Bowel Management Table 3 Dietary fibre for managing neurogenic bowel after a spinal cord injury

Author Year; Country
Score
Research Design
Total Sample Size

Methods

Outcome

Cameron et al. 1996; Australia
Downs & Black = 10
Case Series
N=11

Population: Age range: 19-53yrs, Injury level: C4-T12; 1 subject with incomplete injuries and 10 with complete injuries; 7 subjects with tetraplegia and 4 with paraplegia.
Treatment: In phase 1, subjects ate a normal hospital diet and maintained their bowel routine. In phase 2, fibre intake was increased with the addition of 40g Kellogg’s All Bran.
Outcome Measures: stool weight, total and segmental transit time, bowel evacuation time and dietary intake.

  1. Following the addition of bran, dietary fibre intake significantly increased from 25g/d to 31g/d.
  2. Mean colonic transit time lengthened from 28.2 hours to 42.2 hours (p<.05)