Annals of Rehabilitation Medicine

Comparison between Natural Filling Cystometry and Conventional Retrograde Filling Cystometry in Patients with Stroke.: Yoon, Seung Hyun , Lee, Il Yung , Rah, Ueon Woo , Yim, Shin Young , Kim, Seung Hwan , Lee, Young Seop; J Korean Acad Rehabil Med 2006;30(5):441-446.

Abstract
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Objective
To compare the personally developed natural filling cystometry (NFC) and conventional retrograde filling cystometry (RFC) Method: NFC and RFC were performed on 15 patients with stroke. Results: Patients were classified into three groups according to their usual lower urinary tract symptom. Four patients without urinary symptom did not show any detrusor overactivity or detrusor underactivity during NFC or RFC. Of the nine patients with urinary frequency or urgency, five (55.6%) showed detrusor overactivity during NFC and two (22.2%) during RFC. Two patients with straining showed .detrusor underactivity during both tests. Conclusion: There was no significant difference of cystometric findings between NFC and RFC in case of patients without urinary symptom or with detrusor underactivity, but those patients with urinary symptom that is suspected of detrusor overactivity showed a more frequent detrusor overactivity during NFC than RFC. Therefore, NFC is thought to be a useful tool in evaluating the neurogenic bladder of stroke patients suspected of detrusor overactivity since it can detect detrusor overactivity which were less detectable in RFC. (J Korean Acad Rehab Med 2006; 30: 441-446)

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Evaluation of Neurogenic Bladder with Newly Developed Natural-fill Cystometric Device : Cases report.: Yoon, Seung Hyun , Lee, Il Yung , Kim, Seung Hwan , Lee, Young Seop , Rah, Ueon Woo , Yim, Shin Young; J Korean Acad Rehabil Med 2006;30(2):195-198.

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We developed a new, affordable, and easy-to-use natural-fill cystometric device to overcome the limitation of conventional cystometry, long been criticized for being unphysiological. The device was composed of one transurethral catheter, one rectal catheter, two digital manometers, and a portable computer. The transurethral and rectal catheters were connected to manometers, which were then connected to the computer. Three persons with neurogenic bladder were recruited for testing the device. To shorten the test duration, we gave patients 500 ml water before the test. As urine filled inside the bladder, the transurethral and rectal catheters transmitted respectively the intravesical and abdominal pressures to the digital manometers. The pressures were stored within the portable computer and turned into graphs indicating pressure changes. The natural-fill cystometry is thought to be a physiological test that is affordable and convenient because of its simple structure and small size. (J Korean Acad Rehab Med 2006; 30: 195-198)

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Comparison between Conventional Cystometry and Diuretics Stimulated Filling Cystometry in Neurogenic Bladder after Spinal Cord Injury.: Ko, Hyun Yoon , Park, Ho Joon , Kim, Hoon , Shin, Young Beom , Lee, Jong Eon; J Korean Acad Rehabil Med 1999;23(5):948-953.

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Objective: The purpose of this study is to evaluate the effects of regular sports activity on psychosocial adaptation, natural killer cell activity (NKCA) as an immunologic measure and HDL-cholesterol level as an indirect index of heart disease in chronic spinal cord injured persons.

Method: We compared two groups. One is sports group (n=13) who has been doing regular sports activity more than three hours a week for at least one year. Another group who leads sedentary life matched age and body mass index served as a control group (n=13). For the evaluation of psychosocial adaptation, we assessed Rosenberg Self Esteem Scale as subjective measure, Craig Handicap Assessment and Reporting Technique (CHART) as objective measure and Symptom Checklist 90 Revision (SCL-90-R) as a psychologic evaluation. NKCA and serum HDL-cholesterol level were assessed.

Results: There was no significant difference in subjective measure and psychologic evaluation between two groups. CHART score and NKCA are significantly higher in the sports group than in the control group (p＜0.05). HDL cholesterol level was increased in the sports group compared with the control group.

Conclusion: Participating in regular sports activity improved the psychosocial adaptation and immune system in chronic spinal cord injured persons.