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Journal of the Korean Academy of Rehabilitation Medicine 1997;21(3):493-499.
Effect of Postures on Residual Urine Following Catheterization in Spinal Cord Injured Patients.
Kim, Sang Hyun , Chong, Soon Yeol , Chung, Jin Sang , Choi, Young Chil
1Department of Rehabilitation Medicine, College of Medicine, Kon-Kuk University, Korea.
2Department of Radiology, College of Medicine, Kon-Kuk University, Korea.
척수손상 환자에서 자세에 따른 도뇨후 잔뇨량의 변화
김상현, 정순열, 정진상, 최영칠*
건국대학교 의과대학 재활의학교실 및 방사선과학교실*
Abstract

Intermittent catheterization has reduced the frequency of urinary tract infection(UTI), calculus formation and vesicourethral reflux in spinal cord injured(SCI) patients. Still the residual urine (RU) following catheterization has been suggested as one of the possible causes of UTI.

The purpose of this study was to identify the effect of postures on RU following catheterization, for the rehabilitation of neurogenic bladder in SCI patients. The inclusion criteria were: SCI patients with neurogenic bladder; completion of bladder rehabilitation program; good sitting balance and intact hand function. twelve SCI patients fulfilled the criteria and completed ultrasonographic RU measurement in sitting and supine posture following catherterization, respectively. We also studied the frequency of UTI, the functional type of neurogenic bladder and the postures during bladder evacuation at home.

All patients had ultrasonographical evidence of RU following catheterizations both in sitting and supine postures. Residual urine volume following catheterization was significantly smaller in sitting posture than in supine posture(p<0.05). Frequency of UTI was significantly lower in the patients who performed catheterizations in sitting posture than in supine posture(p<0.05).

In conclusion, bladder training in sitting posture would be better than in supine posture to minimize RU in SCI patients with good sitting balance and intact hand function.

Key Words: Residual urine, Catheterization posture, Spinal cord injured patients, Ultrasonography


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