Anal reflex versus bulbocavernosus reflex in evaluation of patients with spinal cord injury.
Autor: | Kirshblum S; Kessler Institution for Rehabilitation, West Orange, NJ USA.; 2Department of PM&R, Rutgers New Jersey Medical School, Newark, NJ USA.; 3Kessler Foundation, West Orange, NJ USA., Eren F; 2Department of PM&R, Rutgers New Jersey Medical School, Newark, NJ USA.; 3Kessler Foundation, West Orange, NJ USA. |
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Jazyk: | angličtina |
Zdroj: | Spinal cord series and cases [Spinal Cord Ser Cases] 2020 Jan 07; Vol. 6, pp. 2. Date of Electronic Publication: 2020 Jan 07 (Print Publication: 2020). |
DOI: | 10.1038/s41394-019-0251-3 |
Abstrakt: | The examination of sacral reflexes provides an important method to differentiate an upper motor neuron vs lower motor neuron spinal cord injury (SCI). Two common sacral mediated reflexes used as part of the neurological assessment include the bulbocavernosus reflex (BCR) and anal reflex. As the clinical information from these tests are similar, we suggest that the anal reflex provides a better first option as a non-invasive clinical assessment of sacral reflex status in clinical practice in SCI as the testing for the anal reflex is less intrusive and already being performed as part of the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) by pinprick stimulation of the S4-5 dermatome. Competing Interests: Conflict of interestThe authors declare that they have no conflict of interest. (© International Spinal Cord Society 2020.) |
Databáze: | MEDLINE |
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