title: Respiratory effects of spinal immobilization in children.
abstract: OBJECTIVE
  To assess the restrictive effects of two spinal immobilization strapping techniques on the respiratory capacity of normal, healthy children.
  
  
  METHODS
  Prospective study with each subject serving as his own control.
  
  
  METHODS
  Fifty-one healthy children 6 to 15 years old.
  
  
  METHODS
  Participants' forced vital capacity (FVC) measurements were first obtained with children standing and lying supine and then in full spinal immobilization using two different strapping configurations, cross straps and lateral straps. Straps were tightened to allow one hand to fit snugly between the strap and child.
  
  
  RESULTS
  Supine FVC was less than upright FVC (P less than .001). FVC in spinal immobilization ranged from 41% to 96% of supine FVC (80 +/- 9%). There was no difference in FVCs between strapping techniques (P = .83).
  
  
  CONCLUSIONS
  Spinal immobilization significantly reduced respiratory capacity as measured by FVC in healthy patients 6 to 15 years old. There is no significant benefit of one strapping technique over the other.
authors.affiliation: Department of Emergency Medicine, Carolinas Medical Center, Charlotte, North Carolina.
authors.forename: R W
authors.initials: RW
authors.lastname: Schafermeyer
authors.forename: B M
authors.initials: BM
authors.lastname: Ribbeck
authors.forename: J
authors.initials: J
authors.lastname: Gaskins
authors.forename: S
authors.initials: S
authors.lastname: Thomason
authors.forename: M
authors.initials: M
authors.lastname: Harlan
authors.forename: A
authors.initials: A
authors.lastname: Attkisson
mesh_terms: D000293:Adolescent; D002648:Child; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007103:Immobilization / Q000009:adverse effects*; D008297:Male; D011446:Prospective Studies; D013124:Spinal Injuries / Q000628:therapy*; D013484:Supination; D014797:Vital Capacity