A comparative study of transcutaneous interferential electrical stimulation and transcutaneous electrical nerve stimulation on children with primary nocturnal enuresis: a randomized clinical trial
- 39 Downloads
Nocturnal enuresis is an infrequent uncontrolled voiding during sleep in a child aged 5 years or more without any congenital or acquired disorders of the central nervous system.
To compare immediate and short-term effects of interferential currents (IFC) and transcutaneous electrical nerve stimulation (TENS) in the treatment of children with primary nocturnal enuresis (PNE) in numbers of wet nights and quality of life (QoL).
52 children aged 7–14 (10.6 ± 1.9) having PNE, were assigned randomly into two groups (26 children for each group). Both IFC and TENS groups continued treatment session for 20 min, 3 sessions per week for 6 weeks. The outcome measures were the number of wet nights, and QoL through pediatric incontinence questionnaire (PinQ).The measurements were evaluated before treatment (Pre-), after the last session (Post-1), and 6 months later (Post-2).
By comparing the Pre- and Post-1 mean values, the number of wet nights, reduced significantly (P < 0.05) in both groups, in favor of IFC group. Post-1 showed many children with full and good responses and few numbers with partial or no responses to IFC than TENS. Post-1 revealed that PinQ was significantly reduced in both groups in favor of the IFC group (P < 0.05). The values were slightly improved in both groups in Post-2, they were significantly different between Pre- and post-measurements in each group (P < 0.05). Comparison between both groups showed significant differences in the mean values between Post-1 and Post-2 in favor of IFC group (P < 0.05).
IFC and TENS had immediate and short-term improvements in children with PNE by reducing numbers of wet nights and enhancing QoL in favor of the IFC group.
KeywordsPrimary nocturnal enuresis Interferential currents Transcutaneous electrical nerve stimulation Quality of life
NMA had complete right to use all information in this study and has the accountability for the honesty of the data and the correctness of the statistical analysis. Study idea and strategy. All authors recruiting of the manuscript: MMI made Statistical analysis.
Compliance with ethical standards
Conflict of interest
The authors have no conflict of interest.
- 1.Nevéus T, von Gontard A, Hoebeke P, Hjälmås K, Bauer S, Bower W, Jørgensen TM, Rittig S, Walle JV, Yeung CK, Djurhuus JC (2006) The standardization of terminology of lower urinary tract function in children and adolescents: report from the Standardisation Committee of the International Children’s Continence Society. J Urol 176:314–324CrossRefGoogle Scholar
- 3.Austin PF, Bauer SB, Bower W, Chase J, Franco I, Hoebeke P, Rittig S, Walle JV, Av Gontard, Wright A, Yang SS, Nevéus T (2015) The standardization of terminology of lower urinary tract function in children and adolescents: update report from the standardization committee of the International Children’s Continence Society. Neurourol Urodyn 35:471–481CrossRefGoogle Scholar
- 4.Buckley BS, Lapitan MC, Epidemiology Committee of the Fourth International Consultation on Incontinence, Paris 2008 (2010) Prevalence of urinary incontinence in men, women, and children—current evidence: findings of the Fourth International Consultation on Incontinence. Urology 76:265–270CrossRefGoogle Scholar
- 11.Nevéus T, Eggert P, Evans J, Macedo A, Rittig S, Tekgül S, Vande Walle J, Yeung CK, Robson L (2010) International Children’s Continence Society. Evaluation of and treatment for monosymptomatic enuresis: a standardization document from the International Children’s Continence Society. J Urol 183:441–447CrossRefGoogle Scholar
- 19.Samhan AF, Abd-Elhalim NM, Elnegmy EH, Elnaggar RK, Mahmoud WS (2012) Efficacy of P transcutaneous electrical nerve stimulation in treatment of children with overactive bladder. World Appl Sci J 18:343–348Google Scholar
- 22.de Oliveira LF, de Oliveira DM, Silva Da, de Paula LI, de Figueiredo AA, de Bessa J Jr, de Sa CA, Bastos Netto JM (2013) Transcutaneous P electrical neural stimulation in children with primary monosymptomatic enuresis: a prospective randomized clinical trial. J Urol 190(4):1359–1363CrossRefGoogle Scholar