膀胱括约肌的功能训练（Functional training of the bladder sphincter）.docVIP

膀胱括约肌的功能训练（Functional training of the bladder sphincter） 3, bladder reflex needs a certain amount of time to accumulate, so pay attention to step by step when training. 4. When combined with spasm, the bladder emptying activity is closely related to the onset of spasm. It is necessary to pay attention to the relationship between urination and the release of muscle spasm. Rectal control training Rectal control disorder is a common functional problem of upper motor neuron and one of the biggest problems for patients. The rectum control training mainly aims at two aspects of constipation and fecal incontinence. [indications] Patients with upper motor neuron damage syndrome associated with rectal control disorders, including spinal cord injury, stroke, brain trauma, etc.. The patient has good hand function and can be done independently, otherwise the caregiver can perform it. But the patient must be able to cooperate actively. [contraindication] 1, the nerve is unclear, or can not cooperate with the treatment. 2, anal and rectum local skin damage, or serious infection. 3, anal and rectal tumors. [instruments] Equipment is not needed. [operating procedures] The main measures include rehabilitation constipation anal distraction technique (relieve muscle spasm, anus) diet control, nerve block technique, laxative, lubricant, manual therapy, exercise therapy. The main rehabilitation measures for fecal incontinence include pelvic floor muscle training, intestinal convergence drugs, intestinal motility control drugs, and intestinal inflammation control. Operation techniques include: Anal stretch technique index or middle finger fingertip, grease, slowly inserted into the anus, the rectal wall to the anus side continuously and slowly pull, can effectively relieve the spasm of anal sphincter, while expanding the rectal cavity, induced intestinal reflex, promote the fecal excretion. The energy consumption of defecation during sitting, defecation and sitting is 3.6 metabolic equiv