Document Detail

Abdominal binder use in people with spinal cord injuries: a systematic review and meta-analysis.
MedLine Citation:
PMID:  18936768     Owner:  NLM     Status:  MEDLINE    
STUDY DESIGN: Systematic review and meta-analysis.
OBJECTIVES: To review the evidence for the use of an abdominal binder on breathing, speech and cardiovascular function in people who have suffered a spinal cord injury (SCI).
SETTING: Brisbane, Australia.
METHODS: A search of multiple databases (Medline, Cinahl, Cochrane, Embase, PEDro) was undertaken accompanied by the reference list evaluation of each relevant publication identified. Methodological quality of studies identified was assessed using the PEDro scale. The size of effect of an abdominal binder on outcomes was also calculated where sufficient data were reported. Further descriptive analysis was performed.
RESULTS: Eleven studies met the review inclusion criteria and employed either crossover or within subject designs. Comparison of studies involving elastic and non-elastic binders was performed. A PEDro mean score of 4.3 out of 8 (range: 3-6) was found. Meta-analysis indicated that the use of abdominal binders improved vital capacity (VC) by (weighted mean difference (95% confidence interval (CI)) 0.32 (0.09, 0.55) litres, decreased functional residual capacity (FRC) by 0.41 (0.14, 0.67) litres, but did not significantly influence total lung capacity (TLC).
CONCLUSIONS: This review found some evidence that the use of an abdominal binder improves VC, but decreases FRC when assuming the sitting or tilted position in people who have suffered SCI. Overall, the quality of the studies was poor. Available evidence is not yet sufficient to either support or discourage the use of an abdominal binder in this patient population. Further studies utilizing more methodologically rigorous designs are required.
B M Wadsworth; T P Haines; P L Cornwell; J D Paratz
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Publication Detail:
Type:  Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't; Review     Date:  2008-10-21
Journal Detail:
Title:  Spinal cord     Volume:  47     ISSN:  1362-4393     ISO Abbreviation:  Spinal Cord     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-04-02     Completed Date:  2009-05-26     Revised Date:  2011-06-06    
Medline Journal Info:
Nlm Unique ID:  9609749     Medline TA:  Spinal Cord     Country:  England    
Other Details:
Languages:  eng     Pagination:  274-85     Citation Subset:  IM    
Department of Physiotherapy, Princess Alexandra Hospital, Brisbane, Australia.
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MeSH Terms
Abdomen / physiopathology*
Databases, Bibliographic / statistics & numerical data
Restraint, Physical / methods*
Spinal Cord Injuries* / physiopathology,  psychology,  rehabilitation

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