scholarly journals Abdominal Pain: A Comparison between Neurogenic Bowel Dysfunction and Chronic Idiopathic Constipation

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Pia Møller Faaborg ◽  
Nanna Brix Finnerup ◽  
Peter Christensen ◽  
Klaus Krogh
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Abdominal Pain ◽  
Gastrointestinal Transit ◽  
Bowel Function ◽  
Qualitative Description ◽  
Idiopathic Constipation ◽  
Data Set ◽  
Chronic Idiopathic Constipation ◽  
Cord Injury

Introduction. Most spinal-cord-injured patients have constipation. One-third develop chronic abdominal pain 10 years or more after injury. Nevertheless, very little is known about the nature of abdominal pain after spinal cord injury (SCI). It may be neuropathic or caused by constipation.Aim. To compare characteristics of abdominal pain in SCI with able-bodied with chronic idiopathic constipation (CIC).Subjects and Methods. 21 SCI and 15 CIC patients were referred for treatment of bowel symptoms. Constipation-related symptoms were assessed with the Cleveland Constipation Scoring System and the International Spinal Cord Injury Basic Bowel Function Data Set. Characteristics of abdominal pain were described using the Brief Danish Pain Questionnaire. Total gastrointestinal transit times (GITT) were measured by radiopaque markers.Results. Seventeen (81%) SCI and 14 (93%) CIC patients reported abdominal pain or discomfort within the last month (). Pain was considered more intense by CIC than by SCI patients (). Only minor differences were found in patient’s qualitative description of abdominal pain or in the location of pain. In neither SCI nor CIC was pain associated with GITT.Conclusion. Most characteristics of abdominal pain among SCI patients resemble those of CIC. This indicates that constipation is a major cause of pain after SCI.

scholarly journals International spinal cord injury bowel function basic data set (Version 2.0)

Spinal Cord ◽  
2017 ◽  
Vol 55 (7) ◽  
pp. 692-698 ◽  
Author(s):  
K Krogh ◽  
A Emmanuel ◽  
B Perrouin-Verbe ◽  
M A Korsten ◽  
M J Mulcahey ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Bowel Function ◽  
Basic Data ◽  
Data Set ◽  
Cord Injury ◽  
Version 2.0

scholarly journals Version 2.1 of the International Spinal Cord Injury Bowel Function Basic Data Set

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Klaus Krogh ◽  
Annette Halvorsen ◽  
Ann Louise Pettersen ◽  
Fin Biering-Sørensen
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Bowel Function ◽  
Basic Data ◽  
Data Set ◽  
Cord Injury

scholarly journals International bowel function basic spinal cord injury data set

Spinal Cord ◽  
2008 ◽  
Vol 47 (3) ◽  
pp. 230-234 ◽  
Author(s):  
K Krogh ◽  
I Perkash ◽  
S A Stiens ◽  
F Biering-Sørensen
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Bowel Function ◽  
Data Set ◽  
Injury Data ◽  
Cord Injury

scholarly journals International bowel function extended spinal cord injury data set

Spinal Cord ◽  
2008 ◽  
Vol 47 (3) ◽  
pp. 235-241 ◽  
Author(s):  
K Krogh ◽  
I Perkash ◽  
S A Stiens ◽  
F Biering-Sørensen
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Bowel Function ◽  
Data Set ◽  
Injury Data ◽  
Cord Injury

scholarly journals Effect of pelvic laparoscopic implantation of neuroprosthesis in spinal cord injured subjects: a 1-year prospective randomized controlled study

Spinal Cord ◽  
2021 ◽  
Author(s):  
Helge Kasch ◽  
Uffe Schou Løve ◽  
Anette Bach Jønsson ◽  
Kaare Eg Severinsen ◽  
Marc Possover ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Outcome Measures ◽  
Outcome Measure ◽  
Secondary Outcome ◽  
Controlled Study ◽  
Control Group ◽  
Walking Ability ◽  
Data Set ◽  
Cord Injury

Abstract Study design 1-year prospective RCT. Objective Examine the effect of implantable pulse generator and low-frequency stimulation of the pelvic nerves using laparoscopic implantation of neuroprosthesis (LION) compared with neuromuscular electrical stimulation (NMES) in SCI. Methods Inclusion criteria: traumatic spinal cord injury (SCI), age 18–55 years, neurological level-of-injury Th4–L1, time-since-injury >1 year, and AIS-grades A–B. Participants were randomized to (A) LION procedure or (B) control group receiving NMES. Primary outcome measure: Walking Index for Spinal Cord Injury (WISCI-II), which is a SCI specific outcome measure assessing ability to ambulate. Secondary outcome measures: Spinal Cord Independence Measure III (SCIM III), Patient Global Impression of Change (PGIC), Penn Spasm Frequency Scale (PSFS), severity of spasticity measured by Numeric Rating Scale (NRS-11); International Spinal Cord Injury data sets-Quality of Life Basic Data Set (QoLBDS), and Brief Pain Inventory (BPI). Results Seventeen SCI individuals, AIS grade A, neurological level ranging from Th4–L1, were randomized to the study. One individual was excluded prior to intervention. Eight participants (7 males) with a mean age (SD) of 35.5 (12.4) years were allocated to the LION procedure, 8 participants (7 males) with age of 38.8 (15.1) years were allocated to NMES. Significantly, 5 LION group participants gained 1 point on the WISCI II scale, (p < 0.013; Fisher´s exact test). WISCI II scale score did not change in controls. No significant changes were observed in the secondary outcome measures. Conclusion The LION procedure is a promising new treatment for individuals with SCI with significant one-year improvement in walking ability.

