medigraphic.com
ISSN 2078-7162 (Print)

2017, Number 2

<< Back Next >>

Rev Cub de Med Fis y Rehab 2017; 9 (2)

Evaluation of the bulbocavernosus reflex in spinal cord injured patients

Chong MAM, González RJL, González MLM, Moirón VV

Language: Spanish
References: 23
Page: 1-2
PDF size: 194.10 Kb.


ABSTRACT

Introduction: In the clinical evaluation of the spinal cord injury, the bulbocavernosus reflex is of cardinal importance because it defines stages in the course of the injury, as well as allows the classification of the spinal cord injury (complete and incomplete).
Objectives: To evaluate the usefulness in spinal cord injured patients, and to correlate clinical and neurophysiological examination of bulbocavernosus reflex.
Method: The sample consisted of 20 patients with spinal cord injury, aged between 18 and 54 years, who underwent clinical and neurophysiological exploration ofbulbocavernosus reflex, after classification with the ASIA scale.
Results: The main causes of spinal cord injury are traffic accidents and gunshot injuries. By correlating the level of injury with severity according to the ASIA scale, we found that there is no relationship between the lesional level and severity, and there is a high statistical significance between the ASIA scale and findings in the neurophysiological examination of the reflex (Fisher's exact probability p = 0.0048).
Conclusions: The evaluation of bulbocavernosus reflex in spinal cord injured patients is of great relevance in determining the integrity of the sacral spinal cord and the reflex arch involving nerve roots, since its presence or not has a significant prognostic value in rehabilitation possibilities.


REFERENCES

  1. Lavanderos J, Muñoz S, Vilches L, Delgado M, Cárcamo K, Passalaqua S, Ortega E. Traumatismo raquimedular. Cir 2008; 22: 82-90.

  2. Stevens RD, Bhardwaj A, Kirsch JR, Mirski MA. Critical care and perioperative management in traumatic spinal cord injury. J Neurosurg Anesthesiol 2003 Jul; 15(3):215-29.

  3. Robles Ortiz J, González Roig JL, Saborit Oliva Y. Machado Moreno L, Jacas Prado D. Epidemiología de la lesión medular traumática. Rev Cubana Med Fís Rehab 2012; 4(2).

  4. Furlan JC, Fehlings MG, Tator CH, Davis AM. Motor and sensory assessment of patients in clinical trials for pharmacological therapy of acute spinal cord injury: psychometric properties of the ASIA Standards. J Neurotrauma 2008 Nov; 25(11):1273-301.

  5. Lacima G, Espuña M. Patología del suelo pélvico 2008:31(09) nov. Disponible en: http://zl.elsevier.es/es/revista/gastroenterologia-hepatologia-14/sumario/ vol-31-num-09-13007041.

  6. González-Hidalgo M. Exploración neurofisiológica del suelo de la pelvis. Rev Neurol, 1998; 26: 432-8.

  7. Kimura J. Electrodiagnosis in diseases of nerve and muscle: principles and practice. In: Principles of nerve conduction studies. 4a ed. New York: Oxford University Press; 2013: 74-92.

  8. Martínez Torres J, García Delgado JA, Rodríguez Adam EM, Morais Delgado M, Anido Escobar V, Matos Lobaina E. Manejo rehabilitador integral de la disfunción de suelo pélvico en paciente lesionado medular. A propósito de un caso. Rev Cubana Med Fís Rehab 2015; 7(1).

  9. Granata G, Padua L, Rossi F, De Franco P, Coraci D, Rossi V. Electrophysiological study of the bulbocavernosus reflex: normative data. Funct Neurol 2013 oct-dec; 28(4): 293–5.

  10. Albright Todd S. Gehrich AP, Wright J, Davis, Gary D. Neurophysiology of the pelvic floor and neurodiagnostic evaluation. J Pelvic Med Surg 2004; 10 (3): 123-138.

  11. Amarenco G, Ismael SS, Bayle B, Kerdraon. Dissociation between electrical and mechanical bulbocavernosus reflexes. J Neurourol Urodyn 2003;22(7):676-80.

  12. Furlan JC, Fehlings MG. Cardiovascular complications after acute spinal cord injury: pathophysiology, diagnosis, and management. Neurosurg Focus 2008;25(5):E13.

  13. Moore D. Spinal cord injuries. Disponible en: www.orthobullets.com/spine/2006/spinal-cord-injuries

  14. Álvarez-Guerrico I, Royo I, Andreu M, Roquer-González J, Munteis E. Protocolo de estudios neurofisiológicos del suelo pélvico para la valoración de la disfunción anorrectal en pacientes con esclerosis múltiple. Rev Neurol 2016; 62 (5): 211-217.

  15. Azcúe A, Morales F, Quintana C, Serra Llosa M. Incontinencia urinaria y otras lesiones del suelo pelviano: etiología y estrategias de prevención. Rev Med Univ Navarra 2004; 48 (4): 18-31.

  16. Almanza Díaz Y, Chong Medina AM, Amaral Curbelo Y, Valdés Muñoz Y. Tratamiento rehabilitador de disfunción de suelo pélvico en paciente adolescente post lesión traumática de pelvis y región perineal. Rev Cubana Med Fís Rehab 2015; 7(2).

  17. Maharajá JC. Epidemiology of spinal cord paralysis in Fiji. Spinal Cord 2006; 34:549-59.

  18. del Río C, Montero J. Exploración neurológica y neurofisiológica del suelo pelviano. Cir Esp 2004;76(5):284-91.

  19. Giulio A. Santoro, Andrzej P. Wieczorek. Pelvic floor anatomy. Pelviperineology 2011; 30: 53-55.

  20. Skinner SA, Vodušek DB Intraoperative recording of the bulbocavernosus reflex. J Clin Neurophysiol 2014 Aug;31(4):313-22.

  21. Kothbauer KF, Deletis V. Intraoperative neurophysiology of the conus medullaris and cauda equina. Childs Nerv Syst 2010 Feb;26(2):247-53.

  22. Amer M. Alame, Heidi Bahna. Evaluation of Constipation. Clin Colon Rectal Surg 2012 Mar; 25(1): 5–11.

  23. Lefaucheur JP. Neurophysiological testing in anorectal disorders. Muscle Nerve. 2006 Mar 33(3):324-33.




2020     |     www.medigraphic.com