SlideShare a Scribd company logo
1 of 27
Taalvaardigheid
in de zorg
PTNS
(PERCUTANEOUS) TIBIAL NERVE STIMULATION
Taalvaardigheid
in de zorg
PTNS
Taalvaardigheid
in de zorg
PTNS
Taalvaardigheid
in de zorg
PTNS
Vast:
- 20 Hz
- 0.2 msec
- 9 V
Variabel:
- 0-10 mA
Taalvaardigheid
in de zorg
PTNS 12 wekelijkse sessies
elke 2 weken
elke 3 weken
elke 4 weken
….
https://www.youtube.com/watch?v=Z4VC19mboTk
Taalvaardigheid
in de zorg
PTNS
Taalvaardigheid
in de zorg
PTNS
Taalvaardigheid
in de zorg
PTNS
Carry-over effect: negative
modulation of excitatory
synapses in the central
micturition reflex pathway
Taalvaardigheid
in de zorg
PTNS
J Urol. 2010 Apr;183(4):1438-43. doi: 10.1016/j.juro.2009.12.036. Epub 2010 Feb 20.
Randomized trial of percutaneous tibial nerve stimulation versus Sham efficacy in the treatment of overactive
bladder syndrome: results from the SUmiT trial.
Peters KM1, Carrico DJ, Perez-Marrero RA, Khan AU, Wooldridge LS, Davis GL, Macdiarmid SA.
Abstract
PURPOSE:
The Study of Urgent PC vs Sham Effectiveness in Treatment of Overactive Bladder Symptoms (SUmiT) was a
multicenter, double-blind, randomized, controlled trial comparing the efficacy of percutaneous tibial nerve stimulation
to sham through 12 weeks of therapy. The improvement in global response assessment, voiding diary parameters,
and overactive bladder and quality of life questionnaires was evaluated.
MATERIALS AND METHODS:
A total of 220 adults with overactive bladder symptoms were randomized 1:1 to 12 weeks of treatment with weekly
percutaneous tibial nerve stimulation or sham therapy. Overactive bladder and quality of life questionnaires as well as
3-day voiding diaries were completed at baseline and at 13 weeks. Subject global response assessments were
completed at week 13.
Taalvaardigheid
in de zorg
PTNS
Taalvaardigheid
in de zorg
PTNS
Taalvaardigheid
in de zorg
PTNS
Taalvaardigheid
in de zorg
PTNS
Taalvaardigheid
in de zorg
PTNS
Taalvaardigheid
in de zorg
PTNS
Taalvaardigheid
in de zorg
PTNS
Taalvaardigheid
in de zorg
PTNS
Taalvaardigheid
in de zorg
PTNS
Taalvaardigheid
in de zorg
PTNS
Taalvaardigheid
in de zorg
PTNS
Taalvaardigheid
in de zorg
PTNS
Taalvaardigheid
in de zorg
PTNS
Taalvaardigheid
in de zorg
PTNS
Taalvaardigheid
in de zorg
PTNS
Taalvaardigheid
in de zorg
PTNS
Taalvaardigheid
in de zorg
PTNS
Taalvaardigheid
in de zorg
PTNS

More Related Content

More from Michael van Balken

Van bonbons tot berisping 2023
Van bonbons tot berisping 2023Van bonbons tot berisping 2023
Van bonbons tot berisping 2023Michael van Balken
 
Zorg en taal Praktijkmanagers 2023
Zorg en taal Praktijkmanagers 2023Zorg en taal Praktijkmanagers 2023
Zorg en taal Praktijkmanagers 2023Michael van Balken
 
EAU Webinar SDM in incontinence patients
EAU Webinar SDM in incontinence patientsEAU Webinar SDM in incontinence patients
EAU Webinar SDM in incontinence patientsMichael van Balken
 
Noord West Ziekenhuis laaggeletterdheid
Noord West Ziekenhuis laaggeletterdheidNoord West Ziekenhuis laaggeletterdheid
Noord West Ziekenhuis laaggeletterdheidMichael van Balken
 