scholarly journals The Effect of Exoskeletal-Assisted Walking on Spinal Cord Injury Bowel Function: Results from a Randomized Trial and Comparison to Other Physical Interventions

2021 ◽  
Vol 10 (5) ◽  
pp. 964
Author(s):  
Peter H. Gorman ◽  
Gail F. Forrest ◽  
Pierre K. Asselin ◽  
William Scott ◽  
Stephen Kornfeld ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Bowel Function ◽  
Bowel Dysfunction ◽  
Secondary Outcome ◽  
Secondary Outcome Measure ◽  
Cord Injury ◽  
Patient Reported ◽  
Stool Form ◽  
Time Since Injury

Bowel function after spinal cord injury (SCI) is compromised because of a lack of voluntary control and reduction in bowel motility, often leading to incontinence and constipation not easily managed. Physical activity and upright posture may play a role in dealing with these issues. We performed a three-center, randomized, controlled, crossover clinical trial of exoskeletal-assisted walking (EAW) compared to usual activity (UA) in people with chronic SCI. As a secondary outcome measure, the effect of this intervention on bowel function was assessed using a 10-question bowel function survey, the Bristol Stool Form Scale (BSS) and the Spinal Cord Injury Quality of Life (SCI-QOL) Bowel Management Difficulties instrument. Fifty participants completed the study, with bowel data available for 49. The amount of time needed for the bowel program on average was reduced in 24% of the participants after EAW. A trend toward normalization of stool form was noted. There were no significant effects on patient-reported outcomes for bowel function for the SCI-QOL components, although the time since injury may have played a role. Subset analysis suggested that EAW produces a greater positive effect in men than women and may be more effective in motor-complete individuals with respect to stool consistency. EAW, along with other physical interventions previously investigated, may be able to play a previously underappreciated role in assisting with SCI-related bowel dysfunction.

Spinal Cord Tissue Bridges Validation Study: Predictive Relationships With Sensory Scores Following Cervical Spinal Cord Injury

2021 ◽  
Author(s):  
Andrew C. Smith ◽  
Denise R. O’Dell ◽  
Wesley A. Thornton ◽  
David Dungan ◽  
Eli Robinson ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
External Validation ◽  
Inpatient Rehabilitation ◽  
Spinal Cord Tissue ◽  
Light Touch ◽  
Post Injury ◽  
Data Set ◽  
Cord Injury ◽  
Predictive Relationships

Background: Using magnetic resonance imaging (MRI), widths of ventral tissue bridges demonstrated significant predictive relationships with future pinprick sensory scores, and widths of dorsal tissue bridges demonstrated significant predictive relationships with future light touch sensory scores, following spinal cord injury (SCI). These studies involved smaller participant numbers, and external validation of their findings is warranted. Objectives: The purpose of this study was to validate these previous findings using a larger independent data set. Methods: Widths of ventral and dorsal tissue bridges were quantified using MRI in persons post cervical level SCI (average 3.7 weeks post injury), and pinprick and light touch sensory scores were acquired at discharge from inpatient rehabilitation (average 14.3 weeks post injury). Pearson product-moments were calculated and linear regression models were created from these data. Results: Wider ventral tissue bridges were significantly correlated with pinprick scores (r = 0.31, p &lt; 0.001, N = 136) and wider dorsal tissue bridges were significantly correlated with light touch scores (r = 0.31, p &lt; 0.001, N = 136) at discharge from inpatient rehabilitation. Conclusion: This retrospective study’s results provide external validation of previous findings, using a larger sample size. Following SCI, ventral tissue bridges hold significant predictive relationships with future pinprick sensory scores and dorsal tissue bridges hold significant predictive relationships with future light touch sensory scores.

scholarly journals Reliability of the radiographic variables in the International Spinal Cord Injury Spinal Column Injury Basic Data Set compared with the AO classification

Spinal Cord ◽  
2016 ◽  
Vol 54 (10) ◽  
pp. 884-888 ◽  
Author(s):  
C Lucantoni ◽  
R G Krishnan ◽  
M Gehrchen ◽  
D W Hallager ◽  
F Biering-Sørensen ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Spinal Column ◽  
Basic Data ◽  
Data Set ◽  
Ao Classification ◽  
Cord Injury

scholarly journals Bowel function in adults who have sustained spinal cord injury in childhood

Spinal Cord ◽  
1995 ◽  
Vol 33 (12) ◽  
pp. 701-703 ◽  
Author(s):  
M Kannisto ◽  
R Rintala
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Bowel Function ◽  
Cord Injury

Preliminary psychometric analyses of the International Spinal Cord Injury Quality of Life Basic Data Set

Spinal Cord ◽  
2019 ◽  
Vol 57 (9) ◽  
pp. 789-795 ◽  
Author(s):  
Peter Wayne New ◽  
Denise G. Tate ◽  
Martin B. Forchheimer ◽  
Julia Maria D’Andréa Greve ◽  
Divya Parashar ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Basic Data ◽  
Data Set ◽  
Cord Injury ◽  
Psychometric Analyses
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