Document Detail

Effect of abdominal binders on breathing in tetraplegic patients.
MedLine Citation:
PMID:  2954256     Owner:  NLM     Status:  MEDLINE    
We studied the effect on breathing of a conventional and a newly designed abdominal binder in seven patients with complete tetraplegia. The indices of respiratory ability used were the transdiaphragmatic pressure on maximal sniff (sniff Pdi), the maximum static inspiratory mouth pressure (PImax), and the vital capacity (VC). These were measured in patients with and without binders, in the supine position, raised up to 70 degrees on a tilt table, and seated upright. When patients were raised from the supine to the 70 degrees tilt and to the seated posture, sniff Pdi and VC decreased. Both binders improved VC in the seated position and at 70 degrees tilt, and sniff Pdi at 70 degrees tilt. The new binder was as effective as but no better than the conventional binder. PImax was too variable to be a valuable index of inspiratory power. These findings support the view that abdominal binders assist breathing in tetraplegic patients who are seated or raised to near vertical positions.
J M Goldman; L S Rose; S J Williams; J R Silver; D M Denison
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Thorax     Volume:  41     ISSN:  0040-6376     ISO Abbreviation:  Thorax     Publication Date:  1986 Dec 
Date Detail:
Created Date:  1987-07-23     Completed Date:  1987-07-23     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0417353     Medline TA:  Thorax     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  940-5     Citation Subset:  IM    
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MeSH Terms
Abdominal Muscles / physiopathology
Diaphragm / physiopathology*
Lung / physiopathology*
Physical Therapy Modalities / instrumentation
Quadriplegia / physiopathology*

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

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