Effect of Percutaneous Tibial Nerve Stimulation on Lower Urinary Tract Symptoms in Cerebral Palsy

Lower Urinary Tract Symptoms (LUTS) are problems of patients with neurological bladder including Cerebral Palsy (CP). This study aimed to investigate the effect of Percutaneous Tibial Nerve Stimulation (PTNS) on LUTS in children and adolescents with CP. This study was conducted on 38 children with CP who had LUTS. After collecting demographic information, symptoms of LUTS were recorded. Physiotherapy treatment through PTNS nerve was performed in 12 sessions and results recorded through a daily log for all patients. Sign test, t-test and Fisher's exact test was performed to analyze the data. The values of (p<0/05) were considered statistically significant. The effect of PTNS was significant on urinary frequency (p = 0.001) and stress urinary incontinence (p = 0.008). There was no significant difference between the deviation of the spine and urinary symptoms (p> 0.05). There was no significant correlation between urinary symptoms, muscle tone and walking ability (p> 0.05). In children with normal mental status, the frequency of urination was higher (p = 0.04). The results of this study showed that PTNS is effective in the treatment of some of the symptoms of LUTS in children and adolescents with CP.