COMPARING THE EFFECTS OF BIOFEEDBACK AND TRANSCUTANEOUS TIBIAL NERVE STIMULATION, ALONE OR IN COMBINATION, IN WOMEN WITH COEXISTING COMPLAINTS OF DYSSYNERGIC DEFECATION AND STRESS URINARY INCONTINENCE: A RANDOMIZED CONTROLLED TRIAL.

Q2 Medicine

Arquivos de Gastroenterologia Pub Date : 2026-08-17 eCollection Date: 2026-01-01 DOI:10.1590/S0004-2803.24612025-123

Neda Orakifar, Fatemeh Oraki Koohshoori, Nahid Pirayeh, Eskandar Hajiani, Shahla Zahednejad

{"title":"COMPARING THE EFFECTS OF BIOFEEDBACK AND TRANSCUTANEOUS TIBIAL NERVE STIMULATION, ALONE OR IN COMBINATION, IN WOMEN WITH COEXISTING COMPLAINTS OF DYSSYNERGIC DEFECATION AND STRESS URINARY INCONTINENCE: A RANDOMIZED CONTROLLED TRIAL.","authors":"Neda Orakifar, Fatemeh Oraki Koohshoori, Nahid Pirayeh, Eskandar Hajiani, Shahla Zahednejad","doi":"10.1590/S0004-2803.24612025-123","DOIUrl":null,"url":null,"abstract":"Objective: To compare the efficacy of electromyography biofeedback (EMG-BF), transcutaneous tibial nerve stimulation (TTNS), and combination of EMG-BF with TTNS in women with stress urinary incontinence (SUI) and dyssynergic defecation (DD) disorders.Methods: In this single-blinded, three-arm, randomized controlled trial, eighty-seven women (18-60 years) with concurrent SUI and DD disorders randomly allocated into three groups (29 per group) including TTNS, EMG-BF and combined treatment group. Participants in each group received fifteen treatment sessions (3 day per week with at least 48-hour break between sessions). Wexner constipation scoring system questionnaire, 3-day bladder diary and EMG activity level of the pelvic floor muscle (PFM) during maximal voluntary contraction (MVC), straining, and coughing were assessed as treatment outcomes measures at baseline and immediately after sessions 5,10 and 15.Results: A two-way repeated measure analysis of variance showed that group interaction by time was significant for all measured variables. Further analysis by the Tukey post hoc test showed significant difference of Wexner questionnaire, 3-day bladder diary and EMG activity level values in the EMG-BF group compared with TTNS group (P<0.001) and in combined treatment group compared with TTNS group (P<0.001) in sessions 10 and 15.Conclusion: EMG-BF and combined treatment significantly improved defecatory and urinary related symptoms and PFM performance in women with SUI and DD disorders.","PeriodicalId":35671,"journal":{"name":"Arquivos de Gastroenterologia","volume":"63 ","pages":"e25123"},"PeriodicalIF":0.0000,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13502717/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Arquivos de Gastroenterologia","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1590/S0004-2803.24612025-123","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: To compare the efficacy of electromyography biofeedback (EMG-BF), transcutaneous tibial nerve stimulation (TTNS), and combination of EMG-BF with TTNS in women with stress urinary incontinence (SUI) and dyssynergic defecation (DD) disorders.

Methods: In this single-blinded, three-arm, randomized controlled trial, eighty-seven women (18-60 years) with concurrent SUI and DD disorders randomly allocated into three groups (29 per group) including TTNS, EMG-BF and combined treatment group. Participants in each group received fifteen treatment sessions (3 day per week with at least 48-hour break between sessions). Wexner constipation scoring system questionnaire, 3-day bladder diary and EMG activity level of the pelvic floor muscle (PFM) during maximal voluntary contraction (MVC), straining, and coughing were assessed as treatment outcomes measures at baseline and immediately after sessions 5,10 and 15.

Results: A two-way repeated measure analysis of variance showed that group interaction by time was significant for all measured variables. Further analysis by the Tukey post hoc test showed significant difference of Wexner questionnaire, 3-day bladder diary and EMG activity level values in the EMG-BF group compared with TTNS group (P<0.001) and in combined treatment group compared with TTNS group (P<0.001) in sessions 10 and 15.

Conclusion: EMG-BF and combined treatment significantly improved defecatory and urinary related symptoms and PFM performance in women with SUI and DD disorders.

查看原文本刊更多论文

比较生物反馈和经皮胫神经刺激的效果，单独或联合，在女性共存的失调排便和应激性尿失禁的投诉：一项随机对照试验。

目的：比较肌电生物反馈（EMG-BF）、经皮胫神经刺激（TTNS）及肌电生物反馈联合TTNS治疗女性应激性尿失禁（SUI）和排便障碍（DD）的疗效。方法：在这项单盲、三组、随机对照试验中，87例伴有SUI和DD的女性（18-60岁）随机分为TTNS组、肌电- bf组和联合治疗组（每组29例）。每组参与者接受15个疗程（每周3天，疗程之间至少48小时休息）。Wexner便秘评分系统问卷、3天膀胱日记和骨盆底肌（PFM）在最大自愿收缩（MVC）、紧张和咳嗽期间的肌电图活动水平作为治疗结果在基线和第5、10和15期后立即进行评估。结果：双向重复测量方差分析显示，所有测量变量随时间的组交互作用均显著。进一步的Tukey事后检验分析显示，与TTNS组相比，肌电- bf组的Wexner问卷、3天膀胱日记和肌电图活动水平值存在显著差异(p)。结论：肌电- bf联合治疗可显著改善SUI和DD女性的排尿相关症状和PFM表现。

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

Arquivos de Gastroenterologia Medicine-Gastroenterology

CiteScore

2.00

自引率

0.00%

发文量

109

审稿时长

9 weeks

期刊介绍： The journal Arquivos de Gastroenterologia (Archives of Gastroenterology), a quarterly journal, is the Official Publication of the Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia IBEPEGE (Brazilian Institute for Studies and Research in Gastroenterology), Colégio Brasileiro de Cirurgia Digestiva - CBCD (Brazilian College of Digestive Surgery) and of the Sociedade Brasileira de Motilidade Digestiva - SBMD (Brazilian Digestive Motility Society). It is dedicated to the publishing of scientific papers by national and foreign researchers who are in agreement with the aim of the journal as well as with its editorial policies.