Factors Associated With Neurogenic Bowel Dysfunction Severity in Spinal Cord Injury: A Cross-sectional Study

Background: Neurogenic bowel dysfunction (NBD) caused by spinal cord injury (SCI) is a major life limiting issue for many patients. However, studies detailing the factors contributing to bowel problems are scarce. The aim of this cross-sectional questionnaire-based study was to evaluate the associat...

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Autores principales:	Ida Mohammadi, Mohammadhosein Akhlaghpasand, Roozbeh Tavanaei, Maryam Golmohammadi, Alireza Zali, Saeed Oraee-Yazdani
Formato:	article
Lenguaje:	EN
Publicado:	Shahid Beheshti University of Medical Sciences 2021
Materias:	spinal cord injury neurogenic bowel dysfunction cleveland clinic constipation scoring system Medicine R
Acceso en línea:	https://doaj.org/article/6839a89d54e2423dbb874cb58a3d8a64
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spelling	oai:doaj.org-article:6839a89d54e2423dbb874cb58a3d8a642021-11-16T10:51:30ZFactors Associated With Neurogenic Bowel Dysfunction Severity in Spinal Cord Injury: A Cross-sectional Study2383-18712383-209610.34172/icnj.2021.34https://doaj.org/article/6839a89d54e2423dbb874cb58a3d8a642021-10-01T00:00:00Zhttps://journals.sbmu.ac.ir/neuroscience/article/view/35540/27918https://doaj.org/toc/2383-1871https://doaj.org/toc/2383-2096Background: Neurogenic bowel dysfunction (NBD) caused by spinal cord injury (SCI) is a major life limiting issue for many patients. However, studies detailing the factors contributing to bowel problems are scarce. The aim of this cross-sectional questionnaire-based study was to evaluate the associations between different aspects of bowel problems and characteristics of SCI, such as time since injury (TSI), level of injury (LOI), and the cause of injury. Methods: Two questionnaires (the NBD score questionnaire and the Cleveland clinic constipation system score questionnaire) were administered to complete, traumatic patients with SCI that matched the designated criteria. The total scores and the subscales were then regressed to TSI and LOI, and the distribution patterns of NBD score severity according to LOI and cause of injury were shown in a diagram. Results: Within the subscales of the NBD score, frequency of defecation, digital stimulation or evacuation of the anorectum, and perianal skin problems were all significantly and positively correlated with the TSI, yet the frequency of fecal incontinence was negatively associated with this variable. Moreover, uneasiness, headache, or perspiration during defecation and regular use of drops against constipation were negatively associated with the LOI. In the diagrams, patterns of NBD score severity were similar according to LOI, but visibly differed according to cause. With respect to the CCCS score (Cleveland Clinic Constipation Scoring System), the score itself was shown to be positively associated with TSI. Within the subscales, difficulty, time spent in lavatory, and duration of constipation were positively correlated with TSI. Furthermore, type of assistance was negatively associated with the LOI. Conclusion: Different characteristics of SCI, TSI, LOI, and cause, each are significantly and distinctly associated with different aspects of the bowel problems that patients with SCI face.Ida MohammadiMohammadhosein AkhlaghpasandRoozbeh TavanaeiMaryam GolmohammadiAlireza ZaliSaeed Oraee-YazdaniShahid Beheshti University of Medical Sciencesarticlespinal cord injuryneurogenic bowel dysfunctioncleveland clinic constipation scoring systemMedicineRENInternational Clinical Neuroscience Journal, Vol 8, Iss 4, Pp 168-174 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	spinal cord injury neurogenic bowel dysfunction cleveland clinic constipation scoring system Medicine R
spellingShingle	spinal cord injury neurogenic bowel dysfunction cleveland clinic constipation scoring system Medicine R Ida Mohammadi Mohammadhosein Akhlaghpasand Roozbeh Tavanaei Maryam Golmohammadi Alireza Zali Saeed Oraee-Yazdani Factors Associated With Neurogenic Bowel Dysfunction Severity in Spinal Cord Injury: A Cross-sectional Study
description	Background: Neurogenic bowel dysfunction (NBD) caused by spinal cord injury (SCI) is a major life limiting issue for many patients. However, studies detailing the factors contributing to bowel problems are scarce. The aim of this cross-sectional questionnaire-based study was to evaluate the associations between different aspects of bowel problems and characteristics of SCI, such as time since injury (TSI), level of injury (LOI), and the cause of injury. Methods: Two questionnaires (the NBD score questionnaire and the Cleveland clinic constipation system score questionnaire) were administered to complete, traumatic patients with SCI that matched the designated criteria. The total scores and the subscales were then regressed to TSI and LOI, and the distribution patterns of NBD score severity according to LOI and cause of injury were shown in a diagram. Results: Within the subscales of the NBD score, frequency of defecation, digital stimulation or evacuation of the anorectum, and perianal skin problems were all significantly and positively correlated with the TSI, yet the frequency of fecal incontinence was negatively associated with this variable. Moreover, uneasiness, headache, or perspiration during defecation and regular use of drops against constipation were negatively associated with the LOI. In the diagrams, patterns of NBD score severity were similar according to LOI, but visibly differed according to cause. With respect to the CCCS score (Cleveland Clinic Constipation Scoring System), the score itself was shown to be positively associated with TSI. Within the subscales, difficulty, time spent in lavatory, and duration of constipation were positively correlated with TSI. Furthermore, type of assistance was negatively associated with the LOI. Conclusion: Different characteristics of SCI, TSI, LOI, and cause, each are significantly and distinctly associated with different aspects of the bowel problems that patients with SCI face.
format	article
author	Ida Mohammadi Mohammadhosein Akhlaghpasand Roozbeh Tavanaei Maryam Golmohammadi Alireza Zali Saeed Oraee-Yazdani
author_facet	Ida Mohammadi Mohammadhosein Akhlaghpasand Roozbeh Tavanaei Maryam Golmohammadi Alireza Zali Saeed Oraee-Yazdani
author_sort	Ida Mohammadi
title	Factors Associated With Neurogenic Bowel Dysfunction Severity in Spinal Cord Injury: A Cross-sectional Study
title_short	Factors Associated With Neurogenic Bowel Dysfunction Severity in Spinal Cord Injury: A Cross-sectional Study
title_full	Factors Associated With Neurogenic Bowel Dysfunction Severity in Spinal Cord Injury: A Cross-sectional Study
title_fullStr	Factors Associated With Neurogenic Bowel Dysfunction Severity in Spinal Cord Injury: A Cross-sectional Study
title_full_unstemmed	Factors Associated With Neurogenic Bowel Dysfunction Severity in Spinal Cord Injury: A Cross-sectional Study
title_sort	factors associated with neurogenic bowel dysfunction severity in spinal cord injury: a cross-sectional study
publisher	Shahid Beheshti University of Medical Sciences
publishDate	2021
url	https://doaj.org/article/6839a89d54e2423dbb874cb58a3d8a64
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Factors Associated With Neurogenic Bowel Dysfunction Severity in Spinal Cord Injury: A Cross-sectional Study

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