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Somatic Spinal Reflexes

Somatic Spinal Reflexes

Somatic spinal reflexes are rapid, involuntary muscular responses to external stimuli that involve the somatic musculature and the spinal cord.
One of the most well-known somatic spinal reflexes is the stretch reflex, which is activated by the sudden stretching of a muscle. This reflex involves the activation of specialized sensory receptors called muscle spindles, which are located in the muscle tissue and detect changes in the length and speed of muscle contractions. When a muscle is suddenly...

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Sacral neuromodulation: No more skiing?

Jens Wöllner¹, Jürgen Pannek¹

¹a Neuro-Urology, Swiss Paraplegic Center , Nottwil , Switzerland.

Scandinavian Journal of Urology

|January 13, 2016

Summary

Sacral neuromodulation (SNM) effectively treats neurogenic lower urinary tract dysfunction (NLUTD) in spinal cord injury (SCI) patients. However, skiing accidents can damage SNM devices, requiring reprogramming or replacement to restore function.

Keywords:

Neurogenic lower urinary tract dysfunction sacral neuromodulation spinal cord injury sports

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Area of Science:

Neuroscience
Urology
Rehabilitation Medicine

Background:

Neurogenic lower urinary tract dysfunction (NLUTD) is a common complication following spinal cord injury (SCI).
Sacral neuromodulation (SNM) is an established treatment for refractory NLUTD, improving bladder control and quality of life.

Observation:

Three patients with SCI-related NLUTD successfully treated with SNM resumed recreational activities, including skiing.
These patients experienced decreased SNM effectiveness after sustaining skiing accidents.

Findings:

Post-accident evaluations revealed impulse generator (IPG) defects and/or electrode dislocations in the affected patients.
Reprogramming or replacement of the IPG and/or electrodes successfully restored SNM function in all cases.

Implications:

Trauma from falls and accidents, such as those sustained during skiing, poses a risk to the integrity of SNM systems.
Patients with SNM devices should be counseled on the potential for device damage from physical trauma and advised on protective measures.