scholarly journals Correlating spinal cord injuries with neurogenic bladder pathophysiology

2017 ◽  
Vol 119 (2) ◽  
pp. 197-198
Author(s):  
John P. Lavelle
Keyword(s):  
Spinal Cord ◽  
Neurogenic Bladder ◽  
Spinal Cord Injuries ◽  
Bladder Pathophysiology

scholarly journals Care of the neurogenic bladder in spinal cord injuries

Curationis ◽  
1980 ◽  
Vol 3 (2) ◽  
Author(s):  
P. Engel ◽  
P.J. Stevens
Keyword(s):  
Spinal Cord ◽  
Urinary Retention ◽  
Neurogenic Bladder ◽  
Healthy Individual ◽  
Spinal Cord Injuries ◽  
Spinal Injury ◽  
Sensory System ◽  
Future Goals

The carefree independence of a healthy individual has been transformed in a second of time to a future of unknown quality. Total readjustment as to values and future goals are placed alongside physical readjustments made necessary according to the degree of injury. For patients with spinal cord injuries treatment of their resultant neurogeenic bladder may be conservative or surgical. The patient may have a complete or an incomplete lesion of the spinal cord. In the complete lesion, there is no sparing of motor or sensory system below the level of the lesion. In the incomplete lesion, there may be partial preservation of either or both. On admission to a spinal injury unit, the patients has urinary retention which is initially treated conservatively prior to the onset of reflex detrustor activity and subsequent bladder assessment.

scholarly journals Neurogenic Bladder, Neurogenic Bowel, and Sexual Dysfunction in People With Spinal Cord Injury

2002 ◽  
Vol 82 (6) ◽  
pp. 601-612 ◽  
Author(s):  
Barbara T Benevento ◽  
Marca L Sipski
Keyword(s):  
Spinal Cord ◽  
Neurogenic Bladder ◽  
Spinal Cord Injuries ◽  
Sexual Response ◽  
Specific Level ◽  
New Information ◽  
Cord Injury ◽  
Fertility Potential ◽  
Female Sexual Response ◽  
Neurogenic Bowel

AbstractThe purpose of this article is to review the literature related to the effects of spinal cord injuries on genitourinary, gastrointestinal, and sexual function. These important areas of function are profoundly affected by spinal cord injuries, with the effects of injury being dependent on the specific level and degree of neurologic dysfunction. Our ability to manage neurogenic bladder dysfunctions and neurogenic bowel dysfunctions has improved over the past few years; however, in general the techniques used have not significantly changed. In contrast, a significant amount of new information has been made available regarding the effects of specific neurologic injuries on sexual response, particularly female sexual response. Moreover, techniques to remediate erectile dysfunction and infertility in the male have vastly improved the fertility potential of men with spinal cord injuries. Further research is warranted in all of these areas.

scholarly journals Rehabilitation of neurogenic bladder and bowel after spinal cord injury

2020 ◽  
Vol 63 (10) ◽  
pp. 603-611
Author(s):  
Jung Hwan Kim ◽  
Jeong-Hwan Seo
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Neurogenic Bladder ◽  
Spinal Cord Injuries ◽  
Autonomic Dysreflexia ◽  
Bladder Pressure ◽  
Clean Intermittent Catheterization ◽  
Psychological Burden ◽  
Cord Injury ◽  
Neurogenic Bowel

Neurogenic bladder and bowel refers to the dysfunction of bladder and bowel caused by neurogenic etiology. Spinal cord injury is a major cause of this dysfunction, which seriously affects the injured person’s quality of life. The injury causes not only motor weakness of abdominal and perineal muscles, but also sensory changes and autonomic dysfunction of bladder and bowel. Spinal cord injuries involve multiple systems, and thus affect the normal functioning of the bowel and bladder in several ways: difficulty in urination and defecation, frequent or infrequent voiding, decrease of the sensation of fullness, incontinence, autonomic dysreflexia, perineal hygiene, deterioration of renal function, fecal impaction, psychological burden, etc. Thus, this review aims to provide updated practical guidance for the evaluation and management of neurogenic bowel and bladder by the clinicians who want to provide better care for their patients. Management of neurogenic bowel and bladder starts with carefully recording the patient’s history, including their bowel habits prior to the spinal injury. In general, evaluation of the neurogenic bladder requires more clinical tests than for the neurogenic bowel. The patients’ problems can be alleviated by adopting various measures: proper daily water and food intake, simultaneous pharmacologic treatments for the bowel and bladder, physiologic reflexes, bladder catheterization, rectal irrigation, surgical measures, etc. Priority should be given to the management of the neurogenic bladder with clean intermittent catheterization and decompression of the bladder pressure, and management of the neurogenic bowel by pharmacological treatment.

