Low-Frequency Tibial Neuromodulation Increases Voiding Activity - a Human Pilot Study and Computational Model
This study combines a human pilot trial and a computational model to demonstrate that low-frequency tibial nerve stimulation (1 Hz) excites bladder activity while high-frequency stimulation (20 Hz) inhibits it, supporting a hypothesis that supraspinal mechanisms act as a high-pass filter to explain the frequency-dependent dual effects of TNS on voiding.