Investigation the Laser Acupuncture Effect on the Nocturia,Urinary Urgency and Quality of Life in Patients with Overactive Bladder Syndrome
,
Abstract
Introduction: Overactive bladder syndrome is characterized by urinary urgency with incontinence urgency, urinary frequency, and nocturia. Overactive bladder effects on the quality of life (QOL). The prevalence of this disease in the world is estimated from 16% to 17% and it is more common among the women. Different treatment methods are suggested to control overactive bladder such as medicine, physiotherapy, behavior therapy, and surgery. Laser acupuncture (LA) is a kind of invasive treatment method in which we used low power laser instead of needle on acupuncture points.
Material and Methods: In this interventional study, we enrolled 50 female patients with age range of 30-60 that were suffering from overactive bladder. 25 cases randomly were selected and received LA and other 25 cases received placebo laser. Study parameters based on 36-item Short Form Health Survey included the number of nocturia, frequency, urinary incontinence and the level of their effect on the life. The treatment duration was 9 weeks and the sessions were twice a week. Descriptive statistics of the variable has been showed as mean ± standard deviation. Statistical analysis was performed by comparing the mean of variables in two groups and along with the weeks using two-way analysis of variance. Generalized estimating equation (GEE) analysis was utilized to assess the effect of laser acupuncture longitudinally during the 4 weeks. An identity link function was used in the GEE analysis since the weekly number of records have been averaged using daily number of records for each variable. Statistical software R version 3.1.3 was used, and the significance level of 0.05 was assumed for all the tests in this study.
Results: This study shaw LA decrease the number of nocturia and urinary urgency significantly and improve QOL in the study group.
Conclusion: Our results confirmed effect of treatment of LA on decreasing of urinary urgency and nocturia.
Foon R, Drake MJ. The overactive bladder. Ther Adv Urol 2010; 2(4): 147-55.
Leong RK, De Wachter SG, van Kerrebroeck PE. Current information on sacral neuromodulation and botulinum toxin treatment for refractory idiopathic overactive bladder syndrome: a review. Urol Int 2010; 84(3): 245-53.
Guyton AC, Hall JE. Textbook of medical physiology. Philadelphia, PA: Elsevier Espa ◌ٌa; 2006.
Banakhar MA, Al-Shaiji T, Hassouna M. Sacral neuromodulation and refractory overactive bladder: an emerging tool for an old problem. Ther Adv Urol 2012; 4(4): 179-85.
Sivalingam N, Loh KY. Concepts in the management of the overactive bladder in women. Med J Malaysia 2012; 67(1): 137-41.
Campbell JD, Gries KS, Watanabe JH, Ravelo A, Dmochowski RR, Sullivan SD. Treatment success for overactive bladder with urinary urge incontinence refractory to oral antimuscarinics: a review of published evidence. BMC Urol 2009; 9: 18.
Graham P, Cook T. Acupuncture for the treatment of overactive bladder. Journal of the Association of Chartered Physiotherapists in Women's Health 2008; 102: 53-8.
Le NB, Kim JH. Expanding the role of neuromodulation for overactive bladder: new indications and alternatives to delivery. Curr Bladder Dysfunct Rep 2011; 6(1): 25-30.
Baxter GD, Bleakley C, McDonough S. Clinical effectiveness of laser acupuncture: a systematic review. J Acupunct Meridian Stud 2008; 1(2): 65-82.
Emmons SL, Otto L. Acupuncture for overactive bladder: a randomized controlled trial. Obstet Gynecol 2005; 106(1): 138-43.
Kubo K, Yajima H, Takayama M, Ikebukuro T, Mizoguchi H, Takakura N. Effects of acupuncture and heating on blood volume and oxygen saturation of human Achilles tendon in vivo. Eur J Appl Physiol 2010; 109(3): 545-50.
Quah-Smith I, Smith C, Crawford JD, Russell J. Laser acupuncture for depression: a randomized double blind controlled trial using low intensity laser intervention. J Affect Disord 2013; 148(2-3): 179-87.
Gottschling S, Meyer S, Gribova I, Distler L, Berrang J, Gortner L, et al. Laser acupuncture in children with headache: a double-blind, randomized, bicenter, placebo-controlled trial. Pain 2008; 137(2): 405-12.
Moustafa Y, Kassab AN, El Sharnoubi J, Yehia H. Comparative study in the management of allergic rhinitis in children using LED phototherapy and laser acupuncture. Int J Pediatr Otorhinolaryngol 2013; 77(5): 658-65.
Honjo H, Kawauchi A, Ukimura O, Soh J, Mizutani Y, Miki T. Treatment of monosymptomatic nocturnal enuresis by acupuncture: A preliminary study. Int J Urol 2002; 9(12): 672-6.
Kitakoji H, Terasaki T, Honjo H, Odahara Y, Ukimura O, Kojima M, et al. Effect of acupuncture on the overactive bladder. Nihon Hinyokika Gakkai Zasshi 1995; 86(10): 1514-9.
Round R, Litscher G, Bahr F. Auricular acupuncture with laser. Evid Based Complement Alternat Med 2013; 2013: 984763.
Radvanska E, Kamperis K, Kleif A, Kovacs L, Rittig S. Effect of laser acupuncture for monosymptomatic nocturnal enuresis on bladder reservoir function and nocturnal urine output. J Urol 2011; 185(5): 1857-61.
Litscher G, Opitz G. Technical parameters for laser acupuncture to elicit peripheral and central effects: state-of-the-art and short guidelines based on results from the medical university of Graz, the German academy of acupuncture, and the scientific literature. Evid Based Complement Alternat Med 2012; 2012: 697096.
Paik SH, Han SR, Kwon OJ, Ahn YM, Lee BC, Ahn SY. Acupuncture for the treatment of urinary incontinence: A review of randomized controlled trials. Exp Ther Med 2013; 6(3): 773-80.
Bjordal JM, Couppe C, Chow RT, Tuner J, Ljunggren EA. A systematic review of low level laser therapy with location-specific doses for pain from chronic joint disorders. Aust J Physiother 2003; 49(2): 107-16.
| Files | ||
| Issue | Vol 10 No 2 (2016) | |
| Section | Research Article(s) | |
| Keywords | ||
| Overactive bladder syndrome Laser acupuncture Quality of life | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