Spinal Cord Injuries and Neurogenic Bladder Dysfunction

2006 ◽  
pp. 77-84
Author(s):  
Ciro Esposito ◽  
Antonella Centonze ◽  
Francesca Alicchio ◽  
Antonio Savanelli
Keyword(s):  
Spinal Cord ◽  
Neurogenic Bladder ◽  
Spinal Cord Injuries ◽  
Bladder Dysfunction ◽  
Neurogenic Bladder Dysfunction

Impairment Rating and Spinal Cord Injuries: Revisiting the Guides

2010 ◽  
Vol 15 (3) ◽  
pp. 1-7
Author(s):  
Richard T. Katz
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Functional Independence ◽  
Outcome Data ◽  
Multiple Organ ◽  
Loss Of Function ◽  
Sixth Edition ◽  
Organ Systems ◽  
Cord Injury ◽  
Impairment Ratings

Abstract This article addresses some criticisms of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) by comparing previously published outcome data from a group of complete spinal cord injury (SCI) persons with impairment ratings for a corresponding level of injury calculated using the AMA Guides, Sixth Edition. Results of the comparison show that impairment ratings using the sixth edition scale poorly with the level of impairments of activities of daily living (ADL) in SCI patients as assessed by the Functional Independence Measure (FIM) motor scale and the extended FIM motor scale. Because of the combinations of multiple impairments, the AMA Guides potentially overrates the impairment of paraplegics compared with that of quadriplegics. The use and applicability of the Combined Values formula should be further investigated, and complete loss of function of two upper extremities seems consistent with levels of quadriplegia using the SCI model. Some aspects of the AMA Guides contain inconsistencies. The concept of diminishing impairment values is not easily translated between specific losses of function per organ system and “overall” loss of ADLs involving multiple organ systems, and the notion of “catastrophic thresholds” involving multiple organ systems may support the understanding that variations in rating may exist in higher rating cases such as those that involve an SCI.

Spinal Impairment Evaluation: Fifth Edition Changes

2001 ◽  
Vol 6 (1) ◽  
pp. 1-3
Author(s):  
Robert H. Haralson
Keyword(s):  
Spinal Cord ◽  
Lower Extremity ◽  
Range Of Motion ◽  
Upper Extremity ◽  
Spinal Cord Injuries ◽  
Clinical Findings ◽  
Fourth Edition ◽  
Treatment Results ◽  
Standard Terminology ◽  
Made In

Abstract The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, was published in November 2000 and contains major changes from its predecessor. In the Fourth Edition, all musculoskeletal evaluation and rating was described in a single chapter. In the Fifth Edition, this information has been divided into three separate chapters: Upper Extremity (13), Lower Extremity (14), and Spine (15). This article discusses changes in the spine chapter. The Models for rating spinal impairment now are called Methods. The AMA Guides, Fifth Edition, has reverted to standard terminology for spinal regions in the Diagnosis-related estimates (DRE) Method, and both it and the Range of Motion (ROM) Method now reference cervical, thoracic, and lumbar. Also, the language requiring the use of the DRE, rather than the ROM Method has been strengthened. The biggest change in the DRE Method is that evaluation should include the treatment results. Unfortunately, the Fourth Edition's philosophy regarding when and how to rate impairment using the DRE Model led to a number of problems, including the same rating of all patients with radiculopathy despite some true differences in outcomes. The term differentiator was abandoned and replaced with clinical findings. Significant changes were made in evaluation of patients with spinal cord injuries, and evaluators should become familiar with these and other changes in the Fifth Edition.

1132: Creation of a Somatic-Autonomic Reflex Pathway for Treatment of Neurogenic Bladder in Patients with Spinal Cord Injury: Preliminary Results of First 2 USA Patients

2005 ◽  
Vol 173 (4S) ◽  
pp. 307-308 ◽  
Author(s):  
Christopher E. Kelly ◽  
Chuan-Guo Xiao ◽  
Howard Weiner ◽  
Aleksandar Beric ◽  
Victor W. Nitti ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Neurogenic Bladder ◽  
Reflex Pathway ◽  
Preliminary Results ◽  
Cord Injury ◽  
Autonomic Reflex
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