Effects of Transcutaneous Tibial Nerve Stimulation for Overactive Bladder Symptoms in Adults
Condition: Overactive Bladder; Urge Incontinence; Nocturia
MeSH terms: Urinary Bladder, Overactive; Urinary Incontinence, Urge; Nocturia
Study type: Interventional

Summary: 
      For overactive bladder symptoms, there are numerous physiotherapy techniques have been found
      to be beneficial. Transcutaneous electrical stimulation of the tibial nerve is one of those
      treatment options, that is entirely a non-invasive, easy to apply, and cost-effective
      technique.

      Transcutaneous stimulation of the tibial nerve targets the sacral nerve plexus that contracts
      the pelvic floor muscles and controls the bladder function.

      This research aims to study the effectiveness of transcutaneous tibial nerve stimulation in
      adults with overactive bladder symptoms along with the conventional physiotherapy for
      overactive bladder (pelvic floor muscle training through Kegel's exercises) among 60 patients
      with overactive bladder symptoms on the basis of non-probability purposive sampling technique
      with screening for study criteria through a consultant urologist. After taking informed
      consent, all participants will be randomly allocated into two groups. Group A will receive
      pelvic floor muscles training through Kegels exercises along with transcutaneous electrical
      stimulation of the tibial nerve and Group B will receive pelvic floor muscles training
      through Kegels exercises. The treatment duration will of six weeks. Outcomes will be assessed
      before the start of the treatment and after the end of the treatment sessions.
    


Intervention name(s): Transcutaneous tibial nerve stimulation along with pelvic floor muscle srengthening; Pelvic floor muscles strengthening
Intervention type(s): Other; Other
Intervention description(s): Pelvic floor muscles strengthening:
Pelvic floor muscles training involves Kegel's exercises. Kegel exercises improve the function and tone of the pelvic floor. Kegel exercises represent the voluntary contraction and relaxation of the levator ani muscle (principally the pubococcygeus and puborectalis portions), which supports the vagina, bladder, and urethra. The slow contractions help with muscle strengthening.
Transcutaneous electrical stimulation of Tibial Nerve:
Transcutaneous Tibial nerve stimulation is a form of treatment technique that involves the use of electrical impulses to address urinary symptoms and target the lower urinary tract.; Pelvic floor muscles strengthening:
Pelvic floor muscles training involves Kegel's exercises. Kegel exercises improve the function and tone of the pelvic floor. Kegel exercises represent the voluntary contraction and relaxation of the levator ani muscle (principally the pubococcygeus and puborectalis portions), which supports the vagina, bladder, and urethra. The slow contractions help with muscle strengthening.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: It is a randomized control trial. Total 60 patients will be recruited, 30 in each group. Treatment will be allocated using a random number sheet generated by SPSS software version 21. Participants are assigned to one of two groups in parallel for the duration of the study.
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Lower urinary tract symptoms (LUTS); urge incontinence; overactive detrusor; neuromodulation therapy; nocturia; pelvic floor disease