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Title: | Effects of abdominal binding on cardiorespiratory function in cervical spinal cord injury |
Authors: | West, CR Campbell, IG Shave, RE Romer, LM |
Keywords: | Cardiac;Diaphragm;Phrenic nerve;Pulmonary;Tetraplegia;Ultrasonography |
Issue Date: | 2012 |
Publisher: | Elsevier |
Citation: | Respiratory Physiology and Neurobiology, 180 (2-3), pp. 275 - 282, (2012) |
Abstract: | We asked whether abdominal binding improves cardiorespiratory function in individuals with cervical spinal cord injury (SCI). 13 participants with chronic SCI (C 5-C 7) and 8 able-bodied controls were exposed to varying degrees of elastic abdominal compression (unbound [UB], loose-bound [LB], and tight-bound [TB]) while seated. In SCI, TB increased vital capacity (14%), expiratory flow throughout vital capacity (15%), inspiratory capacity (21%), and maximal expiratory mouth pressure (25%). In contrast, TB reduced residual volume (-34%) and functional residual capacity (-23%). TB increased tidal and twitch transdiaphragmatic pressures (∼45%), primarily by increasing the gastric pressure contributions. TB increased cardiac output (28%), systolic mitral annular velocity (22%), and late-diastolic mitral annular velocity (50%). Selected measures of cardiorespiratory function improved with LB, but the changes were less compared to TB. In able-bodied, changes were inconsistent and always less than in SCI. In conclusion, abdominal-binding improved cardiorespiratory function in low-cervical SCI by optimising operating lung volumes, increasing expiratory flow, enhancing diaphragmatic pressure production, and improving left-ventricular function. © 2011 Elsevier B.V. |
URI: | http://www.sciencedirect.com/science/article/pii/S1569904811004241 http://bura.brunel.ac.uk/handle/2438/11733 |
DOI: | http://dx.doi.org/10.1016/j.resp.2011.12.003 |
ISSN: | 1569-9048 1878-1519 |
Appears in Collections: | Dept of Life Sciences Research Papers |
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