Effect of visceral massage on gastrointestinal dysfunction in adults with spinal cord injury –⁠ a case study

Czech version

Authors: Štěpánová J. ¹; Pliska P. ²; Bundilová H. ¹
Published in: Rehabil. fyz. Lék., 31, 2024, No. 3, pp. 144-149.
Category: Case Report
doi: https://doi.org/10.48095/ccrhfl 2024144

Overview

People with spinal cord injury have a number of permanent health problems that get worse during the bad lifestyle and aging. Among them there are gastrointestinal complications, which have a significant negative impact on health, quality of life and well-being of patients. The purpose of this case study was to determine the efficacy of visceral massage in reducing the severity of bowel dysfunction symptoms of chronic patients with spinal cord injury. The standardized questionnaire Neurogenic Bowel Dysfunction score (NBD score), the standardized questionnaire Irritable Bowel Syndrome –⁠ Quality of Life survey (IBS-QOL) and non-standardized Czech version questionnaire Burwood Questionnaire were used to objectify the study results. The assessment was added with information from the anamnestic interviews. This case study demonstrated the positive impact of visceral massage on the reduction of NBD score, abdominal pain and discomfort. Defecation characteristics were positively changed, too (frequency, amount, consistency, faecal incontinence). Physiotherapists should not neglect the need for diagnosis and therapy of gastrointestinal problems in persons with spinal cord injury in clinical practice. However, this issue also depends on the patient‘s compliance with dietary measures, optimal bowel management and healthy lifestyle.

Keywords:

spinal cord injury – neurogenic bowel dysfunction – visceral manipulation – bowel management

Sources

1. White A, Holmes GM. Investigating neurogenic bowel in experimental spinal cord injury: where to begin? Neural Regen Res 2019; 14 (2): 222–226. doi: 10.4103/1673-5374.244779.

2. Sogabe M, Okahisa T, Kimura T et al. Influence of metabolic syndrome on upper gastrointestinal disease. Clin J Gastroenterol 2016; 9 (4): 191–202. doi: 10.1007/s12328-016-0668-1.

3. Ierardi E, Rosania R, Zotti M et al. Metabolic syndrome and gastro-esophageal reflux: a link towards a growing interest in developed countries. World J Gastrointest Pathophysiol 2010; 1 (3): 91–96. doi: 10.4291/wjgp.v1.i3.91.

4. Johnson B. Physiology of the autonomic nervous system. In: Farag E, Argalious, M, Tetzlaff J et al. (eds). Basic sciences in anesthesia. New York: Springer International Publishing 2018 : 355–364.

5. Arnold EP, Losco G, English S et al. Symptoms of bowel dysfunction and their management after spinal cord injury in a New Zealand centre. N Z Med J 2018; 131 (1475): 21–26.

6. Lee JC, Gross BW, Rittenhouse KJ et al. A bitter pill to swallow: dysphagia in cervical spine injury. J Surg Res 2016; 201 (2): 388–393. doi: 10.1016/j.jss.2015.11.031.

7. Squair JW, Dhaliwal R, Cragg JJ et al. National survey of bladder and gastrointestinal dysfunction in people with spinal cord injury. J Neurotrauma 2019; 36 (12): 2011–2019. doi: 10.1089/neu.2018.5967.

8. Dolina J, Hep A, Mišejková M. Dráždivý tračník. Vnitř Lék 2011; 57 (9): 681–683.

9. Rodriguez G, Cameron A. Neurogenic bowel dysfunction. In: Liao L, Madersbacher H (eds). Neurourology. Dordrecht: Springer Netherlands 2019 : 447–455. doi: 10.1007/978-94-017-7509-0_55.

10. Lynch A, Antony A, Dobbs B et al. Bowel dysfunction following spinal cord injury. Spinal Cord 2001; 39 (4): 193–203. doi: 10.1038/sj.sc.3101119.

11. Wu T, Wang H, Lin C. The effectiveness of abdominal eassage on neurogenic bowel dysfunction in patients with spinal cord injury: a systematic review. J Nurs 2017; 64 (1): 90–97. doi: 10.6224/JN.000012.

12. Qi Z, Middleton JW, Malcolm A. Bowel dysfunction in spinal cord injury. Curr Gastroenterol Rep 2018; 20 (10): 47. doi: 10.1007/s11894-018-0655-4.

13. Hu C, Ye M, Huang Q. Effects of manual therapy on bowel function of patients with spinal cord injury. J Phys Ther Sci 2013; 25 (6): 687–688. doi: 10.1589/jpts.25.687.

14. Janssen TW, Prakken ES, Hendriks JM et al. Electromechanical abdominal massage and colonic function in individuals with a spinal cord injury and chronic bowel problems. Spinal Cord 2014; 52 (9): 693–699. doi: 10.1038/sc.2014.101.

15. Coggrave M. Neurogenic continence. Part 3: Bowel management strategies. Br J Nurs 2008; 17 (15): 962–968. doi: 10.12968/bjon.2008.17.15. 30698.

16. Rasmussen MM, Kutzenbergr J, Krogh K et al. Sacral anterior root stimulation improves bowel function in subjects with spinal cord. Spinal Cord 2015; 53 (4) : 297 –⁠ 301. doi: 10.1038/ sc.2015.2.

Doručeno/ Submitted: 26. 2. 2024

Přijato/ Accepted: 22. 8. 2024

Korespondenční autor:

Mgr. Jarmila Štěpánová, PhD.

Katedra fyzioterapie

Fakulta tělesné kultury

Univerzita Palackého v Olomouci

třída Míru 117

779 11 Olomouc

e-mail: jarmila.stepanova@upol.cz