REHABILITACE FUNKCÍ MOČOVÉHO MĚCHÝŘE PO ÚRAZECH MÍCHY S POUŽITÍM ELEKTRONICKÉHO REGULÁTORU PRŮTOKU

Rehabilitation of Sphincter and Destrusor Bladder Control Reflex after Injuries to Spinal Cord Using Electr onic Regulator of Flow

Practical attempt to solve the problems connected with miction disorders, caused by paralysis of control or effector structures taking part in the process of controlling urine accumulation and excretion, was presented in the study. On the basis of neurophysiological premises a prototype electronic appliance was designed and constructed. In the appliance the pressure of urine on the walls of bladder acts as a stimulus to bladder control reflex. The parameters of the given pressure and urine outflow are controlled by a pressure sensor and an electromagnetic valve. An electronic system controls the valve and optimises between the value given by a doctor and current sensor indication. Volumetric urine parameters generate sound signals, making the patient aware of the degree of bladder filling, and enable additional conditioning of sphincter and destrusor reflex in regenerating (after injury) spinal cord. The appliance, apart from hygienic and practical virtues, enables much more effective rehabilitation exercises, aimed at regaining the miction control and far more quicker process of reflex conditioning.

Key words:
rehabilitation of the pass water reflex, bionic artificial, amplification of the conditioned reflex, biomedical engineering