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A Study to See the Combined Effect of Abdominal Binder and Compression Stockings on Tilt-Induced Orthostatic Hypotension in Spinal Cord Injurypatients

Shiv Kumar Verma* , Vaibhav Agarwal* , Shiv Kumar Verma* , Sharda Sharma* , Preeti Patel**

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Physiotherapy and Occupational Therapy Journal 10(1):p 15-19, January - March 2017. | DOI: DOI: http://dx.doi.org/10.21088/potj.0974.5777.10117.2

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Abstract

 Aims and Objectives: The aim of the study is to see the combined effect of compression stockings and abdominal binder on orthostatic hypotension in spinal cord injury. Methodology: A sample of 30 subjects were recruited for the study. The subjects were randomly divided into three groups. Group A (compression stockings and abdominal binder) Group B (compression stockings) and Group C (abdominal binder).All subjects were dealt individually. Prior to the intervention the subject was tilted to 300 ,600 ,900 with the help of tilt table and the blood pressure was recorded and mean arterial pressure was calculated for the subjects of all the three groups. After that, the intervention received by Group A was (compression stockings and abdominal binder) Group B (only compression stockings) and GroupC (only abdominal binder) and again with the help of tilt table the blood pressure was recorded in different angles i.e.300 , 600 , 900 and mean arterial pressure was calculated. Results: Post intervention there was significant increase in the blood pressure and mean arterial pressurein group A compared to group B and group C. Discussion: Combined use ofcompression stockings and abdominal binder helps to reduce the symptoms of orthostatic hypotension. Compression stocking when used with an abdominal binder provide great benefit by decreasing splanchnic pooling and interstitial pressure on legs. Conclusion: So, this study concluded that the combined use ofcompression stockings and abdominal binder (Group A) is more effective than use of compression stockings and abdominal binder alone (Group B and Group C) in spinal cord injury patients.

Keywords: Spinal Cord Injury; Orthostatic Hypotension; Tilt Table; Abdominal Binder; Compression Stockings.

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DOI: DOI: http://dx.doi.org/10.21088/potj.0974.5777.10117.2

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