Transcutaneous Electrical Stimulation for Neurogenic Bladder After Spinal Cord Injury: A Systematic Review and Meta-Analysis

医学 脊髓损伤 荟萃分析 刺激 脊髓 脊髓刺激 麻醉 物理医学与康复 内科学 精神科
作者
Yangyang Jiang,Xiang Li,Suhui Guo,Zhengshu Wei,Senming Xu,Huiqing Qin,Jianwen Xu
出处
期刊:Neuromodulation [Elsevier BV]
卷期号:27 (4): 604-613 被引量:4
标识
DOI:10.1016/j.neurom.2023.06.002
摘要

Objectives This review aims to assess the efficacy of transcutaneous electrical nerve stimulation (TENS) for neurogenic bladder after spinal cord injury (SCI). Materials and Methods A systematic search was conducted of seven electronic data bases from inception to Dec 31, 2022, to identify randomized controlled trials that studied TENS for neurogenic bladder after SCI. The primary outcomes were maximum cystometric capacity (MCC) and residual urine volume (RUV). Secondary outcomes included maximum detrusor pressure, flow rate, and bladder diary. Random effects models were used in all analyses. Results Eleven trials involving 881 participants were included. Meta-analysis showed that TENS in addition to conventional treatment had larger MCC (mean difference [MD] 50.55 ml, 95% CI 27.81–73.29, p<0.0001) and lower RUV (MD −22.96 ml, 95% CI −33.45 to −12.47, p<0.0001) than did conventional treatment only. Compared with magnetic stimulation, no differences were observed with TENS for MCC (MD −14.49 ml, 95% CI −48.97 to 19.98, p = 0.41) and RUV (MD 25 ml, 95% CI −61.79 to 111.79, p = 0.57). There also were no differences in MCC (MD −7.2 ml, 95% CI −14.56 to 0.16, p = 0.06) and (MD −5.2 ml, 95% CI −60.00 to 49.60, p = 0.851) when compared with solifenacin succinate and pelvic floor biofeedback, respectively. Conclusions TENS may be an effective treatment option for neurogenic bladder after SCI.
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