Clientenraad Rijnstate Laaggeletterdheid
Clientenraad Rijnstate LaaggeletterdheidClientenraad Rijnstate Laaggeletterdheid
Clientenraad Rijnstate LaaggeletterdheidMichael van Balken
 
Medisch Contact 2023 van Balken
Medisch Contact 2023 van BalkenMedisch Contact 2023 van Balken
Medisch Contact 2023 van BalkenMichael van Balken
 
Wetenschapsprijs Rijnstate 2023
Wetenschapsprijs Rijnstate 2023Wetenschapsprijs Rijnstate 2023
Wetenschapsprijs Rijnstate 2023Michael van Balken
 
Zorg en Taal V&VN cv&v 2023.pptx
Zorg en Taal V&VN cv&v 2023.pptxZorg en Taal V&VN cv&v 2023.pptx
Zorg en Taal V&VN cv&v 2023.pptxMichael van Balken
 
Zorg en Taal PRO meeting 2022 .pptx
Zorg en Taal PRO meeting 2022 .pptxZorg en Taal PRO meeting 2022 .pptx
Zorg en Taal PRO meeting 2022 .pptxMichael van Balken
 
Towards a future of sustainable continence care: 'green' care and therapy ini...
Towards a future of sustainable continence care: 'green' care and therapy ini...Towards a future of sustainable continence care: 'green' care and therapy ini...
Towards a future of sustainable continence care: 'green' care and therapy ini...Michael van Balken
 
Finding ways to optimally inform patients with lacking digital or literacy sk...
Finding ways to optimally inform patients with lacking digital or literacy sk...Finding ways to optimally inform patients with lacking digital or literacy sk...
Finding ways to optimally inform patients with lacking digital or literacy sk...Michael van Balken
 

More from Michael van Balken (20)

Van bonbons tot berisping 2023
Van bonbons tot berisping 2023Van bonbons tot berisping 2023
Van bonbons tot berisping 2023
 
Zorg en taal Praktijkmanagers 2023
Zorg en taal Praktijkmanagers 2023Zorg en taal Praktijkmanagers 2023
Zorg en taal Praktijkmanagers 2023
 
EAU Webinar SDM in incontinence patients
EAU Webinar SDM in incontinence patientsEAU Webinar SDM in incontinence patients
EAU Webinar SDM in incontinence patients
 
GIBS Europe 2023
GIBS Europe 2023 GIBS Europe 2023
GIBS Europe 2023
 
UMCU refereeravond (DR)IPSS
UMCU refereeravond (DR)IPSSUMCU refereeravond (DR)IPSS
UMCU refereeravond (DR)IPSS
 
Noord West Ziekenhuis laaggeletterdheid
Noord West Ziekenhuis laaggeletterdheidNoord West Ziekenhuis laaggeletterdheid
Noord West Ziekenhuis laaggeletterdheid
 
Clientenraad Rijnstate Laaggeletterdheid
Clientenraad Rijnstate LaaggeletterdheidClientenraad Rijnstate Laaggeletterdheid
Clientenraad Rijnstate Laaggeletterdheid
 
Medisch Contact 2023 van Balken
Medisch Contact 2023 van BalkenMedisch Contact 2023 van Balken
Medisch Contact 2023 van Balken
 
Wetenschapsprijs Rijnstate 2023
Wetenschapsprijs Rijnstate 2023Wetenschapsprijs Rijnstate 2023
Wetenschapsprijs Rijnstate 2023
 
Zorg en Taal V&VN cv&v 2023.pptx
Zorg en Taal V&VN cv&v 2023.pptxZorg en Taal V&VN cv&v 2023.pptx
Zorg en Taal V&VN cv&v 2023.pptx
 
Zorg en Taal Elkerliek 2023
Zorg en Taal Elkerliek 2023Zorg en Taal Elkerliek 2023
Zorg en Taal Elkerliek 2023
 
Zorg en taal 2023 Losgio
Zorg en taal 2023 LosgioZorg en taal 2023 Losgio
Zorg en taal 2023 Losgio
 
Workshop D3 FU 2023.pptx
Workshop D3 FU 2023.pptxWorkshop D3 FU 2023.pptx
Workshop D3 FU 2023.pptx
 
