Effect of Different Forms of Activity-Based Recovery Training on Bladder, Bowel, and Sexual Function After Spinal Cord Injury.
Effect of Different Forms of Activity-Based Recovery Training on Bladder, Bowel, and Sexual Function After Spinal Cord Injury.
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DOI：
10.1016/j.apmr.2020.11.002
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发表时间：
2021-05
影响因子：
4.3
通讯作者：
Herrity AN
中科院分区：
文献类型：
--
作者：
Hubscher CH;Wyles J;Gallahar A;Johnson K;Willhite A;Harkema SJ;Herrity AN
研究慢性脊髓损伤后运动步训练后泌尿生殖和肠道功能的改善是否是由于单纯负重或一般运动所致。前瞻性队列研究;小样本量初探性试验。美国康复研究所和脊髓损伤研究中心的泌尿生殖器和肠道科学核心设施。22名患有脊髓损伤（ASIA损伤量表A-D级）的男性和女性参与了本研究。每天约80次站立训练或非负重臂曲柄测力计，每次1小时。与先前公布的运动训练数据进行比较（步骤; N=7）。在训练前和训练后的时间点进行评估，包括膀胱功能的膀胱测压和肠道和性功能的国际数据集量表。膀胱测压测量显示膀胱压力显著降低，非负重运动依从性改善有限，但站立时无改善。虽然国际数据集问卷调查显示，严重的肠功能障碍和性功能的显着缺陷训练前，没有发现差异后站或非负重运动。这些初步试验结果表明，虽然站立/负重单独不利于脊髓损伤后的盆腔器官功能，但运动通常可能至少部分有助于降低膀胱压力和增加先前通过运动训练观察到的顺应性，可能通过代谢，体液和/或心血管机制。因此，为了使基于活动的恢复训练对储存和排空相关功能的益处最大化，控制膀胱和肠的脊髓神经回路的适当水平的感觉输入需要任务特定的步进。
To investigate whether the urogenital and bowel functional gains previously demonstrated post-locomotor step training after chronic spinal cord injury could have been derived due to weight-bearing alone or from exercise in general. Prospective cohort study; pilot trial with small sample size. Urogenital and Bowel Scientific Core Facility at a Rehabilitation Institute and Spinal Cord Injury Research Center in the United States. Twenty-two males and females with spinal cord injury (ASIA Impairment Scale grades of A-D) participated in this study. Approximately eighty daily one-hour sessions of either stand training or non-weight bearing arm crank ergometry. Comparisons are made with previously published locomotor training data (step; N=7). Assessments at both pre-and post-training time-points included cystometry for bladder function and International Data Set Questionnaires for bowel and sexual functions. Cystometry measurements revealed a significant decrease in bladder pressure and limited improvement in compliance with non-weight bearing exercise but not with standing. Although International Data Set questionnaires revealed profound bowel dysfunction and marked deficits in sexual function pre-training, no differences were identified post-stand or after non-weight bearing exercise. These pilot trial results suggest that although stand/weight-bearing alone does not benefit pelvic organ functions after spinal cord injury, exercise in general may contribute at least partially to the lowering of bladder pressure and the increase in compliance that was seen previously with locomotor training, potentially through metabolic, humoral and/or cardiovascular mechanisms. Thus, in order to maximize activity-based recovery training benefits for storage and emptying related functions, an appropriate level of sensory input to the spinal cord neural circuitries controlling bladder and bowel requires task-specific stepping.
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影响因子：
168.9
作者：
DIETZ, V;COLOMBO, G;JENSEN, L
通讯作者：
JENSEN, L
影响因子：
1.2
作者：
Biering-Sorensen, Fin;Kennelly, Michael;Wyndaele, Jean-Jacques
通讯作者：
Wyndaele, Jean-Jacques
影响因子：
5.5
作者：
DIETZ, V;QUINTERN, J;SILLEM, M
通讯作者：
SILLEM, M
影响因子：
2.2
作者：
Anderson, K. D.;Borisoff, J. F.;Elliott, S. L.
通讯作者：
Elliott, S. L.
影响因子：
5.6
作者：
Harkema, SJ
通讯作者：
Harkema, SJ