2012) showed that abdominal binding significantly improved spirometry and inspiratory muscle strength. One randomized cross-over design of long term use ( Wadsworth et al. Well-designed studies demonstrate that abdominal binders in people with tetraplegia significantly increase IC or VC, and decrease FRC in all positions ( McCool et al. In addition to being used as a respiratory intervention, abdominal binders are used as an intervention in subjects with postural hypotension (see the Orthostatic Hypotension chapter). Studies on the effects of abdominal binders need to include positioning information as position greatly influences lung volumes in tetraplegia. Some early work (primarily level 4 studies) looking at the effects of abdominal binders on respiratory function in SCI was done prior to 1980 but was not included in this review. Abdominal binders are most commonly used in subjects with loss of abdominal wall strength (generally lesions above T6). The increase in abdominal pressure is considered to position the diaphragm at a longer dome-shaped length and hence, improve inspiratory function. Spinal Function Abilities Scale (S-FAS)ДЄbdominal binders are used to prevent the abdominal contents from falling forward in order to maintain abdominal pressure in upright subjects with SCI.Spinal Cord Injury вЂ“ Person-Perceived Participation in Daily Activities Questionnaire (SCI-PDAQ).Spinal Cord Injury Lifestyle Scale (SCILS).Spinal Cord Independence Measure (SCIM).Self Reported Functional Measure (SRFM).Satisfaction with Life Scale (SWLS, Deiner Scale).Quadriplegia Index of Function-Short Form (QIF-SF).Quadriplegia Index of Function Modified (QIF-Modified).Klein-Bell Activities of Daily Living Scale (K-B Scale).

Lawton Instrumental Activities of Daily Living Scale (IADL).Functional Independence Measure Self-Report (FIM-SR).Craig Hospital Inventory of Environmental Factors (CHIEF).Canadian Occupational Performance Measure (COPM).Appraisals of DisAbility: Primary and Secondary Scale (ADAPSS).