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Home > Journals > European Journal of Physical and Rehabilitation Medicine > Past Issues > Europa Medicophysica 2007 September;43(3) > Europa Medicophysica 2007 September;43(3):339-44



A Journal on Physical Medicine and Rehabilitation after Pathological Events

Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063

Frequency: Bi-Monthly

ISSN 1973-9087

Online ISSN 1973-9095


Europa Medicophysica 2007 September;43(3):339-44


Repetitive magnetic stimulation of the sacral roots for the treatment of stress incontinence: a brief report

Manganotti P. 1, Zaina F. 1, Vedovi E. 2, Pistoia L. 3, Rubilotta E. 4, D’Amico A. 4, Falso M. 1

1 Unit of Neurological Rehabilitation Department of Neurological and Visual Sciences University of Verona, Verona, Italy
2 Service of Functional Reeducation Policlinico G.B. Rossi, Verona, Italy
3 Unit of Obstetrics and Gynecology S. Bonifacio Hospital, S. Bonifacio, Verona, Italy
4 Department of Urology Policlinico G. B. Rossi, Verona, Italy

Aim. The aim of this study was to investigate the short and long-term effects of repetitive magnetic stimulation on the sacral roots in a homogeneous group of patients affected by stress incontinence.
Methods. Twenty women with urinary stress incontinence were randomly assigned to an active or a sham stimulation group. Fifteen-Hz repetitive magnetic stimulation of the sacral roots (S2-S4) was applied for 15 min. Patients were treated with magnetic stimulation for 3 days a week for 2 weeks (6 times in all). The clinical outcome was assessed before (T1) and 1 week (T2) and 1 month (T3) after stimulation. Main outcome measures were: the King’s Health Questionnaire, the SEAPI-QMM scale and the amount of urinary loss in a 1-h pad test and stress test.
Results. At T2 patients in the active stimulation group showed improvement in health perception (P<0.001), social limitation (P<0.01), sleep/energy performance (P<0.05) and severity measure score (P<0.05) not observed in the sham stimulation group; a significant decrease in SEAPI-QMM score was noted only in the active group at T2 (P<0.05). These results were no longer observed at T3. We also observed a decrease in the amount of urine loss quantified with the pad test and stress test in the active stimulation group.
Conclusion. Repetitive magnetic stimulation of the sacral roots has a short-term effect on some aspects of the quality of life of the patients, but it did not prove effective using quantified measurement.

language: English


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