关键词: FNS NMES Spina bifida bladder incontinence faradic nerve stimulation myelomeningocele neuromuscular stimulation physical therapy

来  源:   DOI:10.1177/2050313X241252737   PDF(Pubmed)

Abstract:
This case study evaluated the effectiveness of using a combination of faradic and neuromuscular electrical stimulation to improve the sensory and motor function of the bladder/bowel in pediatric patients diagnosed with spina bifida with myelomeningocele. All five patients were pediatric cases aged 4-15 years (mean age 8.4 ± 4.3 years) with complete incontinence in both bladder and bowel functions and self-referred to the Leyaqa Physical Therapy Center in Qatif, Saudi Arabia. All patients had diminished sensation from the hips down and underwent 24 electrical stimulation sessions. Bladder and bowel control were improved by 40% and 20%, respectively. All participants had improved bladder sensation, and 80% had improved bowel sensation. All participants reported improvement in constipation. Feeling the urge or sensation of emptying the bladder or bowel was dramatically improved in all participants. This combination of stimulation electrotherapy can be offered with benefits according to the series of cases studied.
摘要:
这个案例研究评估了使用法拉第和神经肌肉电刺激的组合来改善诊断为脊柱裂伴脊髓脊膜膨出的小儿患者膀胱/肠的感觉和运动功能的有效性。所有5例患者均为儿科病例,年龄为4-15岁(平均年龄8.4±4.3岁),膀胱和肠功能完全失禁,并自行转诊至Qatif的Leyaqa物理治疗中心,沙特阿拉伯。所有患者的臀部感觉都减弱,并接受了24次电刺激。膀胱和肠道控制分别改善了40%和20%,分别。所有参与者的膀胱感觉都得到了改善,80%的患者肠道感觉得到改善。所有参与者报告便秘改善。在所有参与者中,排空膀胱或肠的冲动或感觉得到了显着改善。根据所研究的一系列病例,可以为刺激电疗的这种组合提供益处。
公众号