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. 2023 Jan 4:2023:6758454.
doi: 10.1155/2023/6758454. eCollection 2023.

Physical and Rehabilitation Therapy for Overactive Bladder in Women: A Systematic Review and Meta-Analysis

Jingwen Bai  1   2 , Yilan Tian  1 , Yiran Wang  1 , Xiaofang Zhang  1 , Ping Wang  1
Affiliations

Physical and Rehabilitation Therapy for Overactive Bladder in Women: A Systematic Review and Meta-Analysis

Jingwen Bai et al. Int J Clin Pract. .

Abstract

Objective: To compare the effects of different physical and rehabilitation therapies on women with overactive bladder (OAB).

Design: Network meta-analysis. Data source: The Embase, Scopus, and PubMed databases were systematically searched from their inception to June 22, 2022. We included only RCTs, with no language restrictions. Articles in the reference lists and related studies were thoroughly reviewed. Review Methods. This network meta-analysis included related studies on different physical and rehabilitation therapies for OAB. Data were extracted independently from the included randomized controlled trials by two authors, and they used the Cochrane Collaboration's tool to evaluate the risk of bias. We used RevMan to assess the risk assessment of research bias. This network meta-analysis was performed using the Stata software. We completed the review in accordance with the PRISMA items for systematic reviews and meta-analyses statement.

Results: Twelve randomized controlled trials involving 637 patients were included in this meta-analysis. All physical and rehabilitation therapies improved daytime micturition frequency and nocturia frequency in OAB patients. Percutaneous tibial nerve stimulation (PTNS), BT + ES, and BT + BF + ES are better interventions for OAB treatment. There were no significant differences in PTNS, BT + ES, and BT + BF + ES.

Conclusion: All physical and rehabilitation therapies can improve daytime micturition and nocturia frequency in OAB. PTNS, BT + ES, and BT + BF + ES were the priority therapies.

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Conflict of interest statement

The authors declare that there are no conflicts of interest in publishing this article.

Figures

Figure 1
Figure 1
Flow diagram of study selection.
Figure 2
Figure 2
Risk of bias graph.
Figure 3
Figure 3
Risk of bias summary.
Figure 4
Figure 4
Network of the comparisons for the Bayesian network meta-analysis. (a) Network of the comparisons for the daytime micturition frequency. (b) Network of the comparisons for the nocturia frequency.
Figure 5
Figure 5
Funnel plot of this network meta-analysis. (a) Funnel plot of the daytime micturition frequency. (b) Funnel plot of the nocturia frequency.
Figure 6
Figure 6
Inconsistency plot of this network meta-analysis. (a) Inconsistency plot of the daytime micturition frequency. (b) Inconsistency plot of the nocturia frequency.
Figure 7
Figure 7
Cumulative ranking curves for the daytime micturition frequency.
Figure 8
Figure 8
Cumulative ranking curves for nocturia frequency.
See this image and copyright information in PMC

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