New strategies for managing bowel and bladder dysfunction after spinal cord injury

Among the many challenges to independence and quality of life after spinal cord injury, two complications have emerged as top priorities for researchers—neurogenic bowel and neurogenic bladder. With funding from the Craig H. Neilsen Foundation, researchers formulated a framework for planning and executing the research needed in these areas, and established recommendations for translating research findings into practical recommendations for community use by individuals with spinal cord injury.

The development of metric standards was fundamental to their objectives, which included updating clinical recommendations for clinicians and consumers, understanding bowel physiology and establishing targets for , utilizing sensory technology to signal the need to void, optimizing neuromodulation to replace or restore functional control, and measuring the associations between diet and activity on bowel and .

The March issue of the Journal of Spinal Cord Medicine features this Open Access content: a commentary and two articles describing the bowel and bladder evaluation strategies that can be applied to the continuum of preclinical and and implementation in the community. In "Recommendations for evaluation of bladder and bowel function in preclinical spinal cord injury research," Holmes and associates focus on the appropriateness of various outcome metrics in the study of neurogenic bowel and , emphasizing metrics fundamental to the development of effective interventions.

For the next step on the continuum, in "Recommendations for evaluation of neurogenic bladder and bowel dysfunction after spinal cord injury and/or disease," Tate and colleagues rigorously assess the use of clinical tools and metrics in . They recommend 15 clinical assessments for bladder dysfunction and 12 objective assessments of bowel dysfunction and identify eight measures for the self-report of bladder and bowel dysfunction.

In the accompanying commentary, "Neurogenic bowel and bladder evaluation strategies in spinal cord injury: New directions," David R. Gater, Jr., MD, Ph.D., MS, advises preclinical and clinical researchers, "...to take heed of these recommendations as they consider methodology for their studies and trials in neurogenic bladder and bowel, recognizing the importance of solid methodology to the development of clinical interventions that will enable people with disabilities to participate fully in their communities."


Explore further

New clinical trial examines a potential noninvasive solution for overactive bladders

More information: Denise G. Tate et al, Recommendations for evaluation of neurogenic bladder and bowel dysfunction after spinal cord injury and/or disease, The Journal of Spinal Cord Medicine (2020). DOI: 10.1080/10790268.2019.1706033
Provided by Kessler Foundation
Citation: New strategies for managing bowel and bladder dysfunction after spinal cord injury (2020, March 12) retrieved 28 November 2020 from https://medicalxpress.com/news/2020-03-strategies-bowel-bladder-dysfunction-spinal.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
 shares

Feedback to editors

User comments