Rehabilitation training methods for patients with spinal cord injury to deal with abnormal urination at home

After spinal cord injury, the central nerve or peripheral nerve that controls urination function is damaged, causing urinary storage and urination dysfunction in the bladder or urethra, forming a neurogenic bladder, and the resulting urination Dysfunction can often lead to long-term urinary incontinence, urinary retention, repeated urinary tract infections, urinary calculi, hydronephrosis, and eventually renal failure. Today I will teach you a few methods of bladder training:

(1) Patients with stress urinary incontinence may Without contracting the muscles of the lower limbs, abdomen and buttocks, voluntarily contract the muscles around the pubic bone and coccyx for about 10 seconds, repeat 10 times, 3 times a day, this kind of training can reduce the occurrence of urine leakage.

(2) For patients with urge urinary incontinence, the training should be carried out at a specific time, such as 30 minutes before a meal, in the morning or before going to bed, encourage the patient to go to the toilet to urinate, and to urinate at night 2 times, and can also be adjusted according to the specific situation of the patient. This kind of training can also reduce the occurrence of urinary incontinence. Its ultimate purpose is to gradually help patients establish good urination habits.

(3) Motivation techniques. Different stimulations are given to the patient’s urination at regular intervals to promote the recovery of urination function. Such as tapping the suprapubic area, rubbing the inner thigh, hand compression, listening to the sound of running water, taking a warm water bath and other auxiliary measures.

(4) Breath-holding method. The patient takes a sitting position, leaning forward, and abdominal relaxation to train the abdominal muscles, thereby increasing the pressure on the bladder and pelvic floor, and promoting urine excretion. This training method is suitable for filling incontinence caused by urinary retention.


(5) Hand pressing method. That is, place the thumbs of both hands on the iliac crest, and place the rest of the fingers on the skin area of ​​the lower abdomen, and press hard to the pelvis to help urinate, or a single fist can also be used instead. Pressurization must be slow and gentle, avoiding damage caused by violence. This training method is suitable for patients with urinary retention.