Physiotherapeutic treatments for neurogenic bladder: a literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i16.24304

Keywords:

Urinary bladder, neurogenic; Treatment; Physiotherapy.

Abstract

Neurogenic Bladder is classified as a dysfunction of the lower urinary tract resulting from interruption of the nerve roots, with vesico-sphincter alterations and disturbances in the filling and emptying phases. Its symptoms include urinary urgency, increased frequency of daytime urination, nocturia, and also the absence or presence of urinary incontinence, which reflect both on the patient's physical and mental health and on their social life. Considering the symptoms of the pathology, this study is a literature review, which sought to list the physical therapy treatments available in the literature. Searches were carried out in the Cochrane, Scientific Electronic Library Online (SciELO), LILACS, PhysiotherapyEvidenceDetabase (PEDro) databases. The results highlighted the physical therapy techniques that showed positive results for the Neurogenic Bladder, among them, electrostimulation in the sacral region and peripheral nerves, interferential electrical stimulation, electroacupuncture, combined therapy, training for pelvic support muscles and bipolar radiofrequency. It is concluded that physiotherapy has proven to be effective in symptoms of BN, with methods that are easily accepted and adaptable to patients, providing benefits and better quality of life for this audience.

References

Rodríguez, D. H. & La Cruz, S. P. (2020). Tratamiento del suelo pélvico em varones com lesión medular incompleta: revisión sistemática. An. Sist. Sanit. Navar. 43(3).

Xia L-P, Fan F, Tang A-L & Ye W-Q (2014). Effects of electroacupuncture combined with bladder training on the bladder function of patients with neurogenic bladder after spinal cord injury. Int J ClinExp Med, 7(5): 1344 – 1348.

Fergany, L. A., Shaker, H., Arafa, M. & Elbadry, M. S. (2017). Does sacral pulsed electromagnetic field therapy have a better effect than transcutaneous electrical nerve stimulation in patients with neurogenic overactive bladder? Arab Journal of Urology, 15:2, 148-152.

Lima, D. X., Pires, C. R., Santos, A. C. R., Mendes, R. G., Fonseca, C. E. C. & Zocratto, O. B. (2015). Quality of life evaluation of patients with neurogenic bladder submitted to reconstructive urological surgeries preserving the bladder. Int Braz J Urol, 41: 542-65.

Schmoeller, M., Tavares, K. S., Nunes, E. F. C. & Latorre, G. F. S. (2019). Eletroestimulação Para Bexiga Neurogênica Em Pacientes Com Lesão Medular: Revisão Sistemática. Saúde Rev, v. 19, n. 51, p. 25-32, j.

Boaretto, J. A., Mesquita, C. Q., Lima, A. C., Prearo, L. C., Girão, M. J. B. C. & Sartori, M. G. F. (2019). Comparação entre oxibutinina, eletroestimulação do nervo tibial posterior e exercícios perineais no tratamento da síndrome da bexiga hiperativa. Fisioter. Pesqui. 26 (2).

Pereira, T. A., Bezerra, N. M. B., Filho, G. G. F., Leal, L. C. F. L. & Lisboa, L. L. (2019). Neuromodulação não invasiva em crianças com Bexiga Neurogênica: uma revisão integrativa. Ver. Pesqui. Fisioter, 9(2):273-283.

França, I. S. X., Sousa, E. T. G., Coura, A. S., Pagliuca, L. M. F., Sousa, F. S. & Santos, S. R. (2019). Conhecimento de enfermeiros sobre assistência na disfunção do trato urinário após lesão medular. Rev Rene, 20:e40806.

Ferreira, R. S., D'Ancona, C. A. L., Oelke, M. & Carneiro, M. R. (2018). Injeções intradetrusoras de onabotulinumtoxina são significativamente mais eficazes que oxibutinina oral para o tratamento da hiperatividade detrusora neurogênica: resultados de estudo randomizado e controlado de 24 semananas. Einstein, 16 (3).

