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척수 손상 환자의 신경인성 방광에서 방광 신장 치료법

Other Titles
 Stretching Therapy of Neurogenic Bladder in Patients with Spinal Cord Injury 
Authors
 신지철  ;  박창일  ;  김정은  ;  나동욱  ;  박사윤  ;  김용욱 
Citation
 Journal of the Korean Academy of Rehabilitation Medicine (대한재활의학회지), Vol.27(3) : 344-348, 2003 
Journal Title
Journal of the Korean Academy of Rehabilitation Medicine(대한재활의학회지)
ISSN
 1225-584X 
Issue Date
2003
MeSH
Spinal cord injury ; Neurogenic baldder ; Intravesical instillation ; Stretching therapy
Keywords
Spinal cord injury ; Neurogenic baldder ; Intravesical instillation ; Stretching therapy
Abstract
Objective: To evaluate the effect of stretching therapy of neurogenic bladder in spinal cord injured patients.
Method: Twelve spinal cord injured patients who had neurogeic bladder manifested with urinary incontinence resistant to oral and intravesical anticholinergic instillation treatment were selected. Oxybutynin solution was instillated via foley catheter and the catheter was clamped until incontinence occur. This was performed twice a day for 7 days. The urodynamic studies were compared before and after therapy. Total volume of daily incontinence and total volume of daily fluid intake were also monitored.

Results: After stretching therapy, median maximal bladder capacity increased from 190.08 to 457.17 ml (p<0.01), mean bladder compliance increased from 8.46 to 18.85 ml/cmH2O (p<0.01), mean reflex volume increased from 148.75 to 252.17 ml (p<0.05), mean maximal detrusor pressure decreased from 52.17 to 28.29 cmH2O (p<0.01), mean clinical maximal capacity increased from 277.50 to 537.50 ml (p<0.01), and mean daily incontinent volume decreased from 508.33 ml to 20.83 ml (p<0.01). No significant correlation was found between the duration since onset of injury and the urodynamic finding.

Conclusion: This study proved that stretching therapy of bladder was an effective method in spinal cord injured patients who had neurogenic bladder with uncontrolled incontinence with conventional therapy.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Yong Wook(김용욱) ORCID logo https://orcid.org/0000-0002-5234-2454
Kim, Jung Eun(김정은)
Rha, Dong Wook(나동욱) ORCID logo https://orcid.org/0000-0002-7153-4937
Park, Chang Il(박창일)
Shin, Ji Cheol(신지철) ORCID logo https://orcid.org/0000-0002-1133-1361
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/113312
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