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Relation between corset use and lung function postural variation in spinal cord injury
H Prigent1, N Roche, I Laffont
1Physiology Dept, Raymond Poincaré Teaching Hospital, Garches, France. helene.prigent@rpc.ap-hop-paris.fr
The European Respiratory Journal
|October 21, 2009
Summary
For spinal cord injury (SCI) patients, lying supine may predict respiratory benefits from wearing a corset. This finding helps identify individuals likely to gain vital capacity improvements with corset use.
Area of Science:
- Rehabilitation Medicine
- Respiratory Physiology
- Biomedical Engineering
Background:
- Corsets are utilized to enhance trunk stability and respiratory function in spinal cord injury (SCI) patients.
- Predicting the respiratory benefits of corset use in SCI is crucial for optimizing patient care.
Purpose of the Study:
- To identify predictors of respiratory benefits derived from wearing a corset in SCI patients.
- To investigate the relationship between body position, corset use, and vital capacity (VC) changes.
Main Methods:
- A prospective observational study involving 36 SCI patients who regularly used corsets.
- Respiratory function (VC) was measured in supine and upright seated positions, with and without a corset.
- Comparison between corset users and matched non-users.
Main Results:
- No significant difference in VC between users and non-users in the supine position.
- Corset users showed a significant VC increase in the supine position compared to seated (0.43 L increase), unlike non-users (-0.05 L).
- Corset use in the upright position significantly increased VC (0.28 L increase). The supine-induced VC increase predicted upright corset benefits.
Conclusions:
- The increase in vital capacity induced by lying supine may predict the positive effects of corset use in SCI patients.
- Further research is needed to evaluate the long-term effects of corset interventions in SCI.
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