Effectiveness of Microcurrents Therapy in Overactive Bladder.

NCT ID: NCT04120545

Last Updated: 2021-12-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

56 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-11-04

Study Completion Date

2021-12-04

Brief Summary

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The purpose of this study is to investigate the effect on the overactive bladder in women using a care protocol plus the application of microcurrent patches during 1 hours per session compared to the effect of the same protocol plus placebo electric stimulation.

Detailed Description

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The design of this study is a multicentric, parallel, randomised, triple blind clinical trial with placebo control.

The size of the sample will be 56 participants who come to referral hospitals. They will be randomized in two groups: control or experimental.

The variables of the study will be collected at three time points: before the intervention, during the intervention and at the end of the intervention.

The statistical analysis will be an intention-to-treat analysis. For the main outcomes variables a two factor ANOVA will-be performed (intervention-time) with a post-hoc analysis with kruskal wallis correction correction. Statistical significance will be defined as p \<0.05

Conditions

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Overactive Bladder Urinary Incontinence

Keywords

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physical therapy modality Electric Stimulation Therapy Urologic Diseases Pelvic Floor Disorders

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Microcurrents

Intervention with microcurrents: application of 6 electrodes per extremity and an adhesive electrode at C7, L3 or S1 level depending on the session number.

Group Type EXPERIMENTAL

Microcurrents

Intervention Type DEVICE

The electrodes will be placed with the help of gloves and adapted socks for 1 hour, twice a week, until 10 intervention sessions are completed. In addition, depending on the session, an adhesive electrode will be placed at the level of C7, L3 or S1.

Characteristics of microcurrents: pulsed monophasic rectangular wave with a pulse of 1.3 s and pause of 300 ms, voltage 3 mV and intensity 0.5 μA.

Placebo microcurrents

Intervention with microcurrents: application of 6 electrodes per extremity and an adhesive electrode at C7, L3 or S1 level depending on the session number.

Group Type PLACEBO_COMPARATOR

Placebo Microcurrents

Intervention Type DEVICE

The same protocol described for the experimental group will be applied, but microcurrents device which will be previously manipulated and tested with an oscilloscope so that they do not emit electrical currents

Interventions

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Microcurrents

The electrodes will be placed with the help of gloves and adapted socks for 1 hour, twice a week, until 10 intervention sessions are completed. In addition, depending on the session, an adhesive electrode will be placed at the level of C7, L3 or S1.

Characteristics of microcurrents: pulsed monophasic rectangular wave with a pulse of 1.3 s and pause of 300 ms, voltage 3 mV and intensity 0.5 μA.

Intervention Type DEVICE

Placebo Microcurrents

The same protocol described for the experimental group will be applied, but microcurrents device which will be previously manipulated and tested with an oscilloscope so that they do not emit electrical currents

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Women, over 18 years of age and with urinary incontinence (3 or more times per week) or overactive bladder (8 or more emptied per day, and / or 2 or more at night) who have received, or not, active / alternative treatment for this pathology.
* Under competent cognitive conditions to participate in the study and trained to complete the study questionnaires.
* Without contraindications for a treatment with microcurrents: Pacemakers, pregnant women, internal bleeding, do not apply electrodes on skin in poor condition, with ulcerations or wounds, acute febrile processes, acute thrombophlebitis and / or electricity phobia.

Exclusion Criteria

* People with lifestyle habits (diet, amount of fluid ingested) extreme or singular (eg person who consumes 5 liters of water a day).
* Presence of urinary fistula.
* Men. Men will be excluded to avoid the potential influence of prostate problems, the main causes of the symptoms described.
* Urinary tract infection, or relapses: 5 or more infections in the last 12 months.
* Participants with bladder stones.
* Hematuria during the trial period.
* Pregnancy or plans for it during the study.
* The patient has had a hysterectomy.
* Pathology of the central or peripheral nervous system.
* Diabetes without controlled and guaranteed medical treatment its stabilization.
* Diabetes that affects the peripheral nerves.
* Treated with anticoagulant.
* Current use of anticholinergics and beta adrenergic use in the last 4 weeks.
* Currently treated with botox injections for the bladder or in the last year.
* Current treatment with interstim or interstim device currently implanted.
* Obstruction of the bladder outlet.
* Urinary retention.
* Painful bladder syndrome / interstitial cystitis.
* Treatment with more than two antidepressants and / or multiple benzodiazepines, as well as anti-epileptics.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of Las Palmas de Gran Canaria

