III Symposium on Innovation and Translational Neuroscience & XVI International Symposium on Neuromodulation

Introduction:Myelomeningocele is a complex congenital malformation where the spinal cord, meninges and nerve roots are affected.Children with this malformation may present a bladder neuromuscular disorder called neurogenic bladder, the main symptom of which is urinary incontinence.Transcranial direct current stimulation (TDCS) has substantial scientific evidence in the treatment of various dysfunctions, by activating the regulation of the neural network, presenting a possible approach for the treatment of urinary incontinence in the pediatric population.Objectives: Carry out a literature review on the effects of TDCS corresponding to the pelvic motor cortical area.Furthermore, describe the urinary neuromotor symptoms of myelomeningocele and their therapeutic possibilities within TDCS non-invasive neuromodulation.Methods: A descriptive review of the literature was carried out using the academic databases Pubmed, Medline and Google Scholar, Lilacs, with descriptors in Portuguese and English, including material from November 2023 to April 2024, as well as neuromodulation and neurorehabilitation books.Results: 14 articles and 8 books were initially found and, after screening, only 10 articles and 5 books had relevant potential to compose the descriptive literature review.Conclusion: Data from the literature suggest that TDCS is a promising technique in childhood rehabilitation, with great therapeutic potential in the neurophysiological context.Considering the connection between the central nervous system axis and the peripheral innervations, the topic must be further studied in order to scientifically prove TDCS as an approach to rehabilitate pediatric urinary dysfunctions, as a safe and effective treatment option.