scholarly journals The effect of elastic abdominal binder use on respiratory function on persons with high spinal cord injury at orthostatic position.

Author(s):  
Viviane De Souza Pinho Costa ◽  
Bianca Teixeira Costa ◽  
Rubens Alexandre Da Silva Jr ◽  
Ruy Moreira Da Costa Filho ◽  
Jefferson Rosa Cardoso

Introduction: Spinal cord injury causes respiratory muscles paralysis, especially in high thoracic paraplegia and tetraplegia with injury above or right on the sixth thoracic segment, and also biomechanics, volumes, capacities and respiratory pressures changes in affected people. The elastic abdominal binder provides a mechanical support for respiratory function treatment, assisting with abdominal restraint and abdominal compliance reduction while at orthostatic position. Objective: To verify the elastic abdominal binder effect on the respiratory function of people with spinal cord injuries during standing position with the help of orthostatic table, from vertical angle position of 60° and 90°. Method: The study included 56 people suffering from spinal cord injury with motor level above or right on the sixth thoracic segment. They were randomly divided into four distinct groups regarding the use or not of the binder and different inclinations of the orthostatic table during the evaluation procedure. The measured outcomes were vital capacity, tidal volume, inspiratory and expiratory pressure and oxygen saturation. The descriptive analysis presented according to average and standard deviation or median and interquartile. For the outcomes analysis of the five evaluations, the Analysis of Variance (ANOVA) of two factors with repeated measures was used. Statistical significance was set at 5%. Results: The values obtained from respiratory parameters showed no statistical significance regarding the elastic abdominal binder intervention nor on the angle of the standing position. Conclusion: There was no contrasting effect regarding the use of the binder among the evaluated people, therefore it should not be nominated as a standard procedure in the treatment of spinal cord injury at orthostatic position. However, this procedure should not be absolute contraindicated, thus its effect has not demonstrated any harm to participants.

2019 ◽  
Vol 25 (2) ◽  
pp. 105-111 ◽  
Author(s):  
E.J. McCaughey ◽  
J.E. Butler ◽  
R.A. McBain ◽  
C.L. Boswell-Ruys ◽  
A.L. Hudson ◽  
...  

2001 ◽  
Vol 91 (6) ◽  
pp. 2451-2458 ◽  
Author(s):  
Francis J. Golder ◽  
Paul J. Reier ◽  
Paul W. Davenport ◽  
Donald C. Bolser

The mechanisms by which chronic cervical spinal cord injury alters respiratory function and plasticity are not well understood. We speculated that spinal hemisection at C2 would alter the respiratory pattern controlled by vagal mechanisms. Expired volume (Ve) and respiratory rate (RR) were measured in anesthetized control and C2-hemisected rats at 1 and 2 mo postinjury. C2 hemisection altered the pattern of breathing at both postinjury time intervals. Injured rats utilized a higher RR and lower Ve to maintain the same minute ventilation as control rats. After bilateral vagotomy, the pattern of breathing in injured rats was not different from controls. The frequency of augmented breaths was higher in injured rats at 2 mo postinjury before vagotomy; however, the Ve of augmented breaths was not different between groups. In conclusion, C2 hemisection alters the pattern of breathing at 1 and 2 mo postinjury via vagal mechanisms.


Author(s):  
Anja M. Raab ◽  
Sonja De Groot ◽  
Marcel W.M. Post ◽  
David J. Berlowitz ◽  
Jacinthe Adriaansen ◽  
...  

Spinal Cord ◽  
2016 ◽  
Vol 54 (9) ◽  
pp. 714-719 ◽  
Author(s):  
L van Silfhout ◽  
A E J Peters ◽  
D J Berlowitz ◽  
R Schembri ◽  
D Thijssen ◽  
...  

2004 ◽  
Vol 15 (4) ◽  
pp. 31
Author(s):  
Cohen I. Meryl ◽  
Beckley C. Danielle ◽  
Perez X. Maureen ◽  
Solomon H. Nicole ◽  
Field-Fote C. Edelle

2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Jiaqi Chang ◽  
Dongkai Shen ◽  
Yixuan Wang ◽  
Na Wang ◽  
Ya Liang

Background. Spinal cord injury (SCI) is a common severe trauma in clinic, hundreds of thousands of people suffer from which every year in the world. In terms of injury location, cervical spinal cord injury (CSCI) has the greatest impact. After cervical spinal cord injury, the lack of innervated muscles is not enough to provide ventilation and other activities to complete the respiratory function. In addition to the decline of respiratory capacity, respiratory complications also have a serious impact on the life of patients. The most commonly used assisted breathing and cough equipment is the ventilator, but in recent years, the functional electrical stimulation method is being used gradually and widely. Methods. About hundred related academic papers are cited for data analysis. They all have the following characteristics: (1) basic conditions of patients were reported, (2) patients had received nerve or muscle stimulation and the basic parameters, and (3) the results were evaluated based on some indicators. Results. The papers mentioned above are classified as four kinds of stimulation methods: muscle electric/magnetic stimulation, spinal dural electric stimulation, intraspinal microstimulation, and infrared light stimulation. This paper describes the stimulation principle and application experiment. Finally, this paper will compare the indexes and effects of typical stimulation methods, as well as the two auxiliary methods: training and operation. Conclusions. Although there is limited evidence for the treatment of respiratory failure by nerve or muscle stimulation after cervical spinal cord injury, the two techniques seem to be safe and effective. At the same time, light stimulation is gradually applied to clinical medicine with its strong advantages and becomes the development trend of nerve stimulation in the future.


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