Urodynamica FU 2023.pptx
Urodynamica FU 2023.pptxUrodynamica FU 2023.pptx
Urodynamica FU 2023.pptx
 
Zorg en Taal PRO meeting 2022 .pptx
Zorg en Taal PRO meeting 2022 .pptxZorg en Taal PRO meeting 2022 .pptx
Zorg en Taal PRO meeting 2022 .pptx
 
Urodynamica
UrodynamicaUrodynamica
Urodynamica
 
Towards a future of sustainable continence care: 'green' care and therapy ini...
Towards a future of sustainable continence care: 'green' care and therapy ini...Towards a future of sustainable continence care: 'green' care and therapy ini...
Towards a future of sustainable continence care: 'green' care and therapy ini...
 
Finding ways to optimally inform patients with lacking digital or literacy sk...
Finding ways to optimally inform patients with lacking digital or literacy sk...Finding ways to optimally inform patients with lacking digital or literacy sk...
Finding ways to optimally inform patients with lacking digital or literacy sk...
 
Taalvaardigheid in de zorg
Taalvaardigheid in de zorgTaalvaardigheid in de zorg
Taalvaardigheid in de zorg
 
Besnijdenis bij jongens
Besnijdenis bij jongensBesnijdenis bij jongens
Besnijdenis bij jongens
 

Recently uploaded

Call Girls Hyderabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Hot Call Girl In Chandigarh 👅🥵 9053'900678 Call Girls Service In Chandigarh
Hot  Call Girl In Chandigarh 👅🥵 9053'900678 Call Girls Service In ChandigarhHot  Call Girl In Chandigarh 👅🥵 9053'900678 Call Girls Service In Chandigarh
Hot Call Girl In Chandigarh 👅🥵 9053'900678 Call Girls Service In ChandigarhVip call girls In Chandigarh
 
Call Girl Price Amritsar ❤️🍑 9053900678 Call Girls in Amritsar Suman
Call Girl Price Amritsar ❤️🍑 9053900678 Call Girls in Amritsar SumanCall Girl Price Amritsar ❤️🍑 9053900678 Call Girls in Amritsar Suman
Call Girl Price Amritsar ❤️🍑 9053900678 Call Girls in Amritsar SumanCall Girls Service Chandigarh Ayushi
 
Call Girls Service Chandigarh Gori WhatsApp ❤9115573837 VIP Call Girls Chandi...
Call Girls Service Chandigarh Gori WhatsApp ❤9115573837 VIP Call Girls Chandi...Call Girls Service Chandigarh Gori WhatsApp ❤9115573837 VIP Call Girls Chandi...
Call Girls Service Chandigarh Gori WhatsApp ❤9115573837 VIP Call Girls Chandi...Niamh verma
 
❤️♀️@ Jaipur Call Girls ❤️♀️@ Meghna Jaipur Call Girls Number CRTHNR Call G...
❤️♀️@ Jaipur Call Girls ❤️♀️@ Meghna Jaipur Call Girls Number CRTHNR   Call G...❤️♀️@ Jaipur Call Girls ❤️♀️@ Meghna Jaipur Call Girls Number CRTHNR   Call G...
❤️♀️@ Jaipur Call Girls ❤️♀️@ Meghna Jaipur Call Girls Number CRTHNR Call G...Gfnyt.com
 
(Jessica) Call Girl in Jaipur- 9521753030 Escorts Service 50% Off with Cash O...
(Jessica) Call Girl in Jaipur- 9521753030 Escorts Service 50% Off with Cash O...(Jessica) Call Girl in Jaipur- 9521753030 Escorts Service 50% Off with Cash O...
(Jessica) Call Girl in Jaipur- 9521753030 Escorts Service 50% Off with Cash O...indiancallgirl4rent
 
Leading transformational change: inner and outer skills
Leading transformational change: inner and outer skillsLeading transformational change: inner and outer skills
Leading transformational change: inner and outer skillsHelenBevan4
 
