Can-SCIP Coach App
  1. Can-SCIP
  2. Recommendations
  3. Guidelines
  4. Section 2 - MANAGEMENT OF SCI COMPLICATIONS

M - BOWEL




A BBM program should be used in individuals with both reflexic and areflexic neurogenic bowel dysfunction. (PVA-NBD 2020, p.452; Level B)
The optimal frequency of bowel movements per week should account for an individual’s lifestyle and premorbid bowel history. (PVA-NBD 2020, p.452; Level C)
Mechanical rectal stimulation may be used for individuals with reflexic neurogenic bowel dysfunction. (Adapted from PVA-NBD 2020, p.452; Level B)
Manual evacuation of stool may be used for individuals with areflexic neurogenic bowel dysfunction. (Adapted from PVA-NBD 2020, p.452; Level B)
Abdominal massage should not be used for neurogenic bowel dysfunction emptying. (PVA-NBD 2020, p.452; Level B)
The Valsalva maneuver should not be used for neurogenic bowel dysfunction emptying. (PVA-NBD 2020, p.452; Level C)