Annals of Rehabilitation Medicine

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Original Article
J Korean Acad Rehabil Med. 2002;26(5):526-532.
Effect of Rectal Electrical Stimulation in Patients with Neurogenic Bowel due to Spinal Cord Injury.
Bae, Ha Suk , Park, Chang Il , Park, Eun Sook , Kim, Seung Min , Shin, Ji Cheol
1Department of Rehabilitation Medicine and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Korea. acebhs@yumc.yonsei.ac.kr
2Department of Neurology, Yonsei University College of Medicine, Korea.
Abstract

Objective: This study was designed to investigate the effect of the rectal electrical stimulation in patients with neurogenic bowel due to SCI.

Method: Twelve patients with SCI who have the symptoms of neurogenic bowel were recruited as subjects. Before and after electrical stimulation, anorectal angle and anal pressure was measured.

Results: 1. There was a reverse correlation between pre- electrical stimulation anorectal angle and colon transit time in rectosigmoid segment (p<0.05). 2. Anal pressure of postelectrical stimulation was significantly decreased compared with that of pre-electrical stimulation (p<0.05). 3. Anorectal angle of post-electrical stimulation was significantly increased compared with that of pre-electrical stimulation (p<0.05).

Conclusion: This study suggested that rectal electrical stimulation for neurogenic bowel in patients with SCI could be helpful defecation method for bowel emptying. (J Korean Acad Rehab Med 2002; 26: 526-532)

Keywords :Neurogenic bowel, Spinal cord, Anorectal angle, Anal pressure, Electrical stimulation

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