VIP Call Girl Sector 88 Gurgaon Delhi Just Call Me 9899900591
VIP Call Girl Sector 88 Gurgaon Delhi Just Call Me 9899900591VIP Call Girl Sector 88 Gurgaon Delhi Just Call Me 9899900591
VIP Call Girl Sector 88 Gurgaon Delhi Just Call Me 9899900591adityaroy0215
 
Call Girl Raipur 📲 9999965857 ヅ10k NiGhT Call Girls In Raipur
Call Girl Raipur 📲 9999965857 ヅ10k NiGhT Call Girls In RaipurCall Girl Raipur 📲 9999965857 ヅ10k NiGhT Call Girls In Raipur
Call Girl Raipur 📲 9999965857 ヅ10k NiGhT Call Girls In Raipurgragmanisha42
 
VIP Kolkata Call Girl New Town 👉 8250192130 Available With Room
VIP Kolkata Call Girl New Town 👉 8250192130  Available With RoomVIP Kolkata Call Girl New Town 👉 8250192130  Available With Room
VIP Kolkata Call Girl New Town 👉 8250192130 Available With Roomdivyansh0kumar0
 
Russian Escorts Aishbagh Road * 9548273370 Naughty Call Girls Service in Lucknow
Russian Escorts Aishbagh Road * 9548273370 Naughty Call Girls Service in LucknowRussian Escorts Aishbagh Road * 9548273370 Naughty Call Girls Service in Lucknow
Russian Escorts Aishbagh Road * 9548273370 Naughty Call Girls Service in Lucknowgragteena
 
Call Girls Service Chandigarh Grishma ❤️🍑 9907093804 👄🫦 Independent Escort Se...
Call Girls Service Chandigarh Grishma ❤️🍑 9907093804 👄🫦 Independent Escort Se...Call Girls Service Chandigarh Grishma ❤️🍑 9907093804 👄🫦 Independent Escort Se...
Call Girls Service Chandigarh Grishma ❤️🍑 9907093804 👄🫦 Independent Escort Se...High Profile Call Girls Chandigarh Aarushi
 
Bangalore call girl 👯‍♀️@ Simran Independent Call Girls in Bangalore GIUXUZ...
Bangalore call girl  👯‍♀️@ Simran Independent Call Girls in Bangalore  GIUXUZ...Bangalore call girl  👯‍♀️@ Simran Independent Call Girls in Bangalore  GIUXUZ...
Bangalore call girl 👯‍♀️@ Simran Independent Call Girls in Bangalore GIUXUZ...Gfnyt
 
Russian Call Girls Gurgaon Swara 9711199012 Independent Escort Service Gurgaon
Russian Call Girls Gurgaon Swara 9711199012 Independent Escort Service GurgaonRussian Call Girls Gurgaon Swara 9711199012 Independent Escort Service Gurgaon
Russian Call Girls Gurgaon Swara 9711199012 Independent Escort Service GurgaonCall Girls Service Gurgaon
 
pOOJA sexy Call Girls In Sector 49,9999965857 Young Female Escorts Service In...
pOOJA sexy Call Girls In Sector 49,9999965857 Young Female Escorts Service In...pOOJA sexy Call Girls In Sector 49,9999965857 Young Female Escorts Service In...
pOOJA sexy Call Girls In Sector 49,9999965857 Young Female Escorts Service In...Call Girls Noida
 
Udaipur Call Girls 📲 9999965857 Call Girl in Udaipur
Udaipur Call Girls 📲 9999965857 Call Girl in UdaipurUdaipur Call Girls 📲 9999965857 Call Girl in Udaipur
Udaipur Call Girls 📲 9999965857 Call Girl in Udaipurseemahedar019
 
Russian Call Girls Kota * 8250192130 Service starts from just ₹9999 ✅
Russian Call Girls Kota * 8250192130 Service starts from just ₹9999 ✅Russian Call Girls Kota * 8250192130 Service starts from just ₹9999 ✅
Russian Call Girls Kota * 8250192130 Service starts from just ₹9999 ✅gragmanisha42
 
