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

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2002;26(5):526-532.

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.

척수손상 환자의 신경인성 장에서 직장 전기자극의 효과

배하석, 박창일, 박은숙, 김승민¹, 신지철

연세대학교 의과대학 재활의학교실 및 재활의학연구소, ¹신경과학교실

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)

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