Clinical Observations on Acupuncture plus Pelvic Floor Biofeedback Treatment for Neurogenic Bladder Following Spinal Cord Injury / 上海针灸杂志

ABSTRACT

Objective To investigate the clinical efficacy of acupuncture plus pelvic floor biofeedback treatment for the neurogenic bladder following spinal cord injury.Method Ninety patients with neurogenic bladder following spinal cord injury were randomly allocated to acupuncture, biofeedback and combination groups, 30 cases each. Every group of patients received acupuncture, pelvic floor biofeedback treatment or a combination of two treatments in addition to conventional bladder rehabilitation training. The LUTS score and the quality of life score were recorded and the bladder diary was kept before and after treatment. A statistical analysis was carried out.Result The LUTS score, the quality of life score, the residual urine volume and the mean voiding frequency decreased significantly in the three groups of patients after four weeks of treatment compared with before treatment (P<0.05) and decreased more significantly in the combination group than in the acupuncture and biofeedback groups (P<0.05). Maximum voided volume increased significantly in the three groups of patients after treatment compared with before (P<0.05) and increased more significantly in the combination group than in the other two groups (P<0.05).Conclusion Acupuncture plus pelvic floor biofeedback can significantly improve bladder function and the quality of life in patients with neurogenic bladder following spinal cord injury. Its clinical therapeutic effect is superior to that of acupuncture or biofeedback.