Abdominal binder: Difference between revisions
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== '''Introduction''' == | == '''Introduction''' == | ||
ABs are a noninvasive application in clinical practice to the reduction of postoperative pain and improve physical function.<ref>Xin Sun, MD, Qingchuan Wei, MD, Chenying Fu, PhD, Qing Zhang, MD, Zejun Liang, MD, Lihong Peng, MD, Li Chen, PhD, Chengqi He, PhD, Quan Wei, PhD, [https://pubmed.ncbi.nlm.nih.gov/33713136/ Effects of Abdominal Binders on Postoperative Pain and Functional Recovery: A Systematic Review and Meta-Analysis], Pain Medicine, Volume 22, Issue</ref> The Elastic abdominal binder is used by clinicians to relieve pain, improve [[Pulmonary Function Test|pulmonary function]], and stabilize an incision to enhance wound healing. After upper [[Abdominal Muscles|abdominal]] surgeries | ABs are a noninvasive application in clinical practice to the reduction of postoperative pain and improve physical function.<ref>Xin Sun, MD, Qingchuan Wei, MD, Chenying Fu, PhD, Qing Zhang, MD, Zejun Liang, MD, Lihong Peng, MD, Li Chen, PhD, Chengqi He, PhD, Quan Wei, PhD, [https://pubmed.ncbi.nlm.nih.gov/33713136/ Effects of Abdominal Binders on Postoperative Pain and Functional Recovery: A Systematic Review and Meta-Analysis], Pain Medicine, Volume 22, Issue</ref> The Elastic abdominal binder is used by clinicians to relieve pain, improve [[Pulmonary Function Test|pulmonary function]], and stabilize an incision to enhance wound healing. After upper [[Abdominal Muscles|abdominal]] surgeries patients suffer from restriction of respiratory function. Using of abdominal binder is useful.<ref>Cheifetz, O., Lucy, S. D., Overend, T. J., & Crowe, J. (2010).T[https://pubmed.ncbi.nlm.nih.gov/21629603/ he effect of abdominal support on functional outcomes in patients following major abdominal surgery: a randomized controlled trial .] Physiotherapy Canada. Physiotherapie Canada, 62(3), 242–253. </ref>some evidence presented that abdominal binders promote coughing and deep breathing after surgery and mobility. The elastic abdominal binder has a positive effect on abdominal postoperative pain and recovery.<ref name=":0">Chantawong, N., & Charoenkwan, K. (2021). Effect of [https://pubmed.ncbi.nlm.nih.gov/34065997/ Elastic Abdominal Binder on Pain and Functional Recovery Following Gynecologic Cancer Surgery]: A Randomized Controlled Trial. Medicina (Kaunas, Lithuania), 57(5), 481. </ref> | ||
Clinicians assigned randomly one hundred and nine women diagnosed with cervical, | Clinicians assigned randomly one hundred and nine women diagnosed with cervical, | ||
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* Spinal cord injuries.<ref>Julia, P. E., Sa'ari, M. Y., & Hasnan, N. (2011). [https://www.researchgate.net/publication/51131538_Benefit_of_triple-strap_abdominal_binder_on_voluntary_cough_in_patients_with_spinal_cord_injury Benefit of triple-strap abdominal binder on voluntary cough in patients with spinal cord injury.] Spinal cord, 49(11), 1138–1142. </ref> | * Spinal cord injuries.<ref>Julia, P. E., Sa'ari, M. Y., & Hasnan, N. (2011). [https://www.researchgate.net/publication/51131538_Benefit_of_triple-strap_abdominal_binder_on_voluntary_cough_in_patients_with_spinal_cord_injury Benefit of triple-strap abdominal binder on voluntary cough in patients with spinal cord injury.] Spinal cord, 49(11), 1138–1142. </ref> | ||
* [[Orthostatic Hypotension|Orthostatic]] hypotension.<ref>Figueroa, J. J., Singer, W., Sandroni, P., Sletten, D. M., Gehrking, T. L., Gehrking, J. A., Low, P., & Basford, J. R. (2015). [https://pubmed.ncbi.nlm.nih.gov/25448247/ Effects of patient-controlled abdominal compression on standing systolic blood pressure in adults with orthostatic hypotension.] Archives of physical medicine and rehabilitation, 96(3), 505–510. </ref> | * [[Orthostatic Hypotension|Orthostatic]] hypotension.<ref>Figueroa, J. J., Singer, W., Sandroni, P., Sletten, D. M., Gehrking, T. L., Gehrking, J. A., Low, P., & Basford, J. R. (2015). [https://pubmed.ncbi.nlm.nih.gov/25448247/ Effects of patient-controlled abdominal compression on standing systolic blood pressure in adults with orthostatic hypotension.] Archives of physical medicine and rehabilitation, 96(3), 505–510. </ref> | ||
* After bariatric surgeries.<ref>Strauch B, Herman C, Rohde C, Baum T. Mid-body contouring in the post–bariatric surgery patient. Plastic and reconstructive surgery. 2006 Jun 1;117(7):2200-11.</ref> | * After bariatric surgeries.<ref>Strauch B, Herman C, Rohde C, Baum T. [https://journals.lww.com/plasreconsurg/Fulltext/2006/06000/A_Technique_of_Brachioplasty.00016.aspx Mid-body contouring in the post–bariatric surgery patient. Plastic and reconstructive surgery.] 2006 Jun 1;117(7):2200-11.</ref> | ||
