Tibial Nerve Stimulation for Pediatric Spina Bifida Neurogenic Bladder

A Randomized Control Trial of Transcutaneous Tibial Nerve Stimulation for Neurogenic Bladder in the Pediatric Population

The purpose of this study is to determine the safety, feasibility, and compliance of a daily home transcutaneous tibial nerve stimulation (tTNS) protocol in children with chronic neurogenic bladder (NB) provided by self or caregiver for 4 weeks and to estimate the efficacy of tTNS

Inclusion Criteria:

• chronic neurogenic bladder
• Spina Bifida diagnosis
• Use of overactive bladder medication(s)
• Stable bladder medications for ≥ 3 months

Exclusion Criteria:

• Progressive SCI (ex: transverse myelitis, polio, etc.)
• Other lower urinary tract pathology or surgery
• 2+ pitting edema in the legs that does not resolve
• Known peripheral neuropathy or injury to the path of the tibial nerve
• Cancer in the tibial nerve pathway and/or lower urinary tract
• Inability to elicit the motor response with electric stimulation
• Inability to complete the tTNS proficiency checklist (guardians)
• Non-English speaking (guardians)