The Journal of Spinal Cord Medicine, 2023 · DOI: 10.1080/10790268.2022.2069538 · Published: January 1, 2023
Spinal cord injury (SCI) can lead to polyuria, an excessive production of urine, which disrupts daily activities and increases the risk of infections. To manage this, individuals often limit their fluid intake, leading to other health issues. This study investigates the effectiveness of activity-based recovery training (ABRT) and desmopressin (DDAVP), a synthetic vasopressin analog, in reducing polyuria in rats with SCI. The results showed that ABRT reduced urine production, but not completely to pre-injury levels. DDAVP maintained the reduced urine output in the ABRT group, suggesting both interventions are effective alone but not additively.
The study suggests that a combination of ABRT and DDAVP could be a potential treatment strategy for managing polyuria in SCI individuals.
Continuous exercise or regular ABRT sessions are necessary to maintain the benefits of ABRT on urinary output.
Further studies are needed to understand the mechanisms underlying changes in fluid and solute balance and to optimize the timing and dosing of ABRT and DDAVP.