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Journal of the Korean Academy of Rehabilitation Medicine 2000;24(3):446-452.
Colon Transit Time and Management of Upper Motor Neuron Type Neurogenic Bowel in Spinal Cord Injury.
Im, Seon Hee , Rah, Ueon Woo , Lee, Il Yung , Cho, Ki Hong
1Department of Physical Medicine and Rehabilitation, School of Medicine, Ajou University.
2Department of Neurosurgery, School of Medicine, Ajou University.
척수 손상인의 상부 운동원성 신경인성 장의 대장 통과 시간과 배변 관리
임선희, 나은우, 이일영, 조기홍
아주대학교 의과대학 재활의학교실 신경외과학교실

The aims of this study were to evaluate the common gastrointestinal problems, diet and bowel care patterns, and to estimate the colon transit time in spinal cord injury (SCI).

Fifteen chronic spinal cord injured persons with upper motor neuron type neurogenic bowel were studied by measuring the colonic transit time and interviews. The colon transit time was studied by using radioopaque markers.

Mean total colonic transit time was 43.79 h with right colonic transit time 13.71 h, left colonic transit time 20.36 h, and rectosigmoid colonic transit time 9.71 h. The right colonic transit time was delayed in 35.7% of the subjects, left colonic transit time in 64.3%, and rectosigmoid colonic transit time in 21.4%. The common gastrointestinal problem in SCI were constipation (66.7%). The defecation difficulty (73.3%) was the most significant subjective symptom. Delayed colonic transit time was shown in 80% of perceived 'constipation' group. The average time spent for the defecation was 64.7 minutes per day. 73.3% of the subjects did not control the diet.

Spinal cord injured persons of upper motor neuron type neurogenic bowel in Korea showed significantly delayed colonic transit time than non SCI adults, similar delayed colon transit time as Western SCI persons who consume less fibers in daily diets.

Key Words: Colon transit time, Upper motor neurogenic bowel, Spinal cord injury


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