Evidence map›Paper›PMID 42615706›Full record

Trial reportArquivos de gastroenterologia2026

COMPARING THE EFFECTS OF BIOFEEDBACK AND TRANSCUTANEOUS TIBIAL NERVE STIMULATION, ALONE OR IN COMBINATION, IN WOMEN WITH COEXISTING COMPLAINTS OF DYSSYNERGIC DEFECATION AND STRESS URINARY INCONTINENCE: A RANDOMIZED CONTROLLED TRIAL.

Neda Orakifar, Fatemeh Oraki Koohshoori, Nahid Pirayeh, Eskandar Hajiani, Shahla Zahednejad

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Arquivos de gastroenterologia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Neda OrakifarAhvaz Jundishapur University of Medical Sciences, Rehabilitation Research Center, Ahvaz, Iran.ORCID http://orcid.org/0000-0002-2453-3392
Fatemeh Oraki KoohshooriAhvaz Jundishapur University of Medical Sciences, Rehabilitation Research Center, Ahvaz, Iran.ORCID http://orcid.org/0009-0006-4431-816X
Nahid PirayehAhvaz Jundishapur University of Medical Sciences, Rehabilitation Research Center, Ahvaz, Iran.ORCID http://orcid.org/0000-0002-6979-8511
Eskandar HajianiAhvaz Jundishapur University of Medical Sciences, Clinical Sciences Research Institute, Alimentary Tract Research Center, Ahvaz, Iran.ORCID http://orcid.org/0000-0002-1014-1996
Shahla ZahednejadAhvaz Jundishapur University of Medical Sciences, Rehabilitation Research Center, Ahvaz, Iran.ORCID http://orcid.org/0000-0003-2500-748X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the efficacy of electromyography biofeedback (EMG-BF), transcutaneous tibial nerve stimulation (TTNS), and combination of EMG-BF with TTNS in women with stress urinary incontinence (SUI) and dyssynergic defecation (DD) disorders.

methodsIn this single-blinded, three-arm, randomized controlled trial, eighty-seven women (18-60 years) with concurrent SUI and DD disorders randomly allocated into three groups (29 per group) including TTNS, EMG-BF and combined treatment group. Participants in each group received fifteen treatment sessions (3 day per week with at least 48-hour break between sessions). Wexner constipation scoring system questionnaire, 3-day bladder diary and EMG activity level of the pelvic floor muscle (PFM) during maximal voluntary contraction (MVC), straining, and coughing were assessed as treatment outcomes measures at baseline and immediately after sessions 5,10 and 15.

resultsA two-way repeated measure analysis of variance showed that group interaction by time was significant for all measured variables. Further analysis by the Tukey post hoc test showed significant difference of Wexner questionnaire, 3-day bladder diary and EMG activity level values in the EMG-BF group compared with TTNS group (P<0.001) and in combined treatment group compared with TTNS group (P<0.001) in sessions 10 and 15.

conclusionEMG-BF and combined treatment significantly improved defecatory and urinary related symptoms and PFM performance in women with SUI and DD disorders.

Indexed as

Biofeedback, PsychologyConstipationTibial NerveTranscutaneous Electric Nerve StimulationUrinary Incontinence, StressAdolescentAdultAnalysis of VarianceCombined Modality TherapyDefecationElectromyographyFemaleHumansMiddle AgedPelvic FloorSingle-Blind Method

Identifiers

PMID42615706
PMCPMC13502717

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.