Vip Kolkata Call Girls Cossipore 👉 8250192130 ❣️💯 Available With Room 24×7
Vip Kolkata Call Girls Cossipore 👉 8250192130 ❣️💯 Available With Room 24×7Vip Kolkata Call Girls Cossipore 👉 8250192130 ❣️💯 Available With Room 24×7
Vip Kolkata Call Girls Cossipore 👉 8250192130 ❣️💯 Available With Room 24×7Miss joya
 

Recently uploaded (20)

Call Girls Hyderabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 9907093804 Top Class Call Girl Service Available
 
Hot Call Girl In Chandigarh 👅🥵 9053'900678 Call Girls Service In Chandigarh
Hot  Call Girl In Chandigarh 👅🥵 9053'900678 Call Girls Service In ChandigarhHot  Call Girl In Chandigarh 👅🥵 9053'900678 Call Girls Service In Chandigarh
Hot Call Girl In Chandigarh 👅🥵 9053'900678 Call Girls Service In Chandigarh
 
Call Girl Price Amritsar ❤️🍑 9053900678 Call Girls in Amritsar Suman
Call Girl Price Amritsar ❤️🍑 9053900678 Call Girls in Amritsar SumanCall Girl Price Amritsar ❤️🍑 9053900678 Call Girls in Amritsar Suman
Call Girl Price Amritsar ❤️🍑 9053900678 Call Girls in Amritsar Suman
 
VIP Call Girls Lucknow Isha 🔝 9719455033 🔝 🎶 Independent Escort Service Lucknow
VIP Call Girls Lucknow Isha 🔝 9719455033 🔝 🎶 Independent Escort Service LucknowVIP Call Girls Lucknow Isha 🔝 9719455033 🔝 🎶 Independent Escort Service Lucknow
VIP Call Girls Lucknow Isha 🔝 9719455033 🔝 🎶 Independent Escort Service Lucknow
 
Call Girls Service Chandigarh Gori WhatsApp ❤9115573837 VIP Call Girls Chandi...
Call Girls Service Chandigarh Gori WhatsApp ❤9115573837 VIP Call Girls Chandi...Call Girls Service Chandigarh Gori WhatsApp ❤9115573837 VIP Call Girls Chandi...
Call Girls Service Chandigarh Gori WhatsApp ❤9115573837 VIP Call Girls Chandi...
 
❤️♀️@ Jaipur Call Girls ❤️♀️@ Meghna Jaipur Call Girls Number CRTHNR Call G...
❤️♀️@ Jaipur Call Girls ❤️♀️@ Meghna Jaipur Call Girls Number CRTHNR   Call G...❤️♀️@ Jaipur Call Girls ❤️♀️@ Meghna Jaipur Call Girls Number CRTHNR   Call G...
❤️♀️@ Jaipur Call Girls ❤️♀️@ Meghna Jaipur Call Girls Number CRTHNR Call G...
 
(Jessica) Call Girl in Jaipur- 9521753030 Escorts Service 50% Off with Cash O...
(Jessica) Call Girl in Jaipur- 9521753030 Escorts Service 50% Off with Cash O...(Jessica) Call Girl in Jaipur- 9521753030 Escorts Service 50% Off with Cash O...
(Jessica) Call Girl in Jaipur- 9521753030 Escorts Service 50% Off with Cash O...
 
Leading transformational change: inner and outer skills
Leading transformational change: inner and outer skillsLeading transformational change: inner and outer skills
Leading transformational change: inner and outer skills
 
VIP Call Girl Sector 88 Gurgaon Delhi Just Call Me 9899900591
VIP Call Girl Sector 88 Gurgaon Delhi Just Call Me 9899900591VIP Call Girl Sector 88 Gurgaon Delhi Just Call Me 9899900591
VIP Call Girl Sector 88 Gurgaon Delhi Just Call Me 9899900591
 
Call Girl Raipur 📲 9999965857 ヅ10k NiGhT Call Girls In Raipur
Call Girl Raipur 📲 9999965857 ヅ10k NiGhT Call Girls In RaipurCall Girl Raipur 📲 9999965857 ヅ10k NiGhT Call Girls In Raipur
Call Girl Raipur 📲 9999965857 ヅ10k NiGhT Call Girls In Raipur
 
