Overview
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
Eligibility
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)