== Therapeutic effect == | |||
* Encourage early mobilization after surgery.<ref name=":1">Jiang N, Hao B, Huang R, Rao F, Wu P, Li Z, Song C, Liu Z, Guo T. [https://journals.sagepub.com/doi/abs/10.1177/1553350620974825 The clinical effects of abdominal binder on abdominal surgery: a meta-analysis.] Surgical Innovation. 2021 Feb;28(1):94-102.</ref> | |||
* Reduce pain and swelling during healing. <ref name=":1" /> | |||
* Avoid postoperative discomfort. <ref name=":1" /> | |||
* Affect abdominal pressure.<ref>Zhang HY, Liu D, Tang H, Sun SJ, Ai SM, Yang WQ, Jiang DP, Zhang LY. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4724682/ The effect of different types of abdominal binders on intra-abdominal pressure.] Saudi Medical Journal. 2016 Jan;37(1):66.</ref> | |||
* Improve pulmonary function in some individuals.<ref>Wadsworth BM, Haines TP, Cornwell PL, Rodwell LT, Paratz JD. [https://www.sciencedirect.com/science/article/pii/S0003999312004339 Abdominal binder improves lung volumes and voice in people with tetraplegic spinal cord injury.] Archives of physical medicine and rehabilitation. 2012 Dec 1;93(12):2189-97.</ref> (needs further studies) | |||
== Risks and Side Effects == | |||
Some abdominal binders may cause an allergic reaction with symptoms such as itching, redness, or irritation so it's better to use binders with hypoallergic materials.<ref name=":2" /> | |||
The question of whether abdominal binders raise the risk of deep vein thrombosis (DVT) is up for dispute. According to this research<ref>Huang GJ, Bajaj AK, Gupta S, Petersen F, Miles DA. [https://journals.lww.com/plasreconsurg/Fulltext/2007/04010/Abdominal_Compartment_Syndrome.00025.aspx Increased intraabdominal pressure in abdominoplasty: delineation of risk factors.] Plastic and reconstructive surgery. 2007 Apr 1;119(4):1319-25.</ref>, they can increase intra-abdominal pressure which may contribute to DVT. But, at the same time, abdominal binders contribute to a rapid return to function and mobility post-surgery which reduces the risk of DVT. <ref name=":2" /> | |||
== Types == | == Types == | ||
Elastic abdominal binder and non-elastic abdominal binder. Elastic abdominal binders are more helpful and suitable than non-elastic binders after surgeries.<ref>Zhang, H. Y., Liu, D., Tang, H., Sun, S. J., Ai, S. M., Yang, W. Q., Jiang, D. P., & Zhang, L. Y. (2016). | Elastic abdominal binder and non-elastic abdominal binder. Elastic abdominal binders are more helpful and suitable than non-elastic binders after surgeries.<ref>Zhang, H. Y., Liu, D., Tang, H., Sun, S. J., Ai, S. M., Yang, W. Q., Jiang, D. P., & Zhang, L. Y. (2016). Th[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4724682/ e effect of different types of abdominal binders on intra-abdominal pressure]. Saudi medical journal, 37(1), 66–72. </ref> | ||
== Physiotherapy == | == Physiotherapy == | ||
D. MacLean adds an abdominal binder in the chest physical therapy for intubated patients in [[ICU Mobility Scale|ICU]] who are unable to cough. Voluntary cough is correlated with high expiratory airflow with contraction of the rib cage and abdominal muscles | D. MacLean adds an abdominal binder in the chest physical therapy for intubated patients in [[ICU Mobility Scale|the ICU]] who are unable to cough. Voluntary cough is correlated with high expiratory airflow with contraction of the rib cage and abdominal muscles when adding abdominal binder as [[splinting]] for abdominal muscle. simultaneous compression of the abdomen and [[Chest Physiotherapy|chest]] increases the intrapleural pressure and then increases expiratory airflow than produced by chest compression alone.<ref>MacLean, D., Drummond, G., Macpherson, C., McLaren, G., & Prescott, R. (1989). [https://pubmed.ncbi.nlm.nih.gov/2808898/ Maximum expiratory airflow during chest physiotherapy on ventilated patients before and after the application of an abdominal binder. Intensive care medicine, 15(6), 396–399.] </ref> | ||
mostly after abdominal surgery patients wake up from anesthesia wearing an abdominal binder. Very important to get the right size of the binder. To detect your size, measure the widest part of your body. Usually for women widest part is the hips. For men, usually the waist. <ref>https://www.healthline.com/health/abdominal-binder</ref> | mostly after abdominal surgery patients wake up from anesthesia wearing an abdominal binder. Very important to get the right size of the binder. To detect your size, measure the widest part of your body. Usually for women widest part is the hips. For men, usually the waist. <ref name=":2">https://www.healthline.com/health/abdominal-binder</ref> | ||
