Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Surgery

Background: Non- neurogenic overactive bladder is a specific type of voiding dysfunction, which can be managed by non-invasive therapeutic techniques such as posterior tibial nerve stimulation and biofeedback. Purpose: The aim of this study was to investigate the effect of posterior tibial nerve stimulation versus biofeedback on non-neurogenic detrusor over activity. Subjects and methodology: Thirty patients (4 men and 26 women) who were suffering from overactive bladder with age ranged 25-40 years enrolled in this study for 12 weeks. They were assigned to two groups: Group (A): Consisted of 15 patients who received posterior tibial nerve stimulation in addition to their normal routine medical treatment. Group (B): Consisted of 15 patients who received biofeedback in addition to their normal routine medical treatment. The program continued for twelve weeks. Urodynamic measures were used for both groups at the beginning of the study and after the end of twelve weeks. Results: There was a significant increase of cystometric capacity (mL) level by 45.46 % for group A and 44.4% Group B and there was slight decrease in residual urine volume (mL) by 20.38% and 21.43% for both groups respectively, bladder stability showed high significance improvement in favor of group A with 86.7% improvement in group A and 60% for group B. Conclusion: Posterior tibial nerve stimulation was found to be more effective than biofeedback on non-neurogenic detrusor over activity

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