Physiotherapy Department, Princess Alexandra Hospital, Brisbane, Australia.
Arch Phys Med Rehabil. 2012 Dec;93(12):2189-97. doi: 10.1016/j.apmr.2012.06.010. Epub 2012 Jun 22.
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.
Randomized crossover study.
Large university-affiliated referral hospital.
Consenting participants (N=14, 13 men and 1 woman) with recent, motor complete, C3-T1 spinal cord injury.
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.
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.
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).
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.
研究弹性腹部束带对急性完全性四肢瘫痪伤后第一年的人呼吸、声音和血压的影响。
随机交叉研究。
大型大学附属转诊医院。
同意的参与者（N=14，13 名男性和 1 名女性），最近患有运动完全性 C3-T1 脊髓损伤。
束带佩戴/不佩戴，参与者坐在直立轮椅上，在开始每天使用直立轮椅后的 6 周、3 个月和 6 个月进行 3 次重复测量。
用力肺活量、1 秒用力呼气量、呼气峰流速、最大吸气压力和最大呼气压力。平均动脉压、最大持续发音时间和声压级也进行了测量。
总体而言，腹部束带的使用在用力肺活量（加权平均差异.34 L [95%置信区间（CI）.10-.58]，P=.005）、1 秒用力呼气量（.25 L [95% CI -.01 至.51]，P=.05）、呼气峰流速（.81 L/s [95% CI.13-1.48]，P=.02）、最大吸气压力（7.40 cm H2O [95% CI 1.64-13.14]，P=.01）和最大持续发音时间（3.75 s [95% CI.90-6.60]，P=.01）方面有统计学意义的改善。最大呼气压力（5.37 cm H2O [95% CI -1.15 至 11.90]，P=.11）、平均动脉压（4.41 mmHg [95% CI -6.15 至 14.97]，P=.41）或声压级（1.14 dB [95% CI -1.31 至 3.58]，P=.36）方面无统计学意义的改善。
个体定制的腹部束带可显著改善新发四肢瘫痪患者的用力肺活量、1 秒用力呼气量、呼气峰流速、最大吸气压力和最大持续发音时间。需要进一步研究长期使用腹部束带对呼吸力学、功能残气量、总肺容量和呼吸健康的影响。
