Effectiveness of Transcutaneous Tibial Nerve Stimulation on Urinary Incontinence among Individual with Type Ii Diabetes Mellitus

Abstract: Background: Type II diabetes mellitus is the commonest form of diabetes. The prevalence of type II diabetes mellitus around India is 2.4% in rural population and 11.6% in urban population. Over 50% of men and women with diabetes have bladder dysfunction. A number of clinical studies in men and women with diabetes have reported bladder instability or hypersensitivity as the most frequent finding ranges from 39 – 61% of subjects. As the population ages, diabetes mellitus and urinary incontinence markedly increase in prevalence. Purpose: Peoples with type II diabetes mellitus develop urinary incontinence when disease over years. Early intervention should be done to reduce urinary incontinence. Few studies have reported, that TTNS reduce the urinary incontinence effectively. So, the purpose of this study to determine the effectiveness of Transcutaneous Tibial Nerve Stimulation on urinary incontinence among individuals with type II diabetes mellitus. Materials and methods: In this experimental study, 30 subjects with type II diabetes mellitus with urinary incontinence were selected. The symptoms of urinary incontinence are assessed. Followed by six weeks of transcutaneous tibial nerve stimulation (TTNS), Kegel’s exercise, aerobic exercise and sensory re-education then, the above parameter was re- assessed after interventions. Results: A significant reduction in symptoms of urinary incontinence (P < 0.05) after six weeks of the protocol was observed. It is significant in both groups; GROUP A is more significant than GROUP B. Conclusion: Transcutaneous Tibial Nerve Stimulation and conventional exercise are reducing the symptoms of urinary incontinence. Therefore, incorporating the TTNS can be effective in the treatment of urinary incontinence among type II diabetes mellitus patients.