OTHER

Sponsor Role lead

Responsible Party

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Aníbal Báez Suárez

Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Aníbal Báez-Suárez, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Las Palmas de Gran Canaria

Locations

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Aníbal Báez-Suárez

Las Palmas de Gran Canaria, Las Palmas, Spain

Site Status

Countries

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Spain

References

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Wein AJ, Rovner ES. Definition and epidemiology of overactive bladder. Urology. 2002 Nov;60(5 Suppl 1):7-12; discussion 12. doi: 10.1016/s0090-4295(02)01784-3.

Reference Type RESULT
PMID: 12493342 (View on PubMed)

Tubaro A. Defining overactive bladder: epidemiology and burden of disease. Urology. 2004 Dec;64(6 Suppl 1):2-6. doi: 10.1016/j.urology.2004.10.047.

Reference Type RESULT
PMID: 15621220 (View on PubMed)

Eapen RS, Radomski SB. Review of the epidemiology of overactive bladder. Res Rep Urol. 2016 Jun 6;8:71-6. doi: 10.2147/RRU.S102441. eCollection 2016.

Reference Type RESULT
PMID: 27350947 (View on PubMed)

Irwin DE, Milsom I, Hunskaar S, Reilly K, Kopp Z, Herschorn S, Coyne K, Kelleher C, Hampel C, Artibani W, Abrams P. Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study. Eur Urol. 2006 Dec;50(6):1306-14; discussion 1314-5. doi: 10.1016/j.eururo.2006.09.019. Epub 2006 Oct 2.

Reference Type RESULT
PMID: 17049716 (View on PubMed)

Ganz ML, Smalarz AM, Krupski TL, Anger JT, Hu JC, Wittrup-Jensen KU, Pashos CL. Economic costs of overactive bladder in the United States. Urology. 2010 Mar;75(3):526-32, 532.e1-18. doi: 10.1016/j.urology.2009.06.096. Epub 2009 Dec 29.

Reference Type RESULT
PMID: 20035977 (View on PubMed)

Lightner DJ, Gomelsky A, Souter L, Vasavada SP. Diagnosis and Treatment of Overactive Bladder (Non-Neurogenic) in Adults: AUA/SUFU Guideline Amendment 2019. J Urol. 2019 Sep;202(3):558-563. doi: 10.1097/JU.0000000000000309. Epub 2019 Aug 8.

Reference Type RESULT
PMID: 31039103 (View on PubMed)

de Groat WC, Tai C. Impact of Bioelectronic Medicine on the Neural Regulation of Pelvic Visceral Function. Bioelectron Med. 2015 Jan 22;2015:25-36.

Reference Type RESULT
PMID: 26491706 (View on PubMed)

Jaqua K, Powell CR. Where Are We Headed with Neuromodulation for Overactive Bladder? Curr Urol Rep. 2017 Aug;18(8):59. doi: 10.1007/s11934-017-0711-x.

Reference Type RESULT
PMID: 28656519 (View on PubMed)

Janssen DA, Martens FM, de Wall LL, van Breda HM, Heesakkers JP. Clinical utility of neurostimulation devices in the treatment of overactive bladder: current perspectives. Med Devices (Auckl). 2017 Jun 1;10:109-122. doi: 10.2147/MDER.S115678. eCollection 2017.

Reference Type RESULT
PMID: 28615976 (View on PubMed)

Timmermans L, Falez F, Melot C, Wespes E. Validation of use of the International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form (ICIQ-UI-SF) for impairment rating: a transversal retrospective study of 120 patients. Neurourol Urodyn. 2013 Sep;32(7):974-9. doi: 10.1002/nau.22363. Epub 2012 Dec 31.

Reference Type RESULT
PMID: 23281067 (View on PubMed)

Other Identifiers

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NESAob

Identifier Type: -

Identifier Source: org_study_id