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Effectiveness of transcutaneous electrical stimulation of vagus nerve among post stroke urinary incontinence
Subrahmanyamc S, Suresh J
European Journal of Molecular and Clinical Medicine 2020;7(2):3895-3913
clinical trial
3/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: One of the leading cause for disability and morbidity in India is stroke. Among the stroke survivors, urinary incontinence (UI) is the most common condition that is more associated to disability and mortality. A study stated that among the continent stroke survivors 35% of them had an incidence of UI in a week. The "vagus nerve stimulation" is a generalized term describing any method of stimulation of vagus nerve. OBJECTIVE(S): To find out the effectiveness of transcutaneous electrical nerve stimulation of vagus nerve in post stroke urinary incontinence. METHODOLOGY: The study design is experimental, study type was single blinded randomized type, sampling method was random sampling method with 30 subjects and study duration was 8 weeks, study setting was SRM Medical College Hospital and Research Centre, Kattankulathur. A total of 30 subjects were taken randomly, group-A subjects were given transcutaneous vagus nerve stimulation (tVNS) and Kegel's exercise. Group-B control group was given Kegel's exercise alone. OUTCOME MEASURES: Barthel Index score (BIS) and Overactive Bladder Symptom Score (OBSS) RESULTS: There is a significantly more improvement in the control of urinary bladder in group-A than group-B CONCLUSION(S): tVNS shows an increase in the bladder control in post stroke urinary incontinence patients.

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