Transcutaneous Spinal Cord Stimulation With Bladder and Pelvic Floor Muscle Training

Rehabilitation

Bladder health/function

Online since 19 April 2023, updated 364 days ago

About this trial

This trial is enrolling individuals with chronic spinal cord injuries above the sacral level to test the effect of skin-surface (transcutaneous) spinal cord stimulation (SCS) in combination with pelvic floor muscle training (PFMT) on bladder function. If included, participants will undergo either: 1) 8 weeks of at home PFMT; or 2) 8 weeks of standard care without PFMT. All participants will then undergo one session of SCS. All participants will undergo testing of bladder, bowel, sexual function, pelvic floor function, urodynamics, and quality of life (via questionnaire) before the intervention and again at weeks 8 and 14 of the trial.

Included participants

Gender

All

Age

≥ 16 years

Injury level

C1 - L5

Severity (AIS)?

Time since injury

≥ 6 months

Injury type

Traumatic

Healthy volunteers

C1-L5

Additionally, participants must

NOT have a cardiac pacemaker, bladder stimulator, or implanted baclofen pump

NOT have previous bladder/sphincter surgical intervention

Have urodynamic examination documentation of neurogenic detrussor overactivity

What’s involved

Type

Rehabilitation

Details

- Participants will undergo either 1) 8-weeks of at home PFMT or 2) 8-weeks standard of care without PFMT. - Then all participants will undergo one SCS session. - All participants will undergo testing of bladder, bowel, sexual function, quality of life questionnaires, pelvic floor assessments and urodynamics before the intervention and at weeks 8 and 14 of the trial.

Potential benefits

Main benefits

Bladder health/function

Additional benefits

General health

Mental health and psychosocial factors

Sexual health

Good to know: Potential benefits are defined as outcomes that are being measured during and/or after the trial.

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