The Effectiveness of Strapping Techniques in Spinal Immobilization

Mazolewski, Peter J.; Manix, Thomas H

doi:10.1016/s0196-0644(94)70354-x

Cited by 35 publications

(14 citation statements)

References 15 publications

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“…In all, 25 studies were reviewed for this particular question (Chan et al, 1996;Chandler et al, 1992;Cordell et al, 1995;Cornwell et al, 2001;Davies et al, 1996, De Lorenzo et al, 1996Gerling et al, 2000;Graziano et al, 1987;Hamilton and Pons, 1996;Hauswald et al, 2000Hauswald et al, , 1998Huerta et al, 1987;Johnson et al, 1996;Krell et al, 2006;Luscombe and Williams, 2003;Main and Lovell, 1996;Mazolewski and Manix, 1994;Nypaver and Treloar, 1994;Peery et al, 2007;Perry et al, 1999;Schafermeyer et al, 1991;Schriger et al, 1991;Sheerin and de Frein, 2007;Walton et al, 1995;Waninger et al, 2001). Most evidence in the literature was based on biomechanical studies with volunteers.…”

Section: Methodsmentioning

confidence: 99%

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Pre-Hospital Care Management of a Potential Spinal Cord Injured Patient: A Systematic Review of the Literature and Evidence-Based Guidelines

Ahn

Singh

Nathens

et al. 2011

Journal of Neurotrauma

122

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An interdisciplinary expert panel of medical and surgical specialists involved in the management of patients with potential spinal cord injuries (SCI) was assembled. Four key questions were created that were of significant interest. These were: (1) what is the optimal type and duration of pre-hospital spinal immobilization in patients with acute SCI?; (2) during airway manipulation in the pre-hospital setting, what is the ideal method of spinal immobilization?; (3) what is the impact of pre-hospital transport time to definitive care on the outcomes of patients with acute spinal cord injury?; and (4) what is the role of pre-hospital care providers in cervical spine clearance and immobilization? A systematic review utilizing multiple databases was performed to determine the current evidence about the specific questions, and each article was independently reviewed and assessed by two reviewers based on inclusion and exclusion criteria. Guidelines were then created related to the questions by a national Canadian expert panel using the Delphi method for reviewing the evidence-based guidelines about each question. Recommendations about the key questions included: the pre-hospital immobilization of patients using a cervical collar, head immobilization, and a spinal board; utilization of padded boards or inflatable bean bag boards to reduce pressure; transfer of patients off of spine boards as soon as feasible, including transfer of patients off spinal boards while awaiting transfer from one hospital institution to another hospital center for definitive care; inclusion of manual in-line cervical spine traction for airway management in patients requiring intubation in the pre-hospital setting; transport of patients with acute traumatic SCI to the definitive hospital center for care within 24 h of injury; and training of emergency medical personnel in the pre-hospital setting to apply criteria to clear patients of cervical spinal injuries, and immobilize patients suspected of having cervical spinal injury.

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Section: Methodsmentioning

confidence: 99%

“…There were not enough studies to recommend exact types of collars. Certain forms of strapping, if applied appropriately in terms of location and tightness may further reduce lateral thoraco-lumbar spinal movement, but the clinical relevance of this reduction is not known (Mazolewski and Manix, 1994;Peery et al, 2007).…”

Section: Methodsmentioning

confidence: 99%

Pre-Hospital Care Management of a Potential Spinal Cord Injured Patient: A Systematic Review of the Literature and Evidence-Based Guidelines

Ahn

Singh

Nathens

et al. 2011

Journal of Neurotrauma

122

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“…The benefits (in experimental settings) of adequate immobilization of trauma patients -who by definition always have a potential spinal injury -during automotive transport in terms of prevented lateral motion are undisputed [7,15,16]. The clinical relevance of these experiments in healthy volunteers, however, has never been prospectively tested in trauma victims.…”

Section: Discussionmentioning

confidence: 99%

Is there a Reason for Spine Board Immobilization in the Emergency Department for Patients with a Potential Spinal Injury?

Lubbert

Schram²,

Leenen

2005

Eur J Trauma

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European Journal of Trauma Ab stractBackground: Currently, after trauma most patients are transported to the hospital fully immobilized on a spine board. They are kept restrained to the board until full clinical and radiologic examination of the spinal column is completed. This protocol has potential detrimental effects, e.g., the development of pressure sores, and is very uncomfortable for the conscious patient. Early removal of the spine board, however, bears the chance of additional injury due to insufficient restraint of the spinal column. Patients and Methods: In this retrospective cohort study, a period (1999) in which policy advised prolonged spine board immobilization was compared to a period (2000) in which the patient was removed from the spine board immediately upon arrival in the emergency department. A cervical collar and in-line manual stabilization of the head were maintained throughout. The authors examined possible detrimental effects of early removal of the spine board on neurologic deficits.All patients with proven spinal trauma were included in the study; in the first period 107 patients were seen, in the second, 90. The levels of the fractures in the first group were 29 cervical, 33 thoracic, and 45 lumbar; the second group had 36 cervical, 22 thoracic and 32 lumbar fracturedislocations. There were ten and 13 patients from each group, respectively, with neurologic deficit upon arrival. Patients were evaluated neurologically upon arrival and again after removal of the spine board. Results: In both groups no detrimental changes were noted. Moreover, no adverse effects of early removal of the spine board were found. Conclusion: Despite methodological limitations of the study it is concluded that there is no reason for prolonged immobilization of trauma patients on a long spine board after the emergency department is reached.

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“…[20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] All were extrapolated data (four cadaver studies, [20][21][22]34 one manikin study 23 and eleven studies of healthy volunteers [24][25][26][27][28][29][30][31][32][33]35 ). Ten studies were supportive of spinal immobilisation decreasing movement.…”

Section: Effect Of Spinal Immobilisation On Preventing Movementmentioning

confidence: 99%

“…Ten studies were supportive of spinal immobilisation decreasing movement. [23][24][25][26][27][28][29]31,32,35 Four studies were neutral, reporting that immobilisation had no effect on movement when compared to no immobilisation. 21,22,30,34 One study produced conflicting results with increases in some movements and decreases in others 33 and one study opposed spinal immobilisation reporting increased separation between C1 and C2 when spinal immobilisation was in place.…”

Section: Effect Of Spinal Immobilisation On Preventing Movementmentioning

confidence: 99%

Spinal immobilisaton in pre-hospital and emergency care: A systematic review of the literature

Hood

Considine

2015

Australasian Emergency Nursing Journal

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The Effectiveness of Strapping Techniques in Spinal Immobilization

Cited by 35 publications

References 15 publications

Pre-Hospital Care Management of a Potential Spinal Cord Injured Patient: A Systematic Review of the Literature and Evidence-Based Guidelines

Pre-Hospital Care Management of a Potential Spinal Cord Injured Patient: A Systematic Review of the Literature and Evidence-Based Guidelines

Is there a Reason for Spine Board Immobilization in the Emergency Department for Patients with a Potential Spinal Injury?

Spinal immobilisaton in pre-hospital and emergency care: A systematic review of the literature

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