Vliv viscerální manipulace na gastrointestinální obtíže u osob se spinální lézí – kazuistická studie

Abstract

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 their health, quality of life and wellbeing. The purpose of this pilot study was to determine the efficacy of visceral manipulation 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 pilot study demonstrated the positive impact visceral manipulation to reducing 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.