ORIGINAL PAPER
Effect of electromyography biofeedback training of the abdominal muscles on bladder function in paraplegic spinal cord injury patients
 
More details
Hide details
1
University of Hertfordshire Hosted by Global Academic Foundation, Cairo, Egypt
 
2
Department of Basic Science, Faculty of Physical Therapy, Cairo University, Giza, Egypt
 
3
Department of Physical Therapy for Neurological Disorders, Faculty of Physical Therapy, Cairo University, Giza, Egypt
 
4
Basic Science Department, Badr University in Cairo, Cairo, Egypt
 
 
Submission date: 2020-07-02
 
 
Acceptance date: 2020-09-15
 
 
Publication date: 2022-03-29
 
 
Physiother Quart. 2022;30(1):51-56
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
To investigate the efficacy of biofeedback abdominal muscles training on the bladder control and the quality of life in paraplegic patients.

Methods:
Overall, 60 male and female paraplegic patients aged 20–40 years were randomly divided into 2 groups. The patients in the study group were treated with abdominal muscles biofeedback strength training, and the control group received pelvic floor biofeedback strength training 2 times per week. The subjects in both groups were evaluated before and after the treatment by (1) measuring post-void urine residual volume, (2) overactive bladder questionnaire, the Arabic version.

Results:
There was a significant difference between the 2 groups. In the study group, the urine residual volume decreased to the normal range and the quality of life questionnaire score decreased, which showed good improvement. In the control group, there was no significant difference, with minimal changes: the urine residual volume was still high and the quality of life questionnaire score remained high.

Conclusions:
Abdominal muscles biofeedback training must be a main point in the bladder rehabilitation program for paraplegic patients as it decreases the urine residual volume and optimizes quality of life.

 
REFERENCES (24)
1.
Ahuja CS, Wilson JR, Nori S, Kotter MRN, Druschel C, Curt A, et al. Traumatic spinal cord injury. Nat Rev Dis Primers. 2017;3(1):17018; doi: 10.1038/nrdp.2017.18.
 
2.
Whiteneck GG, Charlifue SW, Frankel HL, Fraser MH, Gardner BP, Gerhart KA, et al. Mortality, morbidity, and psychosocial outcomes of persons spinal cord injured more than 20 years ago. Paraplegia. 1992;30(9):617–630; doi: 10.1038/sc.1992.124.
 
3.
Krause JS, DeVivo MJ, Jackson AB. Health status, community integration, and economic risk factors for mortality after spinal cord injury. Arch Phys Med Rehabil. 2004;85(11):1764–1773; doi: 10.1016/j.apmr.2004.06.062.
 
4.
O’Connor PJ. Survival after spinal cord injury in Australia. Arch Phys Med Rehabil. 2005;86(1):37–47; doi: 10.1016/j.apmr.2004.03.018.
 
5.
Lidal IB, Snekkevik H, Aamodt G, Hjeltnes N, Stanghelle JK, Biering-Sørensen F. Mortality after spinal cord injury in Norway. J Rehabil Med. 2007;39(2):145–151; doi: 10.2340/16501977-0017.
 
6.
Garshick E, Kelley A, Cohen SA, Garrison A, Tun CG, Gagnon D, et al. A prospective assessment of mortality in chronic spinal cord injury. Spinal Cord. 2005;43(7):408–416; doi: 10.1038/sj.sc.3101729.
 
7.
Ahoniemi E, Pohjolainen T, Kautiainen H. Survival after spinal cord injury in Finland. J Rehabil Med. 2011;43(6):481–485; doi: 10.2340/16501977-0812.
 
8.
West DA, Cummings JM, Longo WE, Virgo KS, Johnson FE, Parra RO. Role of chronic catheterization in the development of bladder cancer in patients with spinal cord injury. Urology. 1999;53(2):292–297; doi: 10.1016/s0090-4295(98)00517-2.
 
9.
Ren J, Chew DJ, Biers S, Thiruchelvam N. Electrical nerve stimulation to promote micturition in spinal cord injury patients: a review of current attempts. Neurourol Urodyn. 2016;35(3):365–370; doi: 10.1002/nau.22730.
 
