Electrical Stimulation for Bowel Dysfunction
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores a new method to assist individuals with spinal cord injuries who experience constipation and prolonged bowel movements. Researchers aim to determine if a small device that delivers gentle electrical pulses to the abdomen (abdominal electrical stimulation) can speed up bowel movements and improve stool consistency. Participants will use this device at home for 30 minutes before each bowel routine over a two-month period. The trial seeks individuals who have lived with spinal cord injuries for more than a year and find their bowel movements take longer than 30 minutes. As an unphased trial, this study offers a unique opportunity to contribute to innovative research that could enhance daily life for those with spinal cord injuries.
Do I need to stop my current medications for this trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators.
What prior data suggests that this device is safe for improving bowel function in people with spinal cord injury?
Research has shown that electrical stimulation on the abdomen is generally safe and well-tolerated. One study found it can help with constipation by improving bowel movements and reducing the need for medications. This method is noninvasive, requiring no surgery, and drug-free, allowing for home use. Another study demonstrated it could help food move through the gut faster without causing major issues.
While these studies indicate promising safety results, this treatment is still under investigation, particularly for individuals with spinal cord injuries. Its presence in a trial means researchers are still gathering more safety information. However, current data suggests minimal side effects. Always consult a healthcare provider to determine if this option is suitable.12345Why are researchers excited about this trial?
Unlike the standard treatments for bowel dysfunction, which often include dietary changes, medications, or even surgery, abdominal transcutaneous electrical stimulation (TES) offers a non-invasive alternative. This method uses electrical currents applied to the skin to stimulate the abdominal muscles and improve bowel function. Researchers are excited about this approach because it targets the condition in a novel way, potentially offering relief without the side effects associated with more invasive or systemic treatments. Additionally, TES could provide a more convenient option for patients, as it can be administered without the need for hospitalization or complex procedures.
What evidence suggests that this device is effective for bowel dysfunction?
Research has shown that electrical stimulation on the abdomen might help with bowel issues by speeding up food movement through the gut and easing bowel movements. Participants in this trial will receive abdominal transcutaneous electrical stimulation (TES). Studies have demonstrated that TES results in faster bowel emptying and better stool consistency. This noninvasive technique, which doesn't involve surgery or drugs, offers a convenient option for managing these problems. Additionally, it has improved the quality of life for people with constipation. Overall, these findings suggest that electrical stimulation could effectively manage bowel problems in people with spinal cord injuries.23467
Who Is on the Research Team?
Chester Ho, MD
Principal Investigator
University of Alberta, Faculty of Medicine and Dentistry
Are You a Good Fit for This Trial?
This trial is for individuals who have lived with a spinal cord injury (SCI) for over a year and are experiencing bowel dysfunction, such as constipation or incontinence. It's not specified who can't join the trial, but typically those with certain health conditions or contraindications to electrical stimulation may be excluded.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Baseline
Collection of demographic information, past medical history, and neurological assessment
Usual Bowel Routine
Participants follow their usual bowel routine to establish baseline defecation time and bowel transit time
Optimized Bowel Routine
Participants follow an optimized bowel routine to improve defecation time and bowel transit time
Abdominal TES
Participants use abdominal transcutaneous electrical stimulation (TES) for bowel function improvement
Return to Usual Bowel Routine
Participants return to their usual bowel routine to assess changes post-TES
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Abdominal Electrical Stimulation
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Alberta
Lead Sponsor
Glenrose Foundation
Collaborator
Praxis Spinal Cord Institute
Collaborator