title: Urodynamics in spinal cord injured patients walking with reciprocating gait orthosis.
abstract: OBJECTIVE
  We evaluated the effects of walking with reciprocating gait orthosis on bladder function and upper urinary tract status in spinal cord injured patients.
  
  
  METHODS
  Seven patients using reciprocating gait orthosis underwent urodynamics before and during walking. Abdominal ultrasound was performed before and after urodynamics.
  
  
  RESULTS
  Baseline urodynamics showed detrusor areflexia in 3 patients and hyperreflexia in 4. During walking urodynamics revealed hyperreflexia in 6 patients with worse uninhibited detrusor contraction amplitude (38.2 +/- 41.2 versus 73.7 +/- 44.4 cm. water, p = 0.006) and duration (2.1 +/- 2.1 versus 6.8 +/- 5.3 minutes, p = 0.023). After walking ultrasound demonstrated bilateral pyelectasia in 2 patients.
  
  
  CONCLUSIONS
  Spinal cord injured patients using reciprocating gait orthosis have worse urodynamic measurements and upper urinary tract disorders during walking. They require close urological followup.
authors.affiliation: "S. Lucia" Rehabilitation Hospital I. R. C. C. S, Rome, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Giannantoni
authors.forename: S M
authors.initials: SM
authors.lastname: Di Stasi
authors.forename: G
authors.initials: G
authors.lastname: Scivoletto
authors.forename: A
authors.initials: A
authors.lastname: Mollo
authors.forename: F
authors.initials: F
authors.lastname: D'Ambrosio
authors.forename: V
authors.initials: V
authors.lastname: Castellano
mesh_terms: D000328:Adult; D005260:Female; D005684:Gait / Q000502:physiology*; D006801:Humans; D008297:Male; D009989:Orthotic Devices; D013119:Spinal Cord Injuries / Q000503:physiopathology*; D014551:Urinary Tract / Q000503:physiopathology*; D014563:Urodynamics; D016138:Walking / Q000502:physiology*