20
Most
clinical
trials
for
stress
incontinence (
STRE 1
and
STRE 2
)
have used no more than one treatment
per day. The evidence seems to show
that there is no additional improvement
to using stimulation more than 3 times
a week. However, for home use, better
long- term compliance is achieved by
establishing a routine of using
Sure
PRO
daily.
Choosing the Right Strength
The goal of the programmes that cause
muscle contractions is to produce
powerful muscle contractions. The
strength of the intensity should be
increased to
about three times the
level at which you can first feel the
tingling
, or to as high as you can stand
without causing pain. You will probably
feel that electrical contraction is being
more powerful than a voluntary
contraction, because the current also
stimulates your sensory nerves. The
signals have a pain-relieving effect.
You
may
find
the
sensation
uncomfortable to start with, so that you
may not get up to therapeutic strength
at the start of the treatment. The
strength can be increased during the
course of the treatment, as you become
accustomed to the sensation.
The powerful muscle contractions
caused
by
electrical
stimulation
sometimes give rise to training aches,
which usually disappear within a week.
10.3. TRANSCUTANEOUS
TIBIAL NERVE
STIMULATION
Transcutaneous stimulation of the
posterior tibial nerve is effective for the
treatment
of
urge
and
faecal
incontinence.
The exact mechanism of action is
unclear, but it is thought that tibial nerve
contains mixed sensory motor nerve
fibres that originate from the same
spinal segments as the nerves to the
bladder and pelvic floor.
Clinical trials have shown that TNS
using
a
self-adhesive
surface
stimulation
electrode
without
an
implanted needle electrode (or internal
electrode) can be effective.
(Ref: Joanne Booth et al. 2018. The
effectiveness of transcutaneous tibial
nerve stimulation (TTNS) for adults with
overactive
bladder
syndrome:
A
systematic review. Neurology and
Urodynamics. Volume37, Issue2. Feb
2018. 528-541)
Place the self-adhesive electrodes on
the ankle skin with the negative (black
lead wire connector) electrode behind
the internal malleolus and the positive
electrode (red lead wire connector)
Summary of Contents for Sure PRO
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