10.
National Institute on Disability and Rehabilitation Research. The prevention and management of urinary tract infections among people with spinal cord injuries. National Institute on Disability and Rehabilitation Research Consensus Statement. January 27–29, 1992. J Am Paraplegia Soc. 1992;15(3):194–207; doi: 10.1080/01952307.1992.11735873.
 
11.
Wyndaele JJ. Complications of intermittent catheterization: their prevention and treatment. Spinal Cord. 2002;40(10):536–541; doi: 10.1038/sj.sc.3101348.
 
12.
Simforoosh N, Dadkhah F, Hosseini SY, Asgari MA, Nasseri A, Safarinejad MR. Accuracy of residual urine measurement in men: comparison between real-time ultrasonography and catheterization. J Urol. 1997;158(1):59–61; doi: 10.1097/00005392-199707000-00016.
 
13.
Chang SM, Hou CL, Dong DQ, Zhang H. Urologic status of 74 spinal cord injury patients from the 1976 Tangshan earthquake, and managed for over 20 years using the Credé maneuver. Spinal Cord. 2000;38(9):552–554; doi: 10.1038/sj.sc.3101060.
 
14.
Liu C-W, Attar KH, Gall A, Shah J, Craggs M. The relationship between bladder management and health-related quality of life in patients with spinal cord injury in the UK. Spinal Cord. 2010;48(4):319–324; doi: 10.1038/sc.2009.132.
 
15.
Al-Shaiji TF, Alkabbani M, El-Nahas AR, Thahir A, Almutairi MF, Al-Terki A. Validation of the Arabic linguistic version of the 8-item overactive bladder questionnaire (OAB-V8). Int Urogynecol J. 2019;30(12):2153–2156; doi: 10.1007/s00192-019-03905-0.
 
16.
Anderson KD. Targeting recovery: priorities of the spinal cord-injured population. J Neurotrauma. 2004;21(10):1371–1383; doi: 10.1089/neu.2004.21.1371.
 
17.
Herrity AN, Williams CS, Angeli CA, Harkema SJ, Hubscher CH. Lumbosacral spinal cord epidural stimulation improves voiding function after human spinal cord injury. Sci Rep. 2018;8(1):8688; doi: 10.1038/s41598-018-26602-2.
 
18.
Benevento BT, Sipski ML. Neurogenic bladder, neurogenic bowel, and sexual dysfunction in people with spinal cord injury. Phys Ther. 2002;82(6):601–612; doi: 10.1093/ptj/82.6.601.
 
19.
Jamil F. Towards a catheter free status in neurogenic bladder dysfunction: a review of bladder management options in spinal cord injury (SCI). Spinal Cord. 2001;39(7):355–361; doi: 10.1038/sj.sc.3101132.
 
20.
Piatt JA, Nagata S, Zahl M, Li J, Rosenbluth JP. Problematic secondary health conditions among adults with spinal cord injury and its impact on social participation and daily life. J Spinal Cord Med. 2016;39(6):693–698; doi: 10.1080/10790268.2015.1123845.
 
21.
Goode PS, Locher JL, Bryant RL, Roth DL, Burgio KL. Measurement of postvoid residual urine with portable transabdominal bladder ultrasound scanner and urethral catheterization. Int Urogynecol J Pelvic Floor Dysfunct. 2000;11(5):296–300; doi: 10.1007/s001920070020.
 
22.
Al Afraa T, Mahfouz W, Campeau L, Corcos J. Normal lower urinary tract assessment in women: I. Uroflowmetry and post-void residual, pad tests, and bladder diaries. Int Urogynecol J. 2012;23(6):681–685; doi: 10.1007/s00192-011-1568-z.
 
23.
Oh S-J, Ku JH, Jeon HG, Shin H-I, Paik N-J, Yoo T. Health-related quality of life of patients using clean intermittent catheterization for neurogenic bladder secondary to spinal cord injury. Urology. 2005;65(2):306–310; doi: 10.1016/j.urology.2004.09.032.
 
24.
Greenstein A, Rucker KS, Katz PG. Voiding by increased abdominal pressure in male spinal cord injury patients – long term follow up. Paraplegia. 1992;30(4):253–255; doi: 10.1038/sc.1992.64.
 
ISSN:2544-4395
Journals System - logo
Scroll to top