关键词: QoL SCI magnetic therapy neurogenic detrusor overactivity neuromodulation

Mesh : Humans Male Quality of Life Adult Magnetic Field Therapy / methods Paraplegia / rehabilitation physiopathology Spinal Cord Injuries / complications rehabilitation physiopathology Young Adult Urinary Bladder, Neurogenic / etiology therapy physiopathology rehabilitation Pelvic Floor / physiopathology Treatment Outcome Electromyography Surveys and Questionnaires Urodynamics / physiology

来  源:   DOI:10.3233/NRE-240060

Abstract:
UNASSIGNED: Urinary dysfunction is linked to spinal cord injury (SCI). The quality of life (QoL) declines in both neurogenic bladder impairment and non-disordered patients.
UNASSIGNED: To ascertain the effectiveness of pulsed magnetic therapy on urinary impairment and QoL in individuals with traumatic incomplete SCI.
UNASSIGNED: This study included forty male paraplegic subjects with neurogenic detrusor overactivity (NDO) for more than one year following incomplete SCI between T6-T12. Their ages ranged from 20 to 35 and they engaged in therapy for three months. The subjects were divided into two groups of equal size. Individuals in Group I were managed via pulsed magnetic therapy once per week plus pelvic floor training three times a week. Individuals in Group II were managed with only three times a week for pelvic floor training. All patients were examined for bladder cystometric investigations, pelvic-floor electromyography (EMG), and SF-Qualiveen questionnaire.
UNASSIGNED: There was a noteworthy increment in individuals in Group I in volume of bladder at first desire to void and maximum cystometric capacity, detrusor pressure at Qmax, and maximum flow rate. There was a momentous increment in Group I in measures of evaluation of EMG biofeedback. There was a notable rise in Group I in SF-Qualiveen questionnaire.
UNASSIGNED: Magnetic stimulation should be favored as beneficial adjunct to traditional therapy in the management of bladder impairment and enhancing QoL in individuals with SCI.
摘要:
泌尿系统功能障碍与脊髓损伤(SCI)有关。神经源性膀胱损伤和非紊乱患者的生活质量(QoL)均下降。
确定脉冲磁疗对创伤性不完全性SCI患者尿路损伤和生活质量的影响。
这项研究包括40名患有神经源性逼尿肌过度活动(NDO)的截瘫男性受试者,在T6-T12之间的不完全SCI后超过一年。他们的年龄从20到35不等,他们从事三个月的治疗。受试者分为两组,大小相等。组I中的个体通过脉冲磁疗每周一次加上盆底训练每周三次来管理。第二组的个体每周仅接受三次盆底训练。所有患者均接受膀胱膀胱检查,盆底肌电图(EMG),和SF-Qualiveen问卷。
在I组中的个体中,首次希望排尿和最大膀胱容量时的膀胱体积有值得注意的增加,Qmax时的逼尿肌压力,和最大流量。第一组在评估EMG生物反馈的措施方面有很大的增加。SF-Qualiveen问卷中第一组的人数显着增加。
磁刺激应作为传统治疗的有益辅助手段,用于治疗膀胱损伤和提高SCI患者的生活质量。
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