Direct current stimulation modulates the excitability of the sensory and motor fibres in the human posterior tibial nerve, with a long-lasting effect on the H-reflex

2017 ◽  
Vol 46 (9) ◽  
pp. 2499-2506 ◽  
Author(s):  
Francesco Bolzoni ◽  
Roberto Esposti ◽  
Carlo Bruttini ◽  
Giuseppe Zenoni ◽  
Elzbieta Jankowska ◽  
...  
Keyword(s):  
Direct Current ◽  
Tibial Nerve ◽  
H Reflex ◽  
Posterior Tibial Nerve ◽  
Direct Current Stimulation ◽  
Posterior Tibial ◽  
Lasting Effect

scholarly journals Recording of Proprioceptive Muscle Reflexes in the Lower Extremity

2021 ◽  
Author(s):  
Juhani Partanen ◽  
Urho Sompa ◽  
Miguel Muñoz-Ruiz
Keyword(s):  
Lower Extremity ◽  
Tibial Nerve ◽  
H Reflex ◽  
Posterior Tibial Nerve ◽  
Non Invasive ◽  
Posterior Tibial ◽  
Proprioceptive Reflexes ◽  
Longus Muscle ◽  
Proprioceptive Reflex ◽  
Muscle Reflexes

Electromyography (EMG) is routinely used in diagnostics of root syndromes in the lower extremity. By studying signs of axonal damage of different root levels in the corresponding myotomes of the lower extremity and back muscles with needle EMG reveals, which of the motor roots are injured in patients with suspected root compression. But by EMG study only injuries of the anterior motor roots are diagnosed. Routine electroneuromyography does not disclose specific injury of the afferent sensory posterior roots. However, the integrity of some the posterior roots is readily studied with myotatic reflexes. We have routinely measured a proprioceptive reflex, the H-reflex of the soleus muscle with stimulation of the posterior tibial nerve, and found it to be useful in the diagnostics of the S1 root syndrome. It seems to be possible to record H-reflex of the peroneus longus muscle at the L5 level. We discuss the serious problems with volume conduction, when trials to measure proprioceptive reflexes of the L4 and L5 levels are performed. It may also be useful to record the medium latency reflexes in the area of the posterior tibial nerve, which seems to have a different reflex arch (II-afferents – β-efferents) from H-reflex (Ia afferents – α efferents). These measurements are non-invasive and not time consuming, and we hope to be able to add them for the routine ENMG diagnostics, when appropriate.

scholarly journals Percutaneous versus Transcutaneous Electrical Stimulation of the Posterior Tibial Nerve in Idiopathic Overactive Bladder Syndrome with Urinary Incontinence in Adults: A Systematic Review

Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 879
Author(s):  
Aida Agost-González ◽  
Isabel Escobio-Prieto ◽  
Azahara M. Pareja-Leal ◽  
María Jesús Casuso-Holgado ◽  
María Blanco-Diaz ◽  
...  
Keyword(s):  
Systematic Review ◽  
Urinary Incontinence ◽  
Electrical Stimulation ◽  
Overactive Bladder ◽  
Tibial Nerve ◽  
Scientific Evidence ◽  
Transcutaneous Electrical Stimulation ◽  
Posterior Tibial Nerve ◽  
Posterior Tibial

Background: Percutaneous electrical stimulation and transcutaneous electrical stimulation (PTNS and TTNS) of the posterior tibial nerve are internationally recognized treatment methods that offer advantages in terms of treating patients with overactive bladder (OAB) who present with urinary incontinence (UI). This article aims to analyze the scientific evidence for the treatment of OAB with UI in adults using PTNS versus TTNS procedures in the posterior tibial nerve. Methods: A systematic review was conducted, between February and May 2021 in the Web of Science and Scopus databases, in accordance with the PRISMA recommendations. Results: The research identified 259 studies, 130 of which were selected and analyzed, with only 19 used according to the inclusion requirements established. The greatest effectiveness, in reducing UI and in other parameters of daily voiding and quality of life, was obtained by combining both techniques with other treatments, pharmacological treatments, or exercise. Conclusions: TTNS has advantages over PTNS as it is more comfortable for the patient even though there is equality of both therapies in the outcome variables. More research studies are necessary in order to obtain clear scientific evidence.

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