Effectiveness of electroacupuncture (EA) for the treatment of urinary incontinence (UI) in patients with spinal cord injury (SCI)

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Abstract

Background:

The objective of this study is to examine the effectiveness and safety of electroacupuncture (EA) in the treatment of urinary incontinence (UI) in patients with spinal cord injury (SCI).

Methods:

All potential studies will be retrieved from the electronic databases of MEDLINE, EMBASE, Cochrane Library, PsycINFO, Web of Science, CBM, and China National Knowledge Infrastructure from origin of each database up to January 31, 2020. Additionally, we will check other resources, such as Google scholar, dissertations, conference proceedings, and reference lists of included studies. No language and publication date limitations will be considered in the literature resources search. All randomized controlled trials using EA for the treatment of UI in patients with SCI will be included. Two independent investigators will perform study selection, data extraction and study quality assessment. If any conflicts occur, we will invite a third investigator to solve them. Cochrane risk of bias will be used for study quality assessment, and RevMan 5.3 software will be employed for statistical analysis.

Results:

This study will summarize the most recent evidence to assess the effectiveness and safety of EA for the treatment of UI in patients with SCI.

Conclusion:

The results of this study will provide helpful evidence to determine whether EA is effective and safety for the treatment of UI in patients with SCI or not.

PROSPERO registration number:

PROSPERO CRD42020165562.

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Most cited references 29

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Chronic complications of spinal cord injury.

Nebahat Sezer, Selami Akkuş, Fatma Uğurlu (2015)

Spinal cord injury (SCI) is a serious medical condition that causes functional, psychological and socioeconomic disorder. Therefore, patients with SCI experience significant impairments in various aspects of their life. The goals of rehabilitation and other treatment approaches in SCI are to improve functional level, decrease secondary morbidity and enhance health-related quality of life. Acute and long-term secondary medical complications are common in patients with SCI. However, chronic complications especially further negatively impact on patients' functional independence and quality of life. Therefore, prevention, early diagnosis and treatment of chronic secondary complications in patients with SCI is critical for limiting these complications, improving survival, community participation and health-related quality of life. The management of secondary chronic complications of SCI is also important for SCI specialists, families and caregivers as well as patients. In this paper, we review data about common secondary long-term complications after SCI, including respiratory complications, cardiovascular complications, urinary and bowel complications, spasticity, pain syndromes, pressure ulcers, osteoporosis and bone fractures. The purpose of this review is to provide an overview of risk factors, signs, symptoms, prevention and treatment approaches for secondary long-term complications in patients with SCI.

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Assessment and management of acute spinal cord injury: From point of injury to rehabilitation

Laureen Hachem, Christopher Ahuja, Michael Fehlings (2017)

Context Spinal cord injury (SCI) is a devastating condition that can lead to significant neurological impairment and reduced quality of life. Despite advancements in our understanding of the pathophysiology and secondary injury mechanisms involved in SCI, there are currently very few effective treatments for this condition. The field, however, is rapidly changing as new treatments are developed and key discoveries are made. Methods In this review, we outline the pathophysiology, management, and long-term rehabilitation of individuals with traumatic SCI. We also provide an in-depth overview of emerging therapies along the spectrum of the translational pipeline. Evidence synthesis The concept of “time is spine” refers to the concept which emphasizes the importance of early transfer to specialized centers, early decompressive surgery, and early delivery of other treatments (e.g. blood pressure augmentation, methylprednisolone) to affect long-term outcomes. Another important evolution in management has been the recognition and prevention of the chronic complications of SCI including respiratory compromise, bladder dysfunction, Charcot joints, and pressure sores through directed interventions along with early integration of physical rehabilitation and mobilization. There have also been significant advances in neuroprotective and neuroregenerative strategies for SCI, many of which are actively in clinical trial including riluzole, Cethrin, stem cell transplantation, and the use of functional electrical stimulation. Conclusion Pharmacologic treatments, cell-based therapies, and other technology-driven interventions will likely play a combinatorial role in the evolving management of SCI as the field continues to evolve.

