Physiotherapeutic Procedures for Vesical

Sphincter Disorder in Patients with Spinal Cord Trauma. A Narrative Bibliographic Review

Abstract

The vesical - sphincter disorder is usual in the spinal cord trauma (SCT) and may be divided in non - inhibited neurogenic bladder, reflex neurogenic bladder, autonomic neurogenic bladder, motor - paralytic neurogenic bladder and paralytic - sensitive neurogenic bladder. This study has as research method, a narrative bibliographic review with critical analysis of scientific studies about physiotherapeutic procedures for vesical - sphincter disorder due SCT. There was founded 14 scientific studies in the searched literature, where was analytical. Of the 14 analytical studies, one was systematic reviews, two randomised clinical trials, four case control studies and eight bibliographic reviews. The physiotherapeutic procedures discussed are subdivided in accordance with the bladder type. Nowadays, the most used procedures are maneuvers and techniques of vesical emptying, incited and measured vesical emptying, isometric and isotonic contraction exercises of bladder adjacent muscles, Kegel exercises (for pelvic floor), Biofeedback (either electromiographic or of pressure), acupuncture and stimulation electrical. However, of all searched works, we observed that none of them have evidence levels enough to show the effects of physiotherapeutic treatment for vesical - sphincter disorders due SCT. Rev. Neurociências 2005; 13(1):000-000.