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Titolo:
An implantable neuroprosthesis for restoring bladder and bowel control to patients with spinal cord injuries: A multicenter trial
Autore:
Creasey, GH; Grill, JH; Korsten, M; Sang, H; Betz, R; Anderson, R; Walter, J;
Indirizzi:
US Dept Vet Affairs, Vet Affairs Edward Hines Jr Hosp, Hines, IL 60141 USAUS Dept Vet Affairs Hines IL USA 60141 Hines Jr Hosp, Hines, IL 60141 USA Stanford Univ, Med Ctr, Stanford, CA 94305 USA Stanford Univ Stanford CA USA 94305 Univ, Med Ctr, Stanford, CA 94305 USA Shriners Hosp Children, Philadelphia Unit, Philadelphia, PA USA Shriners Hosp Children Philadelphia PA USA ia Unit, Philadelphia, PA USA Univ Calif San Diego, Med Ctr, San Diego, CA 92103 USA Univ Calif San Diego San Diego CA USA 92103 Ctr, San Diego, CA 92103 USA VA San Diego Hlth Care Syst, San Diego, CA USA VA San Diego Hlth Care Syst San Diego CA USA are Syst, San Diego, CA USA Vet Affairs Med Ctr, Bronx, NY USA Vet Affairs Med Ctr Bronx NY USAVet Affairs Med Ctr, Bronx, NY USA NeuroControl Corp, Cleveland, OH USA NeuroControl Corp Cleveland OH USANeuroControl Corp, Cleveland, OH USA Case Western Reserve Univ, Cleveland, OH 44106 USA Case Western Reserve Univ Cleveland OH USA 44106 Cleveland, OH 44106 USA Metrohlth Med Ctr, Louis Stokes Dept Vet Affairs Med Ctr, Cleveland, OH 44109 USA Metrohlth Med Ctr Cleveland OH USA 44109 Med Ctr, Cleveland, OH 44109 USA
Titolo Testata:
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
fascicolo: 11, volume: 82, anno: 2001,
pagine: 1512 - 1519
SICI:
0003-9993(200111)82:11<1512:AINFRB>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
ANTERIOR ROOT STIMULATORS; ELECTRICAL-STIMULATION; NERVE ROOTS; RHIZOTOMY; PARAPLEGIA;
Keywords:
bladder, neurogenic; electric stimulation; rehabilitation; rhizotomy; spinal cord injuries; urinary incontinence;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Creasey, GH Metrohlth Med Ctr, Louis Stokes Dept Vet Affairs Med Ctr, 2500Metrohlth Dr, Cleveland, OH 44109 USA Metrohlth Med Ctr 2500 Metrohlth Dr Cleveland OH USA 44109 USA
Citazione:
G.H. Creasey et al., "An implantable neuroprosthesis for restoring bladder and bowel control to patients with spinal cord injuries: A multicenter trial", ARCH PHYS M, 82(11), 2001, pp. 1512-1519

Abstract

Objective: To evaluate the safety and efficacy of an implanted neuroprosthesis for management of the neurogenic bladder and bowel in individuals withspinal cord injury (SCI). Design: Prospective Study comparing bladder and bowel control before and at 3. 6. and 12 months after implantation of the neuroprosthesis. Setting: Six US hospitals specializing in treatment of SCI. Patients: Twenty-three neurologically stable patients with complete suprasacral SCIs. Intervention: Implantation of an externally controlled neuroprosthesis forstimulating the sacral nerves and posterior sacral rhizotomy. Main Outcome Measures: Ability to urinate more than 200mL on demand and a resulting postvoid residual volume of less than 50mL. Results: At 1-year follow-up, 18 of 21 patients could urinate more than 200mL with the neuroprosthesis. and 15 of 21 had postvoid volumes less than 50mL (median, 15mL). Urinary tract infection. catheter use. reflex incontinence, anticholinergic drug use, and autonomic dysreflexia were substantiallyreduced. At 1-year follow-up, 15 of 17 patients reduced the time spent with bowel management. Conclusions: Neural stimulation and posterior rhizotomy is a safe and effective method of bladder and bowel management after suprasacral SCI. (C) 2001 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/09/20 alle ore 20:49:13