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Arch Phys Med Rehabil. 2012 Dec;93(12):2189-97. doi: 10.1016/j.apmr.2012.06.010. Epub 2012 Jun 22.

Abdominal binder improves lung volumes and voice in people with tetraplegic spinal cord injury.

Author information

1
Physiotherapy Department, Princess Alexandra Hospital, Brisbane, Australia. brooke_wadsworth@health.qld.gov.au

Abstract

OBJECTIVE:

To investigate the effect of an elasticated abdominal binder on respiratory, voice, and blood pressure outcomes for people with a motor complete acute tetraplegia during the first year after injury.

DESIGN:

Randomized crossover study.

SETTING:

Large university-affiliated referral hospital.

PARTICIPANTS:

Consenting participants (N=14, 13 men and 1 woman) with recent, motor complete, C3-T1 spinal cord injury.

INTERVENTIONS:

Abdominal binder on/off with participant seated in upright wheelchair, with 3 repeated measures at 6 weeks, 3 months, and 6 months after commencing daily use of an upright wheelchair.

MAIN OUTCOME MEASURES:

Forced vital capacity, forced expiratory volume in 1 second, peak expiratory flow, maximal inspiratory pressure, and maximal expiratory pressure were measured. Mean arterial pressure, maximum sustained vowel time, and sound pressure level were also measured.

RESULTS:

Overall, an abdominal binder resulted in a statistically significant improvement in forced vital capacity (weighted mean difference .34 L [95% confidence interval (CI) .10-.58], P=.005), forced expiratory volume in 1 second (.25 L [95% CI -.01 to .51], P=.05), peak expiratory flow (.81 L/s [95% CI .13-1.48], P=.02), maximal inspiratory pressure (7.40 cm H(2)O [95% CI 1.64-13.14], P=.01), and maximum sustained vowel time (3.75 s [95% CI .90-6.60], P=.01). There was no statistically significant improvement in maximal expiratory pressure (5.37 cm H(2)O [95% CI -1.15 to 11.90], P=.11), mean arterial pressure (4.41 mmHg [95% CI -6.15 to 14.97], P=.41), or sound pressure level (1.14 dB [95% CI -1.31 to 3.58], P=.36).

CONCLUSIONS:

An individually fitted abdominal binder significantly improved forced vital capacity, forced expiratory volume in 1 second, peak expiratory flow, maximal inspiratory pressure, and maximum sustained vowel time in people with newly acquired tetraplegia. Further study is needed into the effect of the long-term use of the abdominal binder on breathing mechanics, functional residual capacity, total lung capacity, and respiratory health.

PMID:
22732370
DOI:
10.1016/j.apmr.2012.06.010
[Indexed for MEDLINE]

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