Physical Neuro-Urological Examination in Patients with Spinal Cord Injury Revisited

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Wyndaele Jean Jacques
Wyndaele Jean Jacques
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Wyndaele Michel
Wyndaele Michel

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Physical Neuro-Urological Examination in Patients with Spinal Cord Injury Revisited

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Abstract

Objectives: To show that combining neuro-urological examinations in the lumbosacral area permit to refine the neurological diagnosis by evaluating ascending and descending spinal cord pathways, sacral reflex arcs and the status of the related muscles. Setting: University Antwerp Belgium. Methods: Evaluation of perineal sensation with light digital touch (SENSPER), anal sphincter tone(AST) and voluntary contraction (ASC), anal reflex (ASR), bulbocavernosus reflex (BCR) were done in patients with SCI as part of pre urodynamic testing. Results: 121 individuals were included, 80 males and 41 females, age 46 ± 16 years old, with different levels and completeness of SCI, determined with ASIA/ISCoS International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI). The examination was done 6.6 ± 12 years post lesion. The findings did not differ between gender or age, except that ASR was more frequently absent in women and ASC diminished with increasing age.

References

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Funding

No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

No ethics committee approval was required for this article type.

Data Availability

Not applicable for this article.

How to Cite This Article

Wyndaele Jean Jacques. 2026. \u201cPhysical Neuro-Urological Examination in Patients with Spinal Cord Injury Revisited\u201d. Global Journal of Medical Research - A: Neurology & Nervous System GJMR-A Volume 22 (GJMR Volume 22 Issue A3): .

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High-quality image of a neuro-robotic exam for spinal cord injury patients.
Journal Specifications

Crossref Journal DOI 10.17406/gjmra

Print ISSN 0975-5888

e-ISSN 2249-4618

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Classification
GJMR-A Classification: DDC Code: 617.482044 LCC Code: RD594.3
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v1.2

Issue date

August 26, 2022

Language
en
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Published Article

Objectives: To show that combining neuro-urological examinations in the lumbosacral area permit to refine the neurological diagnosis by evaluating ascending and descending spinal cord pathways, sacral reflex arcs and the status of the related muscles. Setting: University Antwerp Belgium. Methods: Evaluation of perineal sensation with light digital touch (SENSPER), anal sphincter tone(AST) and voluntary contraction (ASC), anal reflex (ASR), bulbocavernosus reflex (BCR) were done in patients with SCI as part of pre urodynamic testing. Results: 121 individuals were included, 80 males and 41 females, age 46 ± 16 years old, with different levels and completeness of SCI, determined with ASIA/ISCoS International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI). The examination was done 6.6 ± 12 years post lesion. The findings did not differ between gender or age, except that ASR was more frequently absent in women and ASC diminished with increasing age.

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Physical Neuro-Urological Examination in Patients with Spinal Cord Injury Revisited

Wyndaele Jean Jacques
Wyndaele Jean Jacques
Wyndaele Michel
Wyndaele Michel

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