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IRCT20180714040466N10 IRCT 2026-07-09 Zahedan University of Medical Sciences The effect of electrical stimulation on fecal incontinence in children Comparison of the Effect of Posterior Tibial Nerve Electrical Stimulation with Conventional Treatments on Improving the Control of Functional Retentive Fecal Incontinence in Children 2026-07-23 anticipated 30 Recruiting https://irct.ir/trial/88040 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Simple randomization as follows: Based on the number of patients in each group, the particular sort of treatment (the conventional treatment group and the posterior tibial nerve electrical stimulation group) is written on a piece of paper. Each paper is placed in a sealed envelope. One envelope will be chosen randomly by the therapist at the first session of the patient treatment and the patient's treatment technique is selected based on that. If any of the patients is omitted from the study, one envelope related to the excluded patient treatment group will be replaced and they will mixed again. N/A Functional Retentive Fecal Incontinence. Intervention 1: Intervention group: In the posterior tibial nerve stimulation group, patients will receive treatment three times per week for 8 weeks, for a total of 24 sessions. The procedure is performed with the patient lying in the supine position. The positive electrode is placed 1.5 inches above the medial malleolus, and the negative electrode is placed below the same malleolus. The current intensity is increased until flexion of the great toe and abduction of the other toes are observed, then reduced to a level at which the patient experiences only tingling or pins-and-needles sensation. Each treatment session lasts 20 minutes. Diaphragmatic breathing exercises, a daily bowel evacuation program, and adherence to a high-fiber diet will also be taught to the patients. Intervention 2: Control group: Patients in the routine treatment group will receive diaphragmatic breathing exercises, a daily bowel evacuation program, and adherence to a high-fiber diet three times per week for 8 weeks, for a total of 24 sessions. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is No further information available
public Fateme Ghiasi
Khatam Al-Anbia Hops, Jame jam Blvd
Zahedan Iran (Islamic Republic of) 9815733169 +98 54 3322 0501 f_ghiasi_p@zaums.ac.ir Zahedan University of Medical Sciences scientific Fateme Ghiasi
Khatam Al-Anbia Hops, Jame jam Blvd
Zahedan Iran (Islamic Republic of) 9815733169 +98 54 3322 0501 f_ghiasi_p@zaums.ac.ir Zahedan University of Medical Sciences Iran (Islamic Republic of) Age over 4 years Having at least two of the Rome IV Criteria Having been Under Drug Therapy and a Dietary Regimen for at least 3 months 4 years 18 years Both Patient's unwillingness to continue participation Having any Organic Disease Having a history of Intestinal Surgery Having Urinary Incontinence Concomitant with Fecal Incontinence R15 Fecal incontinence Rehabilitation Rehabilitation Intervention group: In the posterior tibial nerve stimulation group, patients will receive treatment three times per week for 8 weeks, for a total of 24 sessions. The procedure is performed with the patient lying in the supine position. The positive electrode is placed 1.5 inches above the medial malleolus, and the negative electrode is placed below the same malleolus. The current intensity is increased until flexion of the great toe and abduction of the other toes are observed, then reduced to a level at which the patient experiences only tingling or pins-and-needles sensation. Each treatment session lasts 20 minutes. Diaphragmatic breathing exercises, a daily bowel evacuation program, and adherence to a high-fiber diet will also be taught to the patients. Control group: Patients in the routine treatment group will receive diaphragmatic breathing exercises, a daily bowel evacuation program, and adherence to a high-fiber diet three times per week for 8 weeks, for a total of 24 sessions. Intensity of fecal incontinence. Timepoint: Before and after the intervention. Method of measurement: Rintala questionnaire. Anal sphincter resting pressure. Timepoint: Before and after the intervention. Method of measurement: The pressure biofeedback. Maximum anal sphincter squeeze pressure. Timepoint: Before and after the intervention. Method of measurement: The pressure biofeedback. First rectal sensation. Timepoint: Before and after the intervention. Method of measurement: The pressure biofeedback. First urge of defecate. Timepoint: Before and after the intervention. Method of measurement: The pressure biofeedback. Strong urge to defecate. Timepoint: Before and after the intervention. Method of measurement: The pressure biofeedback. Zahedan University of Medical Sciences Approved 2026-05-04 Ethics committee of Zahedan University of Medical Sciences Dr. Hesabi Square Zahedan Sistan-va-Balouchestan Iran (Islamic Republic of)