<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20221112056475N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-11-15</date_registration>
      <primary_sponsor>Khyber Medical University, Peshawar</primary_sponsor>
      <public_title>Effects of Transcutaneous electrical nerve stimulation at two frequencies on Urinary Incontinence in post stroke patients; A Randomized controlled trial</public_title>
      <acronym></acronym>
      <scientific_title>Effects of Transcutaneous electrical nerve stimulation at two frequencies on Urinary Incontinence in post stroke patients; A Randomized controlled trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-11-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>98</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/66841</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Following the selection of patients and the assessment of baseline similarities, the included participants will be randomly assigned to the control and experimental groups using the sealed envelops method, Blinding description: Due to the nature of the study, blinding the researcher/therapist and subjects will not be feasible. However, the assessor, who will compare pre and post scores will be blinded.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Urinary Incontinence.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: The patients in group 1 will receive therapy with TENS (model EN-Stim 4; ENRAF-NONIUS Company Ltd, Rotterdam, the Netherlands) for 30 mins once daily for 4 weeks in the hospital (as inpatients or outpatients). The TENS device will use a four-channel stimulator with fully independent channels and four sets of moist pads for rubber electrodes (6 × 8 cm). This process will make it possible to treat major muscle groups simultaneously or to perform bilateral treatments simultaneously. The TENS currents will be biphasic square waves with pulse durations of 150 μsecs and pulse frequencies of 75 Hz. Intervention 2: Control group: The patients in group 2 will receive therapy with TENS (model EN-Stim 4; ENRAF-NONIUS Company Ltd, Rotterdam, the Netherlands) for 30 mins once daily for 4 weeks in the hospital (as inpatients or outpatients). The TENS device will use a four-channel stimulator with fully independent channels and four sets of moist pads for rubber electrodes (6 × 8 cm). This process will make it possible to treat major muscle groups simultaneously or to perform bilateral treatments simultaneously. The TENS currents will be biphasic square waves with pulse durations of 150 μsecs and pulse frequencies of 20 Hz.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is To keep data confidential and not available for copying</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mujeeb Ur Rahman</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>F1 Phase-6 Rd, Phase 5 Hayatabad, Peshawar, Khyber Pakhtunkhwa 25100</address>
        <city>Peshawar</city>
        <country1>Pakistan</country1>
        <zip>25100</zip>
        <telephone>+92 91 9217703</telephone>
        <email>mujeeb.rahman@kmu.edu.pk</email>
        <affiliation>Khyber Medical University, Peshawar</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Sarmad Saeed Khattak</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>5-B/2 Shaukat Khanum Rd, Phase 5 Hayatabad, Peshawar, Khyber Pakhtunkhwa 25000</address>
        <city>Peshawar</city>
        <country1>Pakistan</country1>
        <zip>25000</zip>
        <telephone>+92 91 5838666</telephone>
        <email>sarmad.saeed@rmi.edu.pk</email>
        <affiliation>Rehman Medical Institute, Peshawar</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Pakistan</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patients with UI after stroke
Patients who were stable, cooperative, and could effectively communicate (to participate in therapy
Patients who could complete the survey on urination both before and after treatment</inclusion_criteria>
      <agemin>no limit</agemin>
      <agemax>60 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Patients with urinary retention
Patients with a history of UI for various reasons (Parkinson’s disease, spinal cord disease, dementia, urinary tract tumours, urolithiasis, unhealed urinary tract infections, or a history of urinary tract surgery)
Patients who needed significant fluid infusions or drugs that affected urination
Patients with concurrent serious organic diseases
Patients with severe cognitive functioning disorders (Mini-Mental State Examination10 score &lt;22 points)</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>N39.4</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Other specified urinary incontinence</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Devices</i_code>
      <i_code>Treatment - Devices</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: The patients in group 1 will receive therapy with TENS (model EN-Stim 4; ENRAF-NONIUS Company Ltd, Rotterdam, the Netherlands) for 30 mins once daily for 4 weeks in the hospital (as inpatients or outpatients). The TENS device will use a four-channel stimulator with fully independent channels and four sets of moist pads for rubber electrodes (6 × 8 cm). This process will make it possible to treat major muscle groups simultaneously or to perform bilateral treatments simultaneously. The TENS currents will be biphasic square waves with pulse durations of 150 μsecs and pulse frequencies of 75 Hz.</i_keyword>
      <i_keyword>Control group: The patients in group 2 will receive therapy with TENS (model EN-Stim 4; ENRAF-NONIUS Company Ltd, Rotterdam, the Netherlands) for 30 mins once daily for 4 weeks in the hospital (as inpatients or outpatients). The TENS device will use a four-channel stimulator with fully independent channels and four sets of moist pads for rubber electrodes (6 × 8 cm). This process will make it possible to treat major muscle groups simultaneously or to perform bilateral treatments simultaneously. The TENS currents will be biphasic square waves with pulse durations of 150 μsecs and pulse frequencies of 20 Hz.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Overactive Bladder Symptom Score (OABSS). Timepoint: Pre intervention and after 4 weeks of intervention. Method of measurement: Questionnaire.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Khyber Medical University, Peshawar</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2022-11-13</approval_date>
        <contact_name>Advance Studies &amp; Research Board (AS&amp;RB)</contact_name>
        <contact_address>F1 Phase-6 Rd, Phase 5 Hayatabad, Peshawar, Khyber Pakhtunkhwa 25100 Peshawar Khyber Pakhtunkhwa Pakistan</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
