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    
Abstract/OtherAbstract:
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.
Authors:
B M Wadsworth; T P Haines; P L Cornwell; J D Paratz
Related Documents :
20338918 - Effectiveness of particle repositioning maneuvers in the treatment of benign paroxysmal...
19888048 - Methodology and analytic techniques used in clinical research: associations with journa...
17054198 - Interventions for treating chronic ankle instability.
19892088 - Efficacy and safety of normal saline instillation: a systematic review.
11294478 - Effects of short and long-term lithium treatment on serum prolactin levels in patients ...
7180558 - Haloperidol decanoate as a replacement for maintenance therapy with intramuscular fluph...
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    
Affiliation:
Department of Physiotherapy, Princess Alexandra Hospital, Brisbane, Australia. painsolutions@bigpond.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Abdomen / physiopathology*
Databases, Bibliographic / statistics & numerical data
Elasticity
Humans
Respiration*
Restraint, Physical / methods*
Spinal Cord Injuries* / physiopathology,  psychology,  rehabilitation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Non-traumatic spinal cord lesions: epidemiology, complications, neurological and functional outcome ...
Next Document:  The effect of exercise and oxidant-antioxidant intervention on the levels of neurotrophins and free ...