== Application == | == Application == | ||
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{{#ev:youtube|2uyDt2jyi5A}} | {{#ev:youtube|2uyDt2jyi5A}} | ||
==References== | ==the References== | ||
<references /> | <references /> | ||
[[Category:Assistive Technology]] | [[Category:Assistive Technology]] | ||
Revision as of 13:23, 22 November 2023
Original Editor - Hayaa Yousri Top Contributors - Hayaa Yousri, Hagar Ashraf Abdul-Raziq, Naomi O'Reilly and Kim Jackson
This article or area is currently under construction and may only be partially complete. Please come back soon to see the finished work! (22/11/2023)
Introduction[edit | edit source]
ABs are a noninvasive application in clinical practice to the reduction of postoperative pain and improve physical function.[1] The Elastic abdominal binder is used by clinicians to relieve pain, improve pulmonary function, and stabilize an incision to enhance wound healing. After upper abdominal surgeries patients suffer from restriction of respiratory function. Using of abdominal binder is useful.[2]some evidence presented that abdominal binders promote coughing and deep breathing after surgery and mobility. The elastic abdominal binder has a positive effect on abdominal postoperative pain and recovery.[3]
Clinicians assigned randomly one hundred and nine women diagnosed with cervical,
endometrial, or ovarian cancer, who had done abdominal surgery into two groups: the intervention (56 patients) used the abdominal binder from day 1, and the control (53 patients) did not wear the binder. The primary outcomes were pain and functional recovery. The Researcher observed the intervention group significantly lower pain score than the control group.[3]
Some researchers concluded no significant difference between both groups in the surgical outcome and no difference in the number of days staying in the hospital but only a difference in the degree of comfort.[4]
Indications[edit | edit source]
- After cesarean delivery.[5]
- Postoperative Gynecological Cancer.[3]
- After incisional hernia repair.
- Postoperative colonoscopy. [6]
- Spinal cord injuries.[7]
- Orthostatic hypotension.[8]
- After bariatric surgeries.[9]
Therapeutic effect[edit | edit source]
- Encourage early mobilization after surgery.[10]
- Reduce pain and swelling during healing. [10]
- Avoid postoperative discomfort. [10]
- Affect abdominal pressure.[11]
- Improve pulmonary function in some individuals.[12] (needs further studies)
Risks and Side Effects[edit | edit source]
Some abdominal binders may cause an allergic reaction with symptoms such as itching, redness, or irritation so it's better to use binders with hypoallergic materials.[13]
The question of whether abdominal binders raise the risk of deep vein thrombosis (DVT) is up for dispute. According to this research[14], they can increase intra-abdominal pressure which may contribute to DVT. But, at the same time, abdominal binders contribute to a rapid return to function and mobility post-surgery which reduces the risk of DVT. [13]
Types[edit | edit source]
Elastic abdominal binder and non-elastic abdominal binder. Elastic abdominal binders are more helpful and suitable than non-elastic binders after surgeries.[15]
Physiotherapy[edit | edit source]
D. MacLean adds an abdominal binder in the chest physical therapy for intubated patients in the ICU who are unable to cough. Voluntary cough is correlated with high expiratory airflow with contraction of the rib cage and abdominal muscles when adding abdominal binder as splinting for abdominal muscle. simultaneous compression of the abdomen and chest increases the intrapleural pressure and then increases expiratory airflow than produced by chest compression alone.[16]
mostly after abdominal surgery patients wake up from anesthesia wearing an abdominal binder. Very important to get the right size of the binder. To detect your size, measure the widest part of your body. Usually for women widest part is the hips. For men, usually the waist. [13]
Application[edit | edit source]
Here are a couple of videos that can guide you on the proper application of abdominal binders.
the References[edit | edit source]
- ↑ Xin Sun, MD, Qingchuan Wei, MD, Chenying Fu, PhD, Qing Zhang, MD, Zejun Liang, MD, Lihong Peng, MD, Li Chen, PhD, Chengqi He, PhD, Quan Wei, PhD, Effects of Abdominal Binders on Postoperative Pain and Functional Recovery: A Systematic Review and Meta-Analysis, Pain Medicine, Volume 22, Issue
- ↑ Cheifetz, O., Lucy, S. D., Overend, T. J., & Crowe, J. (2010).The effect of abdominal support on functional outcomes in patients following major abdominal surgery: a randomized controlled trial . Physiotherapy Canada. Physiotherapie Canada, 62(3), 242–253.
