期刊
ANNALS OF REHABILITATION MEDICINE-ARM
卷 46, 期 3, 页码 142-153出版社
KOREAN ACAD REHABILITATION MEDICINE
DOI: 10.5535/arm.22025
关键词
Efficacy; Tibial nerve stimulation; Low anterior resection syndrome; Systematic review
Tibial nerve stimulation may have a positive effect on faecal incontinence and quality of life in some patients with low anterior resection syndrome. However, due to a limited number of studies and heterogeneity of evidence, further research is needed to determine its efficacy.
Objective To systematically review the available literature on the efficacy of tibial nerve stimulation on faecal incontinence and quality of life in adult patients with low anterior resection syndrome following surgery for colorectal cancer. Methods A primary search of electronic databases was conducted adopting a combination of search terms related to the following areas of interest: efficacy, tibial nerve stimulation and low anterior resection syndrome. A secondary search of the grey literature was performed in addition to checking the reference list of included studies and review papers. The review was reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. A descriptive analysis was used to integrate the review findings. Results Five distinct studies involving 116 patients met the inclusion criteria for the review. The included studies suggest that tibial nerve stimulation may have a positive effect on faecal incontinence and quality of life in some patients with low anterior resection syndrome and might be considered as an additional treatment option. Conclusion There were a limited number of studies and a great degree of heterogeneity of evidence due to differences in participants' baseline characteristics, dropout rates, and follow-up periods. Further research adopting validated, consistent, and complex outcome assessment methods is recommended to determine the efficacy of tibial nerve stimulation for treatment of patients with low anterior resection syndrome.
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