학술논문
Integrated Effect of Non-Invasive Neuromodulation on Bladder Capacity in Traumatic Spinal Cord Injury Patient: Single Case Report
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- 영문명
- 발행기관
- 물리치료재활과학회
- 저자명
- Priyanka Dangi Narkeesh Arumugam Dinesh Suman
- 간행물 정보
- 『Physical Therapy Rehabilitation Science』제13권 제1호, 86~94쪽, 전체 9쪽
- 주제분류
- 의약학 > 재활의학
- 파일형태
- 발행일자
- 2024.03.01
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국문 초록
Objective: To evaluate the changes in bladder capacity and storage through non-invasive neuromodulation by application of repetitive Trans magnetic stimulation (rTMS) and genital nerve stimulation (GNS) in traumatic spinal cord survivors.
Design: A Single Case Study.
Method: The Patient was registered in trail with the clinical trial registry of India (CTRI/2022/05/042431). The Patient was interposed with rTMS on lumbar area, from T11-L4 vertebrae with 1 Hz and the intensity was 20% below that elicited local paraspinal muscular contraction for 13 minutes. GNS was placed over dorsum of the penis with the cathode at the base and anode 2 cm distally at 20 Hz, 200 microseconds, Continuous and biphasic current was delivered and amplitude of stimulation necessary to elicit the genito-anal reflex. For assessment, Neurological examination was done for peri-anal sensation (PAS), voluntary anal contraction (VAC) and bulbocavernous reflex (BCR), deep anal pressure (DAP), and American Spinal Injury Association Impairment Scale (ASIA scale). Outcome assessment was done using Urodynamics, Spinal Cord Independence Measure Scale Version-III (SCIM-III), American Spinal Injury Association Impairment Score (ASIA Score), Beck’s Depression Inventory Scale (BDI). The baseline evaluation was taken on Day 0 and on Day 30.
Results: The pre-and post-data were collected through ASIA score, SCIM-III, BDI and Urodynamics test which showed significant improvement in bladder capacity and storage outcomes in the urodynamics study across the span of 4 weeks.
Conclusion: rTMS along with GNS showed improvement in bladder capacity & storage, on sensory-motor score, in functional independence of individual after SCI.
영문 초록
목차
Introduction
Methods
Intervention/Treatment Mediation
Results
Discussion
Limitations & Conclusion
References
키워드
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