The Change of Neurogenic Bowel Dysfunction in Spinal Cord Injury Patients during Admission.
- Author:
Jeong Hwan SEO
1
;
Kwang Seop SONG
;
Myoung Hwan KO
;
Sung Hee PARK
Author Information
1. Department of Physical Medicine and Rehabilitation, Institute for Medical Sciences and Research Institute of Clinical Medicine, Chonbuk National University Medical School, Korea. song-kwang-seop@hanmail.net
- Publication Type:Original Article
- Keywords:
Neurogenic bowel dysfunction;
Spinal cord injury;
Quality of life
- MeSH:
Antineoplastic Combined Chemotherapy Protocols;
Cytarabine;
Defecation;
Etoposide;
Humans;
Massage;
Methotrexate;
Neurogenic Bowel;
Polyradiculopathy;
Quality of Life;
Surveys and Questionnaires;
Spinal Cord;
Spinal Cord Injuries
- From:Journal of the Korean Academy of Rehabilitation Medicine
2009;33(4):441-447
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To investigate the change of neurogenic bowel dysfunction (NBD) in spinal cord injury (SCI) patients during admission. METHOD: Thirty eight SCI patients were enrolled. The NBD score by Krogh was converted to the Korean-version of NBD score. The questionnaires of NBD score included questions about neurogenic bowel symptoms, signs, gender, age, duration, injury level, American spinal cord injury association impairment scale (AIS) and Spinal cord independence measure (SCIM) were used for evaluation of the functional impairment of the SCI. The Korean version of NBD score was applied to the SCI patients at the time of admission and discharge. Neurogenic bowel was treated according to scheduled bowel care. The subcomponents of bowel care protocol were education of bowel habit, abdominal massage, triggered defecation, oral medication and rectal stimulants insertion. RESULTS: The NBD score at the time of discharge decreased significantly in all patients within three months after SCI (p<0.001). Particularly, AIS A, C, D patients (except for cauda equina syndrome patients) (p<0.005) showed significant decrease of NBD score. There were no significant difference of NBD score according to age, sex, injured cord level and SCIM (p>0.05). CONCLUSION: We could reveal the significant improvement of NBD in patients within three months after SCI during admission. The change was more evident in AIS A, C, D patients.
