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Case study to evaluate a standing table for managing constipation.

H Hoenig1, T Murphy, J Galbraith

  • 1Duke University Medical Center, Durham, North Carolina, USA.

SCI Nursing : a Publication of the American Association of Spinal Cord Injury Nurses
|May 31, 2002
PubMed
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Standing tables may improve bowel function for individuals with spinal cord injury (SCI). This case study shows a patient experienced increased bowel movement frequency and decreased care time using a standing table, aiding chronic constipation management.

Area of Science:

  • Rehabilitation Medicine
  • Neuroscience
  • Gastroenterology

Background:

  • Constipation is a common complication for individuals with spinal cord injury (SCI).
  • Current treatments for SCI-related constipation may be insufficient for some patients.
  • Standing devices are proposed as a potential intervention, but evidence is limited.

Observation:

  • A 62-year-old male with T12-L1 ASIA B paraplegia and chronic constipation was studied.
  • The patient's existing bowel program was ineffective, leading to impactions.
  • A standing table was introduced as a personalized treatment approach.

Findings:

  • The patient used the standing table five times per week.
  • A statistically significant increase in bowel movement (BM) frequency was observed (p < 0.05).

Related Experiment Videos

  • There was a significant decrease in the duration of bowel care episodes.

    • Implications:

    • Standing tables may offer a clinically beneficial addition to bowel management programs for SCI patients.
    • This case illustrates a successful individualized approach to managing chronic constipation in SCI.
    • Further research is warranted to confirm the efficacy of standing tables in a larger SCI population.