Effect of high-frequency abdominal deep vibration therapy on neurogenic bowel dysfunction in patients with cervical and thoracic spinal cord injury
10.3969/j.issn.1001-1242.2024.12.014
- VernacularTitle:腹部高频深部振动疗法在颈、胸段脊髓损伤患者神经源性肠功能障碍康复中的作用
- Author:
Li ZHOU
1
;
Erli MAO
;
Juan LIN
Author Information
1. 南京医科大学第一附属医院康复医学中心,江苏省南京市,210029;江苏省人民医院钟山康复分院
- Publication Type:Journal Article
- Keywords:
high-frequency abdominal deep vibration therapy;
spinal cord injury;
neurogenic bowel dysfunc-tion;
abdominal massage;
constipation
- From:
Chinese Journal of Rehabilitation Medicine
2024;39(12):1834-1838
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of high-frequency abdominal deep vibration therapy in the rehabilitation of neurogenic bowel dysfunction(NBD)in patients with cervical and thoracic spinal cord injury.Method:A total of 59 hospitalized patients with NBD after cervical and thoracic spinal cord injury were se-lected and divided into control group(n=30)and the intervention group(n=29)by a randomized controlled tri-al design.The control group received the standard NBD rehabilitation nursing combined with manual abdomi-nal massage therapy,while the intervention group received standard care supplemented with high-frequency ab-dominal deep vibration therapy.The study period was 4 weeks.The outcomes were assessed using the Interna-tional Spinal Cord Injury Bowel Function Date Set(version 2.0),Bristol stool classification,quality of life brief questionnaire(QOL-BRE)and bowel-related complications(medication dependence,abdominal pain/bloat-ing,fecal incontinence,and incomplete bowel obstruction)before and after the intervention.Result:After intervention,the international spinal cord injury bowel function scores in the intervention group were better than that of the control group(P＜0.01).The proportion of patients achieving ideal stool consistency(Type Ⅳ,banana-shaped stool)was higher in the intervention group(62％)compared to the control group(26.7％)(P＜0.01).The quality of life score of the intervention group was significantly higher than that of the control group after intervention(P＜0.05);The bowel-related complications(medication dependence 6％,abdomi-nal pain/bloating 0％,fecal leakage 0％,intestinal obstruction 0％)in the intervention group were lower than those in the control group(medication dependence 50％,abdominal pain/bloating 30％,fecal leakage 27％,in-testinal obstruction 17％)(P＜0.05).Conclusion:High-frequency abdominal deep vibration therapy is effective in promoting the recovery of bowel function,reducing medication dependence,lowering the incidence of bowel-related complications,and improving quality of life in patients with NBD after cervical and thoracic spinal cord injury.