Mazzo, A., Júnior, V. D. S., Jorge, B. M., Fumincelli, L., Trevizan, M. A., Ventura, C. A. A. & Mendes, I. A. C. (2017). Qualidade e segurança do cuidado de enfermagem ao paciente usuário de cateterismo urinário intermitente. Esc. Anna Ney 21 (2).

Lúcio, A. C., Perissinoto, M. C., Natalin, R. A., Prudente, A., Damasceno, B. P., D'ancona, C. A. L. (2011). A comparativestudt of pelvic floor muscle training in women with multiple sclerosis: its impact on lower urinary tract symptoms and quality of life. Ciências Clínicas 66 (9).

Kim, J. H., Ahn, S. H., Cho, Y. W., Kwak, S. G. & Kim, H. S. (2015). Short-Term Effect of Percutaneous Bipolar Continuous Radiofrequencyon Sacral Nerves in Patients Treated for Neurogenic Detrusor Overactivity After Spinal Cord Injury: A Randomized Controlled Feasibility Study. Annals of Rehabilitation Medicine, 39(5):718-725.

Min, Jo. H., Kim, H. S., Cho, Y-W. & Ahn, S. (2016). Two-Year Outcome of Percutaneous Bipolar Radiofrequency Neurotomy of Sacral Nerves S2 and S3 in Spinal Cord Injured Patients with Neurogenic Detrusor Overactivity: A Randomized Controlled Feasibility Study. PainPhysician, 19:373-379.

Pacheco, J. C., Dias, C., Vogel, B., Pereira, F. D. & Zaidan, P. (2018). Análise da eletroestimulação transcutânea e percutânea do nervo tibial para tratamento da bexiga hiperatividade em Parkinsonianos: revisão sistemática. Fisioterapia Brasil, 19(5): 723 – 730.

Averbeck, M. A., Moreno-Palacios, J. & Aparicio, A. (2020). Is there a role for sacral neuromodulation in patients with neurogenic lower urinary tract dysfunction? Int. Braz j urol, 46 (6).

Kreydin, E., Zhong, H., Latack, K., Ye. S. & Edgerton, V. R. (2020). Transcutaneous Electrical Spinal Cord Neuromodulator (TESCoN) Improves Symptoms of Overactive Bladder. Frontiers in Systems Neuroscience, vol. 14, article 1.

Seth, J. H., Gonzales, G., Haslam, C., Pakazad, M., Vashisht, A., Sahai, A., Knowles, C., Tucker, A. & Panicker, J. (2018). Feasibility of using a novel non-invasive ambulatory tibial nerve stimulation device for the home-based treatment of overactive bladder symptoms. Transl Androl Urol 2018; 7 (6): 912-91912.

Eftekhar, T., Teimoory, N., Miri, E., Nikfallah, A., Naeimi, M. & Ghajarzadel, M. (2014). Posterior Tibial Nerve Stimulation for Treating Neurologic Bladder in Women: A Randomized Clinical Trial. Acta Med Iran. 1;52(11):816-821.

Daia, C., Bumbea, A. M., Badiu, C. D., Ciobotaru, C. & Onose, G. (2019). Interferencial electrical stimulation for improved bladder management following spinal cord injury. Biomedical Reports, 11: 115-122.

Tavares, L. R., Barros, F., Santos, I. B., Pereira, L. G., Cabral, L. S., Siqueira, L. T. & Cerqueira, D. C. (2021). A importância do diagnóstico precoce da bexiga neurogênica secundária à mielomeningocele na sobrevida renal: relato de caso. Revista Eletrônica Acervo Saúde, vol. 13(4).

Published

15/12/2021

How to Cite

GARCIA, D. O.; GIROTO, E. T. dos S. .; COSTA, D. L. da . Physiotherapeutic treatments for neurogenic bladder: a literature review. Research, Society and Development, [S. l.], v. 10, n. 16, p. e434101624304, 2021. DOI: 10.33448/rsd-v10i16.24304. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/24304. Acesso em: 26 dec. 2024.

Issue

Section

Review Article