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.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Wadsworth BM,Haines TP,Cornwell PL,Rodwell LT,Paratz JDdoi
10.1016/j.apmr.2012.06.010subject
Has Abstractpub_date
2012-12-01 00:00:00pages
2189-97issue
12eissn
0003-9993issn
1532-821Xpii
S0003-9993(12)00433-9journal_volume
93pub_type
杂志文章,随机对照试验abstract:OBJECTIVE:To establish the validity of 2 objective measures of disability based on 2 self-reports in individuals with the late sequelae of poliomyelitis (LSP). DESIGN:Nonexperimental research design. SETTING:Regional ambulatory clinic specializing in the management of patients with LSP. PARTICIPANTS:Seventeen commun...
journal_title:Archives of physical medicine and rehabilitation
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abstract:OBJECTIVE:To evaluate the ability of patients with chronic obstructive pulmonary disease (COPD) to accomplish 6 weeks of inspiratory muscle training (IMT) using a pressure threshold device, and to observe how the training affected inspiratory muscle strength and dyspnea. DESIGN:Pilot study comparing baseline values wi...
journal_title:Archives of physical medicine and rehabilitation
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journal_title:Archives of physical medicine and rehabilitation
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doi:10.1016/j.apmr.2012.02.032
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journal_title:Archives of physical medicine and rehabilitation
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.apmr.2017.06.015
更新日期:2018-02-01 00:00:00
abstract::This was an exploratory study in the social-leisure activity levels of married and single individuals after stroke. A 60-item behavioral frequency scale was administered to 42 married and 31 single subjects. Single persons showed higher levels of participation in performing personal care, home management and social in...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
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abstract::Eighteen women, all of whom had extensive but noninformative breast evaluations, including 10 mammograms and 4 biopies, were successfully treated by cervical traction for chronic breast pain. Each patient had distinct clinical or electromyographic evidence of cervical root compromise. Fifteen had roentgenographic evid...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
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journal_title:Archives of physical medicine and rehabilitation
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journal_title:Archives of physical medicine and rehabilitation
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pub_type: 临床试验,杂志文章
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
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更新日期:2014-09-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2004.09.019
更新日期:2005-05-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
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更新日期:2017-08-01 00:00:00
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pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章
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pub_type: 临床试验,杂志文章
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2006-03-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
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pub_type: 临床试验,杂志文章
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