NEUROGENIC BOWEL
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Revision as of 09:56, 25 July 2023 by Dr Appukutty Manickam (talk | contribs) (Imported from text file)
SUMMARY
Two types:
1. UMN bowel: injuries above T12 (conus medullaris). Anal sphincter becomes spastic, voluntary control is lost but reflex activity is intact. Spastic anal sphincter contributes to constipation.
2. LMN bowel: injuries below T12 (conus medullaris). Anal sphincter becomes flaccid, voluntary and reflex control are lost. Absence of peristalsis after colonic, sigmoid and rectal denervation.
Reference(s)
Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.
