Initial Experience With Home Therapeutic Electrical Stimulation for Continence in the Myelomeningocele Population

Balcom, Anthony H.; Wiatrak, Mitchell; Biefeld, Trudi; Rauen, Karen; Langenstroer, Peter

doi:10.1016/s0022-5347(01)64452-5

Cited by 19 publications

(2 citation statements)

References 5 publications

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“…VES causes contractions of the pelvic floor, increasing the number of muscle fibers with rapid contraction [23]. Also electrical stimulation enhances the proprioception and coordination of PFM contraction, increases the blood flow to the urethra and PFM, improves the neuromuscular connections, muscular fiber function, and genital atrophy [21,24,25]. Another mechanism of actions are reorganization of spinal reflex and regulation of cortical activity [26].…”

Section: Discussionmentioning

confidence: 99%

Effect of Vaginal Electrical Stimulation on Female Sexual Functions: A Randomized Study

Aydın

Batmaz

et al. 2015

The Journal of Sexual Medicine

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Introduction Female sexual dysfunction (FSD) is a common problem that may be encountered in the interruption of normal sexual functioning in the sexual response cycle. Women with a pelvic floor disorder who scored low on the Female Sexual Function Index (FSFI) showed an improvement in their sexual life following treatment by vaginal electrical stimulation (VES). Aim The aim of this trial was to evaluate the effectiveness of VES in women with FSD without a predominant pelvic floor disorder or urinary incontinence. Methods Forty-two women with FSD were randomly allocated to VES and placebo groups. Pelvic floor muscle (PFM) assessment and the FSFI questionnaire were performed at baseline and after the completion of sessions. VES treatment was administered using a vaginal probe. The probe was inserted, and a medium-frequency (50 Hz) alternating current was administered for a duty cycle of 5 seconds on followed by a 5-second rest. Main Outcomes Measures Primary outcome measure was the improvement in FSFI score. PFM assessments were performed according to the PERFECT scheme. Results Total FSFI scores improved significantly in both the VES group and the control group. Results show that in the VES group, there was an improvement in total score and FSFI domains that improved including arousal, desire, orgasm, and satisfaction. Similarly, control group domains that improved were desire, arousal, and orgasm. But there was no significant increase in satisfaction scores in the placebo group. No significant changes in pain or lubrication domains were seen in either group. Power, endurance, fast contractions, and repetitions were significantly improved in the VES group. Conclusions The lack of significant differences between the placebo and VES groups, except the satisfaction domain, puts into question the effectiveness of electrical stimulation as a monotherapy in treating primary FSD without pelvic floor disorder.

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Section: Discussionmentioning

confidence: 99%

Effect of Vaginal Electrical Stimulation on Female Sexual Functions: A Randomized Study

Aydın

Batmaz

et al. 2015

The Journal of Sexual Medicine

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“…The effect of a current with a frequency of 55 Hz and pulse width of 280 µs on the bladder was studied in the abdominal and buttock regions. The study showed that, patients were able to better predict their bowel movements and develop a better sense of pelvic fullness [10].…”

Section: Introductionmentioning

confidence: 96%

Effects of TENS and Physiotherapy on Chronic Constipation in Myelomeningocele

ÖZDEMİR AYLA,

ACAR,

ÖZEL

et al. 2023

Journal of Innovative Healthcare Practices

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Background: Chronic constipation is a common symptom of myelomeningoceles. TENS has been proven to be effective in treating constipation in different populations and parameters. Physiotherapy is a relatively recent treatment for constipation and has not been extensively studied in pediatrics and spina bifida. This study aimed to examine the role of TENS in myelomeningocele and to increase the number of studies on physiotherapy for pediatric constipation. Aims: To determine a new treatment approach that can be applied in chronic constipation in children with spina bifida using physical therapy techniques. Study Design: Randomized Controlled Trial Methods: Constipation symptoms, stool pattern, bladder and bowel dysfunction, muscle strength involved in defecation, pressure pain thresholds (ppt) in these muscles, severity of fecal incontinence, and quality of life were assessed prior to treatment. Physical Therapy (PT) group received manual physical therapy techniques and dietary therapy for six weeks while the Physical Therapy and TENS (PT+T) group also received TENS. The post-treatment evaluations were repeated. Results: A total of 28 children, 14 in each group, were included in the treatment plan. The stool form in both groups of children was constipated. There was a significant difference in stool pattern only PT+T group (p

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Neuromodulation for neurogenic bladder in pediatric spinal dysraphism

Yerkes¹,

Kaplan²

2015

Pediatric Incontinence

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Initial Experience With Home Therapeutic Electrical Stimulation for Continence in the Myelomeningocele Population

Cited by 19 publications

References 5 publications

Effect of Vaginal Electrical Stimulation on Female Sexual Functions: A Randomized Study

Effect of Vaginal Electrical Stimulation on Female Sexual Functions: A Randomized Study

Effects of TENS and Physiotherapy on Chronic Constipation in Myelomeningocele

Neuromodulation for neurogenic bladder in pediatric spinal dysraphism

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