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    Please use this identifier to cite or link to this item: http://tkuir.lib.tku.edu.tw:8080/dspace/handle/987654321/58719

    Title: Efficacy of Functional Magnetic Stimulation in Neurogenic Bowel Dysfunction after Spinal Cord Injury
    Authors: Tsai, Po-Yi;Wang, Chih-Pin;Chiu, Fang-Yao;Tsai, Yu-An;Chang, Yue-Cune;Chuang, Tien-Yow
    Contributors: 淡江大學數學學系
    Keywords: constipation;functional magnetic stimulation;neurogenic bowel dysfunction;spinal cord injury
    Date: 2009-01
    Issue Date: 2013-06-13 11:26:15 (UTC+8)
    Publisher: Uppsala: Stiftelsen Rehabiliteringsinformation
    Abstract: Objective: The aims of this study were to assess the usefulness of functional magnetic stimulation in controlling neurogenic bowel dysfunction in spinal cord injured patients with supraconal and conal/caudal lesions, and to investigate the efficacy of this regimen with a 3-month follow-up.
    Design: A longitudinal, prospective before-after trial.
    Subjects: A total of 22 patients with chronic spinal cord injured and intractable neurogenic bowel dysfunction. They were divided into group 1 (supraconal lesion) and group 2 (conal/caudal lesion).
    Methods: The colonic transit time assessment and Knowles-Eccersley-Scott Symptom Questionnaire were carried out for each patient before they received a 3-week functional magnetic stimulation protocol and on the day following the treatment.
    Results and conclusion: Following functional magnetic stimulation, the mean colonic transit time for all patients decreased from 62.6 to 50.4 h (p < 0.001). The patients’ Knowles-Eccersley-Scott Symptom scores decreased from 24.5 to 19.2 points (p < 0.001). The colonic transit time decrement in both group 1 (p = 0.003) and group 2 (p = 0.043) showed significant differences, as did the Knowles-Eccersley-Scott Symptom score in both groups following stimulation and in the 3-month follow-up results (p < 0.01). The improvements in bowel function indicate that functional magnetic stimulation, featuring broad-spectrum application, can be incorporated successfully into other therapies as an optimal adjuvant treatment for neurogenic bowel dysfunction resulting from spinal cord injury.
    Relation: Journal of Rehabilitation Medicine 41(1), pp.41-47
    DOI: 10.2340/16501977-0280
    Appears in Collections:[Graduate Institute & Department of Mathematics] Journal Article

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