Short-term Outcomes of a Randomized Pilot Trial of 2 Treatment Regimens of Transcutaneous Tibial Nerve Stimulation for Fecal Incontinence

Rimmer, Craig; Knowles, Charles H.; Lamparelli, M. J.; Durdey, P.; Lindsey, Ian; Hunt, Louise; Nugent, Karen; Gill, Kathryn

doi:10.1097/dcr.0000000000000444

Cited by 18 publications

(23 citation statements)

References 27 publications

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“…[6][7][8] Therefore, it is important to understand constipation etiologies and treatment methods for the geriatric population. [6][7][8] Therefore, it is important to understand constipation etiologies and treatment methods for the geriatric population.…”

Section: Discussionmentioning

confidence: 99%

“…Chronic constipation negatively affects the quality of life of geriatric patients, and disrupts their psychological state and social relationships. [6][7][8] Therefore, it is important to understand constipation etiologies and treatment methods for the geriatric population. Defecation is a process involving complex events.…”

Section: Discussionmentioning

confidence: 99%

“…7,8 A review of the literature showed that there are very few studies in which TTNS has been used and shown to be effective for constipation 9 however, there are practically no studies carried out exclusively on geriatric patients. 7,8 A review of the literature showed that there are very few studies in which TTNS has been used and shown to be effective for constipation 9 however, there are practically no studies carried out exclusively on geriatric patients.…”

Section: Introductionmentioning

confidence: 99%

“…Transcutaneous tibial nerve stimulation (TTNS) is reportedly beneficial for fecal and urinary incontinence. 7,8 A review of the literature showed that there are very few studies in which TTNS has been used and shown to be effective for constipation 9 however, there are practically no studies carried out exclusively on geriatric patients.…”

Section: Introductionmentioning

confidence: 99%

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Effects of bilateral transcutaneous tibial nerve stimulation on constipation severity in geriatric patients: A prospective clinical study

Gökçe

2019

Geriatrics Gerontology Int

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Aim: Constipation is the most common digestive complaint in the general population, and one of the most frequently encountered health problems in the geriatric population. In the present study, we aimed to determine whether bilateral transcutaneous tibial nerve stimulation affects constipation severity in geriatric patients with refractory chronic constipation.Methods: Bilateral transcutaneous tibial nerve stimulation was carried out three times per week for 30 min in geriatric patients aged >65 years with less than three defecations per week. The patients were evaluated, and constipation severity was compared before the treatment, at the end of the 6-week treatment and 12 weeks after the end of the treatment.Results: Assessment carried out using the Constipation Severity Instrument showed that the scores for subscales; that is, obstructive defecation, colonic inertia and pain, improved significantly by the end of the treatment compared with the scores obtained before the treatment. Furthermore, the improvement in pain continued for 12 weeks after the treatment, and although there was a slight decrease in the scores for the other subscales, they significantly improved compared with the scores obtained before the treatment.Conclusions: During the 12-week follow-up period, bilateral transcutaneous tibial nerve stimulation significantly improved constipation severity in geriatric patients with refractory chronic constipation. We believe that this easy-to-use and low-cost method can be applied to eligible geriatric patients who cannot be treated through dietary adjustments and/or medical interventions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effects of bilateral transcutaneous tibial nerve stimulation on constipation severity in geriatric patients: A prospective clinical study

Gökçe

2019

Geriatrics Gerontology Int

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“…While there is considerable literature on the causes of neurogenic bowel dysfunction, there are few studies that focus on the practical management [48,49]. Several conservative treatment modalities to treat FI include: diet, medications, pelvic floor muscle training, electrical stimulation, biofeedback, transanal irrigation, anal plugs [48][49][50][51]. Many of these avenues require minimal baseline cognitive and communication function to maximize success.…”

Section: Discussionmentioning

confidence: 99%

Manual Therapies Promote Continence and Mobility in a Patient with Cerebellar Agenesis

Kratz¹

2016

Int J Phys Med Rehabil

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Objective: Present single case study of a 26 year old female with congenital agenesis of cerebellum and other congenital malformations who achieved fecal continence and measurable mobility improvements following a prolonged series of craniosacral therapy.Design: Retrospective review of data based on several interviews with the patient's mother, her primary caregiver and review of the medical record.Setting: Community based private therapy clinic in the upper Midwest.Interventions: Craniosacral Therapy and minimal use of other therapies. Results:Craniosacral Therapy over the course of 4 years contributed to unexpected attainment of fecal continence as well as other areas of functional improvements. The patient was 22 years of age at the time this therapy series began and had life-long neurogenic bowel and bladder dysfunction. Gains were indirectly achieved. Treatment had been initiated to address chronic pain from an older spinal surgery and sessions continued long term for health and wellness. Mobility improvements beyond pre-surgery status and fecal continence were a surprise to all parties involved. Conclusion:Clinical significance of these outcomes stimulates curiosity as to the actual type of stimulation CST actually provides to the central nervous system and its effect upon neuroplasticity.

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Posterior Tibial Nerve Stimulation for Faecal Incontinence

Thomas

Vaizey

Maeda

2020

Pelvic Floor Disorders

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Short-term Outcomes of a Randomized Pilot Trial of 2 Treatment Regimens of Transcutaneous Tibial Nerve Stimulation for Fecal Incontinence

Abstract: This pilot study provides evidence that transcutaneous tibial nerve stimulation with a new ambulatory device is safe and acceptable for the management of fecal incontinence. Additional study is warranted to investigate clinical effectiveness.

Cited by 18 publications

References 27 publications

Effects of bilateral transcutaneous tibial nerve stimulation on constipation severity in geriatric patients: A prospective clinical study

Effects of bilateral transcutaneous tibial nerve stimulation on constipation severity in geriatric patients: A prospective clinical study

Manual Therapies Promote Continence and Mobility in a Patient with Cerebellar Agenesis

Posterior Tibial Nerve Stimulation for Faecal Incontinence

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