| Title |
Transcutaneous tibial nerve stimulation: new treatment method evaluation for defecation disorders and investigation of potential predictors of treatment success / |
| Translation of Title |
Transkutaninė blauzdinio nervo stimuliacija: naujo tuštinimosi sutrikimų gydymo metodo efektyvumo įvertinimas ir galimų sėkmingo gydymo rodiklių paieška. |
| Authors |
Stundienė, Ieva |
| Full Text |
|
| Pages |
40 |
| Keywords [eng] |
tibial nerve stimulation ; constipation ; faecal incontinence |
| Abstract [eng] |
The aim of this prospective study is to evaluate the efficacy and effect on quality of life of transcutaneous tibial nerve stimulation (TTNS) for constipation and faecal incontinence patients and to investigate potential predictors of treatment success. This is the first study evaluating the efficacy of TTNS for patients with all forms of constipation, including patients with obstructive defecation. TTNS in our study was done using different stimulation parameters and regimen: 20 Hz frequency, suprasensory stimulation, procedures were done twice a week for 6 weeks, in case of effect – for 6 months. Some 49 patients with constipation and 20 with faecal incontinence were enrolled in the study. Effect was seen in 53.1 % of patients with constipation. The KESS score improved and stool frequency increased significantly with treatment after 6 weeks. The use of laxatives as well as abdominal pain and bloating decreased. There was a significant improvement in quality of life. TTNS was successful in 55 % of patients with faecal incontince: the number of faecal incontinence episodes and faecal incontinence score decreased, quality of life increased. There was no statistically significant difference when comparing manometric and rectal sensitivity findings before and after 6 weeks of treatment in both groups of patients. Potential predictors of TTNS treatment success were not defined. |
| Type |
Summaries of doctoral thesis |
| Language |
English |
| Publication date |
2014 |
