Changes in bowel function following exoskeletal-assisted walking in persons with spinal cord injury: an observational pilot study.,Spinal Cord

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Changes in bowel function following exoskeletal-assisted walking in persons with spinal cord injury: an observational pilot study.
Spinal Cord ( IF 2.2 ) Pub Date : 2019-12-10 , DOI: 10.1038/s41393-019-0392-z
Audrey Chun _{1,

2} , Pierre K Asselin _{1,

2} , Steven Knezevic ₁ , Stephen Kornfeld _{1,

2} , William A Bauman _{1,

2,

3} , Mark A Korsten _{1,

3} , Noam Y Harel _{1,

2,

4} , Vincent Huang ₂ , Ann M Spungen _{1,

2,

3}

Affiliation

Study design

Prospective, observational study.

Objective

To explore the effects of exoskeletal-assisted walking (EAW) on bowel function in persons with spinal cord injury (SCI).

Setting

Ambulatory research facility located in a tertiary care hospital.

Methods

Individuals 18–65 years of age, with thoracic vertebrae one (T1) to T11 motor-complete paraplegia of at least 12 months duration were enrolled. Pre- and post-EAW training, participants were asked to report on various aspects of their bowel function as well as on their overall quality of life (QOL) as related to their bowel function.

Results

Ten participants completed 25–63 sessions of EAW over a period of 12–14 weeks, one participant was lost to follow up due to early withdrawal after ten sessions. Due to the small sample size, each participant’s results were presented descriptively in a case series format. At least 5/10 participants reported improvements with frequency of bowel evacuations, less time spent on bowel management per bowel day, fewer bowel accidents per month, reduced laxative and/or stool softener use, and improved overall satisfaction with their bowel program post-EAW training. Furthermore, 8/10 reported improved stool consistency and 7/10 reported improved bowel function related QOL. One participant reported worsening of bowel function post-EAW.

Conclusion

Between 50 and 80% of the participants studied reported improvements in bowel function and/or management post-EAW training. EAW training appeared to mitigate SCI-related bowel dysfunction and the potential benefits of EAW on bowel function after SCI is worthy or further study.

中文翻译：

脊髓损伤患者骨骼外辅助行走后肠功能的变化：一项观察性试验研究。

学习规划

前瞻性观察研究。

客观的

目的探讨骨骼外辅助步行（EAW）对脊髓损伤（SCI）患者肠功能的影响。

环境

位于三级医院的门诊研究机构。

方法

研究对象年龄在18-65岁之间，至少持续12个月的胸椎一（T1）至T11运动完全截瘫。在进行EAW之前和之后的培训中，要求参与者报告其肠功能的各个方面以及与肠功能有关的整体生活质量（QOL）。

结果

10名参与者在12-14周内完成了EAW的25-63次会议，其中一名参与者由于十次会议后提前退出而失去了随访。由于样本量小，每个参与者的结果都以案例系列的形式描述性地呈现。至少5/10名参与者报告了排便频率的提高，每个大肠日用于肠道管理的时间减少，每月排便次数减少，泻药和/或大便软化剂的使用减少以及EAW后他们的肠胃计划的总体满意度得到改善训练。此外，有8/10个报告了改善的粪便稠度，而7/10个报告了与肠道功能有关的QOL。一位参与者报告说，EAW后肠功能恶化。