinence (UI) due to detrusor overactivity (DO) in patients with multiple sclerosis (MS). Five volunteers having positive cutaneous plantar reflexes and intact innervation of the anterior tibial participated in the study. Individuals with a positive Babinski reflex were excluded. We applied 10 sessions of TENS currents (20 Hz, 200 milliseconds, tetrapolar), over a period of 5 weeks (2 sessions per week). The treatment was monitored through a Urogynecology Physiotherapeutic Assessment Questionnaire and by a Voiding Log. We observed a reduction in the average frequency of miction, as well as decreased nocturia; also, the urge incontinence symptoms in the treated patients were cleared up.
This research is a case study that evaluated the therapeutic efficacy of Functional Electrical Stimulation (FES) associated with the method of Proprioceptive Neuromuscular Facilitation (PNF) in a patient with central facial paralysis caused by brain damage resulting from brain anoxia. The treatment involved the application of Orofacial Regulation Therapy, associated with physical therapy using a pen-shaped electrode whith an FES current. The treatment was administered for a period of one year and involved two weekly 15 minute sessions. The stimuli were performed with modulated current at a frequency of 60 hertz, pulse width of 300 miliseconds, rise of four (4) seconds, decay of four (4) seconds, time ON of one (1) second, time OFF of five (5) seconds, in trapezoidal pulses (forming a mini cycle of 14 seconds with 30 pulses) at an intensity level measured according to the patient's sensitivity, associated with the PNF method. The mobile pen-shaped electrode was positioned at precise points on the paralyzed muscles of the face, and the fixedelectrode was positioned on the Deltoid muscle. There was satisfactory rehabilitation of muscles in the left hemiface and acquired improvement in the oral consumption of the bolus. The symmetry of the face was also enhanced, along with facial expressions and connotation measuring four (4) on the Chevalier scale.
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