About this trial
The investigators are testing the effect of electrical stimulation of the rectum on colonic motility. Most individuals with spinal cord injury develop neurogenic bowel dysfunction, which includes slowed colonic motility, which means that stools take longer than normal to pass through the colon. This slowed movement may result in chronic constipation and difficulty emptying the bowels. Individuals typically (without or without caregiver assistance) insert a gloved finger into the rectum and gently stretch it to improve colonic motility for a brief period to empty the bowels. The investigators hypothesize that electrically stimulating the rectum, instead of mechanically stretching it, will produce the same beneficial effect of improving colonic motility. Therefore, this study will compare the two methods. If electrical stimulation effectively improves colonic motility, then the investigator shall develop the approach as a therapeutic intervention in future studies.
Eligibility criteria
Qualifiers
Suprasacral spinal cord injury
Diagnosed neurogenic bowel dysfunction and using digital rectal stimulation
Bowel routine requires at least 30 minutes or at least 3 cycles of digital rectal stimulation
Neurologically stable
Disqualifiers
Active sepsis
Open pressure sores on or around pelvis
Significant colon trauma or colostomy
Crohn's disease
Trial design
Treatments tested in this trial
- Electrical Rectal Stimulation
Treatment groups
Sponsors and collaborators
VA Office of Research and Development
Lead sponsor
Cleveland Functional Electrical Stimulation Center
Collaborator