Posterior tibial nerve electrical stimulation in chronic constipation: a systematic review and meta-analysis.

Q3 Medicine

Gastroenterology and Hepatology From Bed to Bench Pub Date : 2024-01-01 DOI:10.22037/ghfbb.v17i1.2831

Mahdieh Hamedfar, Fariba Ghaderi, Hanieh Salehi Pourmehr, Abbas Soltani, Morteza Ghojazadeh, Nafiseh Vahed

{"title":"Posterior tibial nerve electrical stimulation in chronic constipation: a systematic review and meta-analysis.","authors":"Mahdieh Hamedfar, Fariba Ghaderi, Hanieh Salehi Pourmehr, Abbas Soltani, Morteza Ghojazadeh, Nafiseh Vahed","doi":"10.22037/ghfbb.v17i1.2831","DOIUrl":null,"url":null,"abstract":"Aim: A systematic review and meta-analysis were performed to investigate posterior tibial nerve electrical stimulation application methods in patients with chronic constipation.Background: Posterior tibial nerve electrical stimulation is a management procedure for chronic constipation.Methods: A comprehensive search was conducted on Ovid, PubMed, Scopus, ProQuest, Web of Science, and The Cochrane Library based on the PICO formation of the study. All randomized controlled trials and quasi-experimental studies in which patients with chronic constipation were treated with transcutaneous tibial nerve stimulation (TTNS) or percutaneous tibial nerve stimulation (PTNS) were included in this study. Two independent reviewers screened all titles, abstracts, and full texts. The selected studies' quality was assessed critically using the Joanna Briggs Institute checklists. The data synthesis was conducted using Review Manager Software.Results: Out of 1016 records, 11 studies were included in this study. The results showed that TTNS was effective in improving constipation symptoms (SMD: -1.52, CI 95%: -2.81 to -0.22, p< 0.0001) and reducing defecation time of patients with chronic constipation (SMD: -0.86, CI 95%: -1.60 to -0.13, p= 0.17). Additionally, PTNS was found to improve the quality of life of these patients (SMD: -1.32, CI 95%: -2.05 to -0.59, p< 0.00001).Conclusion: Both TTNS and PTNS can be effective interventions for chronic constipation. To suggest a definitive and standard treatment plan, further research is needed to determine optimal parameters for TTNS and PTNS applications.","PeriodicalId":12636,"journal":{"name":"Gastroenterology and Hepatology From Bed to Bench","volume":"17 1","pages":"6-16"},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11080691/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Gastroenterology and Hepatology From Bed to Bench","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.22037/ghfbb.v17i1.2831","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

Abstract

Aim: A systematic review and meta-analysis were performed to investigate posterior tibial nerve electrical stimulation application methods in patients with chronic constipation.

Background: Posterior tibial nerve electrical stimulation is a management procedure for chronic constipation.

Methods: A comprehensive search was conducted on Ovid, PubMed, Scopus, ProQuest, Web of Science, and The Cochrane Library based on the PICO formation of the study. All randomized controlled trials and quasi-experimental studies in which patients with chronic constipation were treated with transcutaneous tibial nerve stimulation (TTNS) or percutaneous tibial nerve stimulation (PTNS) were included in this study. Two independent reviewers screened all titles, abstracts, and full texts. The selected studies' quality was assessed critically using the Joanna Briggs Institute checklists. The data synthesis was conducted using Review Manager Software.

Results: Out of 1016 records, 11 studies were included in this study. The results showed that TTNS was effective in improving constipation symptoms (SMD: -1.52, CI 95%: -2.81 to -0.22, p< 0.0001) and reducing defecation time of patients with chronic constipation (SMD: -0.86, CI 95%: -1.60 to -0.13, p= 0.17). Additionally, PTNS was found to improve the quality of life of these patients (SMD: -1.32, CI 95%: -2.05 to -0.59, p< 0.00001).

Conclusion: Both TTNS and PTNS can be effective interventions for chronic constipation. To suggest a definitive and standard treatment plan, further research is needed to determine optimal parameters for TTNS and PTNS applications.

查看原文本刊更多论文

胫后神经电刺激治疗慢性便秘：系统回顾和荟萃分析。

目的：对慢性便秘患者应用胫后神经电刺激的方法进行系统回顾和荟萃分析：背景：胫后神经电刺激是一种治疗慢性便秘的方法：根据研究的 PICO，在 Ovid、PubMed、Scopus、ProQuest、Web of Science 和 Cochrane Library 上进行了全面检索。本研究纳入了慢性便秘患者接受经皮胫神经刺激（TTNS）或经皮胫神经刺激（PTNS）治疗的所有随机对照试验和准实验研究。两名独立审稿人筛选了所有研究的标题、摘要和全文。采用乔安娜-布里格斯研究所（Joanna Briggs Institute）的核对表对所选研究的质量进行了严格评估。数据综合采用 Review Manager 软件进行：在 1016 条记录中，有 11 项研究被纳入本研究。结果显示，TTNS 能有效改善慢性便秘患者的便秘症状（SMD：-1.52，CI 95%：-2.81 至 -0.22，p< 0.0001）并缩短排便时间（SMD：-0.86，CI 95%：-1.60 至 -0.13，p= 0.17）。此外，PTNS 还能改善这些患者的生活质量（SMD：-1.32，CI 95%：-2.05 至 -0.59，p< 0.00001）：结论：TTNS 和 PTNS 均可有效干预慢性便秘。结论：TTNS 和 PTNS 都是治疗慢性便秘的有效干预方法，但要提出一个明确的标准治疗方案，还需要进一步的研究来确定 TTNS 和 PTNS 应用的最佳参数。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Gastroenterology and Hepatology From Bed to Bench Medicine-Gastroenterology

CiteScore

2.30

自引率

0.00%

发文量