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  4. Impact of an Abdominal Binder on Speech Outcomes in People With Tetraplegic Spinal Cord Injury: Perceptual and Acoustic Measures

Impact of an Abdominal Binder on Speech Outcomes in People With Tetraplegic Spinal Cord Injury: Perceptual and Acoustic Measures

Top Spinal Cord Inj Rehabil, 2014 · DOI: 10.1310/sci2001-48 · Published: January 1, 2014

Spinal Cord InjuryRehabilitation

Simple Explanation

An abdominal binder (AB) is often used for patients with tetraplegia resulting from a spinal cord injury (SCI). The idea is that it helps restore pressure in the abdomen, which can improve breathing and reduce blood pressure issues. This study looked at how wearing an AB affects breathing and speech in people with SCI. They measured lung function, voice quality, and speech characteristics with and without the AB. The study found that the AB improved breathing capacity in some ways, but it didn't significantly change speech production. However, some participants seemed to have better speech naturalness and loudness when wearing the AB.

Study Duration
6-week trial
Participants
Thirteen individuals with acute motor complete SCI between C3 and T1
Evidence Level
Not specified

Key Findings

  • 1
    Significant improvements were found in respiratory parameters (vital capacity, forced vital capacity, and forced expiratory volume in 1 second) when participants wore an abdominal binder.
  • 2
    No significant difference was found for any of the acoustic and perceptual speech parameters between the AB conditions.
  • 3
    Some participants showed improvements in speech naturalness, vocal loudness, and overall vocal quality when wearing the AB, based on perceptual ratings.

Research Summary

The study investigated the effects of an abdominal binder (AB) on respiratory and speech outcomes in individuals with tetraplegic spinal cord injury (SCI). Results indicated that the AB improved respiratory function, but did not result in significant improvements in acoustic or perceptual speech outcomes at a group level. Individual benefits were noted, with some participants showing superior ratings for speech naturalness, vocal loudness, and overall vocal quality when wearing the AB.

Practical Implications

Respiratory Function Improvement

Abdominal binders can be a useful tool to improve respiratory function in individuals with tetraplegic SCI, particularly vital capacity, forced vital capacity and forced expiratory volume.

Speech Therapy Considerations

Although AB may not directly improve speech production for all individuals, some may experience individual benefits related to speech naturalness and loudness.

Further Research Needed

Further investigation is required to determine whether there are specific areas of speech production that can benefit from an AB and whether combining its use with behavioral therapy approaches maximizes gains.

Study Limitations

  • 1
    Small sample size with large variability on some measures, which may have underpowered the study.
  • 2
    Participants presented with predominantly mild speech deficits, potentially limiting the ability to detect improvements.
  • 3
    The study used a single rater for perceptual speech data analysis, which may introduce bias.

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