Priorities, needs and willingness of use of nerve stimulation devices for bladder and bowel function in people with spinal cord injury (SCI): an Australian survey

Spinal Cord Series and Cases, 2024 · DOI: https://doi.org/10.1038/s41394-024-00628-3 · Published: March 13, 2024

Simple Explanation

This study investigates the needs and priorities of people with spinal cord injuries (SCI) in Australia regarding bladder and bowel dysfunction. It explores their willingness to use nerve stimulation devices to manage these issues. The research found that emptying the bladder without catheters and reducing the time needed for bowel routines were top priorities. Many participants were open to trying nerve stimulation devices. The study highlights the potential for nerve stimulation to address bladder and bowel dysfunction in people with SCI, and the need for Australian physiotherapists to be more involved in this area.

Study Duration

26 Months

Participants

62 individuals (32% female, 68% male) with SCI in Australia

Evidence Level

Not specified

Key Findings

1
The highest priority for bladder function was emptying through the urethra without a catheter.
2
Reducing the time required for bowel routines and constipation were the top priorities regarding bowel function.
3
53% of respondents were willing to trial an implanted nerve stimulation device, while 70% would trial an external device.

Research Summary

This study investigates the priorities and needs of people with SCI in Australia regarding bladder and bowel dysfunction and their willingness to use nerve stimulation devices. The survey revealed that emptying the bladder without a catheter, reducing time for bowel routines, and addressing constipation were high priorities. A significant percentage of respondents expressed willingness to trial both internal and external nerve stimulation devices to improve bladder and bowel management independence.

Practical Implications

Guiding Further Research

The study's findings can inform future research and development of nerve stimulation devices tailored to the specific needs of Australians with SCI.

Informing Healthcare Practices

The results highlight the need for increased involvement of Australian physiotherapists in bladder and bowel dysfunction management for people with SCI.

Device Design Considerations

The concerns expressed about device removal and MRI compatibility should guide the design of future internal nerve stimulation devices.

Study Limitations

1
Difficulty in evaluating wider geographical representation of people with SCI across Australia.
2
Small number of participants.
3
A non-randomised selection of individuals with SCI to be included, and a lack of validated measures used.

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