VIP Kolkata Call Girl New Town 👉 8250192130 Available With Room
VIP Kolkata Call Girl New Town 👉 8250192130  Available With RoomVIP Kolkata Call Girl New Town 👉 8250192130  Available With Room
VIP Kolkata Call Girl New Town 👉 8250192130 Available With Room
 
Russian Escorts Aishbagh Road * 9548273370 Naughty Call Girls Service in Lucknow
Russian Escorts Aishbagh Road * 9548273370 Naughty Call Girls Service in LucknowRussian Escorts Aishbagh Road * 9548273370 Naughty Call Girls Service in Lucknow
Russian Escorts Aishbagh Road * 9548273370 Naughty Call Girls Service in Lucknow
 
Call Girls Service Chandigarh Grishma ❤️🍑 9907093804 👄🫦 Independent Escort Se...
Call Girls Service Chandigarh Grishma ❤️🍑 9907093804 👄🫦 Independent Escort Se...Call Girls Service Chandigarh Grishma ❤️🍑 9907093804 👄🫦 Independent Escort Se...
Call Girls Service Chandigarh Grishma ❤️🍑 9907093804 👄🫦 Independent Escort Se...
 
Bangalore call girl 👯‍♀️@ Simran Independent Call Girls in Bangalore GIUXUZ...
Bangalore call girl  👯‍♀️@ Simran Independent Call Girls in Bangalore  GIUXUZ...Bangalore call girl  👯‍♀️@ Simran Independent Call Girls in Bangalore  GIUXUZ...
Bangalore call girl 👯‍♀️@ Simran Independent Call Girls in Bangalore GIUXUZ...
 
Call Girl Lucknow Gauri 🔝 8923113531 🔝 🎶 Independent Escort Service Lucknow
Call Girl Lucknow Gauri 🔝 8923113531  🔝 🎶 Independent Escort Service LucknowCall Girl Lucknow Gauri 🔝 8923113531  🔝 🎶 Independent Escort Service Lucknow
Call Girl Lucknow Gauri 🔝 8923113531 🔝 🎶 Independent Escort Service Lucknow
 
Russian Call Girls Gurgaon Swara 9711199012 Independent Escort Service Gurgaon
Russian Call Girls Gurgaon Swara 9711199012 Independent Escort Service GurgaonRussian Call Girls Gurgaon Swara 9711199012 Independent Escort Service Gurgaon
Russian Call Girls Gurgaon Swara 9711199012 Independent Escort Service Gurgaon
 
pOOJA sexy Call Girls In Sector 49,9999965857 Young Female Escorts Service In...
pOOJA sexy Call Girls In Sector 49,9999965857 Young Female Escorts Service In...pOOJA sexy Call Girls In Sector 49,9999965857 Young Female Escorts Service In...
pOOJA sexy Call Girls In Sector 49,9999965857 Young Female Escorts Service In...
 
Udaipur Call Girls 📲 9999965857 Call Girl in Udaipur
Udaipur Call Girls 📲 9999965857 Call Girl in UdaipurUdaipur Call Girls 📲 9999965857 Call Girl in Udaipur
Udaipur Call Girls 📲 9999965857 Call Girl in Udaipur
 
Russian Call Girls Kota * 8250192130 Service starts from just ₹9999 ✅
Russian Call Girls Kota * 8250192130 Service starts from just ₹9999 ✅Russian Call Girls Kota * 8250192130 Service starts from just ₹9999 ✅
Russian Call Girls Kota * 8250192130 Service starts from just ₹9999 ✅
 
Vip Kolkata Call Girls Cossipore 👉 8250192130 ❣️💯 Available With Room 24×7
Vip Kolkata Call Girls Cossipore 👉 8250192130 ❣️💯 Available With Room 24×7Vip Kolkata Call Girls Cossipore 👉 8250192130 ❣️💯 Available With Room 24×7
Vip Kolkata Call Girls Cossipore 👉 8250192130 ❣️💯 Available With Room 24×7
 

PTNS Percutaneous Tibial Nerve Stimulation