- ↑ 3.0 3.1 3.2 Chantawong, N., & Charoenkwan, K. (2021). Effect of Elastic Abdominal Binder on Pain and Functional Recovery Following Gynecologic Cancer Surgery: A Randomized Controlled Trial. Medicina (Kaunas, Lithuania), 57(5), 481.
- ↑ Choi, H. U., Park, S. H., Lee, E. J. S., Jung, K. U., Shin, J. H., & Lee, S. R. (2021). Effect of abdominal binder after laparoscopic cholecystectomy on enhanced recovery: a randomized controlled trial. Journal of minimally invasive surgery, 24(2), 91–97.
- ↑ Paasch, C., Santo, G., Aljedani, N., Ortiz, P., Bruckert, L., Hünerbein, M., Lorenz, E., & Croner, R. (2021). The Effect of an Abdominal Binder on Postoperative Pain After Laparoscopic Incisional Hernia Repair–A Multicenter, Randomized Pilot Trial (ABIHR-I) of the Intraperitoneal Onlay-Mesh Technique. Deutsches Arzteblatt international, 118(37), 607–613.
- ↑ Yu, G. Q., Huang, X. M., Li, H. Y., Tang, W., Hu, D. M., Lü, M. H., & Fu, K. I. (2018).Use of an abdominal obstetric binder in colonoscopy: A randomized, prospective trial . Journal of gastroenterology and hepatology, 33(7), 1365–1369.
- ↑ Julia, P. E., Sa'ari, M. Y., & Hasnan, N. (2011). Benefit of triple-strap abdominal binder on voluntary cough in patients with spinal cord injury. Spinal cord, 49(11), 1138–1142.
- ↑ Figueroa, J. J., Singer, W., Sandroni, P., Sletten, D. M., Gehrking, T. L., Gehrking, J. A., Low, P., & Basford, J. R. (2015). Effects of patient-controlled abdominal compression on standing systolic blood pressure in adults with orthostatic hypotension. Archives of physical medicine and rehabilitation, 96(3), 505–510.
- ↑ Strauch B, Herman C, Rohde C, Baum T. Mid-body contouring in the post–bariatric surgery patient. Plastic and reconstructive surgery. 2006 Jun 1;117(7):2200-11.
- ↑ 10.0 10.1 10.2 Jiang N, Hao B, Huang R, Rao F, Wu P, Li Z, Song C, Liu Z, Guo T. The clinical effects of abdominal binder on abdominal surgery: a meta-analysis. Surgical Innovation. 2021 Feb;28(1):94-102.
- ↑ Zhang HY, Liu D, Tang H, Sun SJ, Ai SM, Yang WQ, Jiang DP, Zhang LY. The effect of different types of abdominal binders on intra-abdominal pressure. Saudi Medical Journal. 2016 Jan;37(1):66.
- ↑ Wadsworth BM, Haines TP, Cornwell PL, Rodwell LT, Paratz JD. Abdominal binder improves lung volumes and voice in people with tetraplegic spinal cord injury. Archives of physical medicine and rehabilitation. 2012 Dec 1;93(12):2189-97.
- ↑ 13.0 13.1 13.2 https://www.healthline.com/health/abdominal-binder
- ↑ Huang GJ, Bajaj AK, Gupta S, Petersen F, Miles DA. Increased intraabdominal pressure in abdominoplasty: delineation of risk factors. Plastic and reconstructive surgery. 2007 Apr 1;119(4):1319-25.
- ↑ Zhang, H. Y., Liu, D., Tang, H., Sun, S. J., Ai, S. M., Yang, W. Q., Jiang, D. P., & Zhang, L. Y. (2016). The effect of different types of abdominal binders on intra-abdominal pressure. Saudi medical journal, 37(1), 66–72.
- ↑ MacLean, D., Drummond, G., Macpherson, C., McLaren, G., & Prescott, R. (1989). Maximum expiratory airflow during chest physiotherapy on ventilated patients before and after the application of an abdominal binder. Intensive care medicine, 15(6), 396–399.