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Neuropathic Pain After Spinal Cord Injury: Challenges and Research Perspectives

Rani Shiao, Corinne A. Lee-Kubli (2018)

Neuropathic pain is a debilitating consequence of spinal cord injury (SCI) that remains difficult to treat because underlying mechanisms are not yet fully understood. In part, this is due to limitations of evaluating neuropathic pain in animal models in general, and SCI rodents in particular. Though pain in patients is primarily spontaneous, with relatively few patients experiencing evoked pains, animal models of SCI pain have primarily relied upon evoked withdrawals. Greater use of operant tasks for evaluation of the affective dimension of pain in rodents is needed, but these tests have their own limitations such that additional studies of the relationship between evoked withdrawals and operant outcomes are recommended. In preclinical SCI models, enhanced reflex withdrawal or pain responses can arise from pathological changes that occur at any point along the sensory neuraxis. Use of quantitative sensory testing for identification of optimal treatment approach may yield improved identification of treatment options and clinical trial design. Additionally, a better understanding of the differences between mechanisms contributing to at- versus below-level neuropathic pain and neuropathic pain versus spasticity may shed insights into novel treatment options. Finally, the role of patient characteristics such as age and sex in pathogenesis of neuropathic SCI pain remains to be addressed. Electronic supplementary material The online version of this article (10.1007/s13311-018-0633-4) contains supplementary material, which is available to authorized users.

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Author and article information

Journal

Journal ID (nlm-ta): Medicine (Baltimore)

Journal ID (iso-abbrev): Medicine (Baltimore)

Journal ID (publisher-id): MEDI

Title: Medicine

Publisher: Wolters Kluwer Health

ISSN (Print): 0025-7974

ISSN (Electronic): 1536-5964

Publication date Collection: 24 July 2020

Publication date (Electronic): 24 July 2020

Volume: 99

Issue: 30

Electronic Location Identifier: e21077

Affiliations

[a ]Second Ward of Orthopedics Department

[b ]Third Ward of Neurology Department, First Affiliated Hospital of Jiamusi University, Jiamusi, China

[c ]Department of Orthopedics, Huludao Central Hospital, Huludao

[d ]School of Clinical Medicine, Jiamusi University, Jiamusi

[e ]Department of Orthopedics, Second Affiliated Hospital of Mudanjiang Medical University, Mudanjiang

[f ]Department of Orthopedics, Graduate School of Jiamusi University, China.

Author notes

[∗ ]Correspondence: Wei-Dong Song, Department of Orthopedics, Second Affiliated Hospital of Mudanjiang Medical University, No. 15, Dongxiaoyun Street, Aimin District, Mudanjiang, 157010, China (e-mail: yangtundi@ 123456126.com ).

Article

Publisher ID: MD-D-20-05300 Accession ID: 21077

DOI: 10.1097/MD.0000000000021077

PMC ID: 7386988

SO-VID: 36090723-f9cb-4786-aa7c-ca52b975f02c

License:

This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0

History

Date received : 2 June 2020

Date accepted : 3 June 2020

Funding

Funded by: Scientific Research Project of Heilongjiang Health and Family Planning Commission

Award ID: 2017-387

Award Recipient : Not Applicable

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Keywords: effectiveness,electroacupuncture,spinal cord injury,urinary incontinence

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Keywords: effectiveness, electroacupuncture, spinal cord injury, urinary incontinence

Effectiveness of electroacupuncture (EA) for the treatment of urinary incontinence (UI) in patients with spinal cord injury (SCI) : A protocol of systematic review of randomized controlled trials

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Network Medicine

Most cited references 29

Chronic complications of spinal cord injury.

Assessment and management of acute spinal cord injury: From point of injury to rehabilitation

Neuropathic Pain After Spinal Cord Injury: Challenges and Research Perspectives

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