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자료유형
학술저널
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대한재활의학회 Annals of Rehabilitation Medicine Annals of Rehabilitation Medicine 제35권 제5호
발행연도
2011.1
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605 - 612 (8page)

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Objective To evaluate the effect of semiconditional electrical stimulation of the pudendal nerve afferents for the neurogenic detrusor overactivity in patients with spinal cord injury. Forty patients (36 males, 4 males) with spinal cord injury who had urinary incontinence and frequency, as well as felt bladder contraction with bladder fi lling sense or autonomic dysrefl exic symptom participated in thisstudy. Method Patients with neurogenic detrusor overactivity were subdivided into complete injury and incomplete injury groups by ASIA classifi cation and subdivided into tetraplegia and paraplegia groups by neurologic level of injury. Bladder function, such as bladder volumes infused to the bladder until the fi rst occurrence of neurogenic detrusor overactivity (Vini) and the last contraction suppressed by electrical stimulation (Vmax) was measured by water cystometry (CMG) and compared with the results of each subgroup. Results Among the 40 subjects, 35 patients showed neurogenic detrusor overactivity in the CMG study. Among these 35 patients, detrusor overactivity was suppressed eff ectively by pudendal nerve aff erent electrical stimulation in 32 patients. The infusion volume until the occurrence of the fi rst refl ex contraction (Vini) was 99.4±80.3 ml. The volume of saline infused to the bladder until the last contraction suppressed by semiconditional pudendal nerve stimulation (Vmax) was 274.3±93.2 ml, which was significantly greater than Vini. In patients with good response to the pudendal nerve aff erent stimulation, the bladder volume signifi cantly increased by stimulation in all the patients. Conclusion In this study, semiconditional electrical stimulation on the dorsal penile afferent nerve could effectively inhibit neurogenic detrusor overactivity and increase bladder volume in patients with spinal cord injury.
#Spinal cord injuries #Detrusor overactivity #Pudendal nerve #Electrical stimulation

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참고문헌 (21)

참고문헌 신청
Abrams P / 2003 / The standardisation of terminology in lower urinary tract function: report from the standardisation subcommittee of the International Continence Society / U google schola Dalmose AL / 2003 / Conditional stimulation of the dorsal penile/clitoral nerve may increase cystometric capacity in patients with spinal cord injury / Neurourol Urodyn 22 : google schola Fall M / 1991 / Electrical stimulation. A physiologic approach to the treatment of urinary incontinence / Urol Clin North Am 18 : 393 ~ 407 google schola Hansen J / 2005 / Treatment of neurogenic detrusor overactivity in spinal cord injured patients by conditional electrical stimulation / J Urol 173 : 2035 ~ 2039 google schola Ishigooka M / 1996 / Electrical pelvic fl oor stimulation: a possible alternative treatment for reflex urinary incontinence in patients with spinal cord injury / Spinal Cord google schola

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