{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T09:47:30Z","timestamp":1776592050861,"version":"3.51.2"},"reference-count":19,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2024,8,29]],"date-time":"2024-08-29T00:00:00Z","timestamp":1724889600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinics and Practice"],"abstract":"<jats:p>The study focuses on the design and evaluation of inflatable abdominal binders for managing Orthostatic Hypotension. Orthostatic hypotension is a condition characterized by a significant drop in blood pressure when a person stands up, leading to symptoms such as dizziness, lightheadedness, and even fainting. The management of orthostatic hypotension typically involves a combination of pharmacological and non-pharmacological strategies. In the context of this research, an inflatable abdominal binder was designed, leveraging components that are not only economically viable but also easily obtainable. The evaluation of this device was conducted using a medical education manikin, specifically the CAE iStan manikin. The results demonstrated a correlation between the inflation values of the belt and the resulting pressure values exerted on the body. The general recommendation for an abdominal binder is to exert a pressure of 20\u201340 mmHg. Contrary to this, the study found that to maintain safe external pressure on the abdomen, the binder should not be inflated over 25 mmHg. This safety threshold was used as a reference point in the study, suggesting a potential need to revisit the standard recommendations for abdominal binder pressure. Further research is needed to assess the device\u2019s effectiveness in human subjects and to potentially redefine the safe and effective pressure range for abdominal binders.<\/jats:p>","DOI":"10.3390\/clinpract14050138","type":"journal-article","created":{"date-parts":[[2024,8,29]],"date-time":"2024-08-29T11:33:37Z","timestamp":1724931217000},"page":"1737-1743","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Safety-Centric Study on the Use of Inflatable Abdominal Binders for Managing Orthostatic Hypotension"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2154-3728","authenticated-orcid":false,"given":"Milan","family":"Toma","sequence":"first","affiliation":[{"name":"Department of Osteopathic Manipulative Medicine, College of Osteopathic Medicine, New York Institute of Technology, Old Westbury, NY 11568, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0859-1653","authenticated-orcid":false,"given":"Rejath","family":"Jose","sequence":"additional","affiliation":[{"name":"Department of Osteopathic Manipulative Medicine, College of Osteopathic Medicine, New York Institute of Technology, Old Westbury, NY 11568, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9294-2537","authenticated-orcid":false,"given":"Faiz","family":"Syed","sequence":"additional","affiliation":[{"name":"Mather Hospital, Northwell Health, 75 N Country Rd., Port Jefferson, NY 11777, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy","family":"Devine","sequence":"additional","affiliation":[{"name":"The Ferrara Center for Patient Safety and Clinical Simulation, College of Osteopathic Medicine, New York Institute of Technology, Old Westbury, NY 11568, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,8,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1016\/S1474-4422(22)00169-7","article-title":"Diagnosis and treatment of orthostatic hypotension","volume":"21","author":"Wieling","year":"2022","journal-title":"Lancet Neurol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1093\/gerona\/gly188","article-title":"The Prevalence of Orthostatic Hypotension: A Systematic Review and Meta-Analysis","volume":"75","author":"Saedon","year":"2018","journal-title":"J. Gerontol. Ser. A"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1007\/s00134-007-0592-4","article-title":"Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. II. Recommendations","volume":"33","author":"Cheatham","year":"2007","journal-title":"Intensive Care Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1146\/annurev-med-041818-011630","article-title":"Postural Orthostatic Tachycardia Syndrome: Mechanisms and New Therapies","volume":"71","author":"Mar","year":"2020","journal-title":"Annu. Rev. Med."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"e010573","DOI":"10.1161\/CIRCEP.121.010573","article-title":"Orthostatic Hypotension: Management of a Complex, But Common, Medical Problem","volume":"15","author":"Fedorowski","year":"2022","journal-title":"Circ. Arrhythmia Electrophysiol."},{"key":"ref_6","first-page":"39","article-title":"Orthostatic Hypotension: A Practical Approach","volume":"105","author":"Kim","year":"2022","journal-title":"Am. Fam. Physician"},{"key":"ref_7","unstructured":"Ringer, M., and Lappin, S. (2024). Orthostatic Hypotension, StatPearls Publishing. Available online: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK448192\/."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1161\/HYPERTENSIONAHA.116.07199","article-title":"Efficacy of Servo-Controlled Splanchnic Venous Compression in the Treatment of Orthostatic Hypotension: A Randomized Comparison with Midodrine","volume":"68","author":"Okamoto","year":"2016","journal-title":"Hypertension"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1002\/mdc3.12270","article-title":"Elastic Abdominal Binders Attenuate Orthostatic Hypotension in Parkinson\u2019s Disease","volume":"3","author":"Fanciulli","year":"2015","journal-title":"Mov. Disord. Clin. Pract."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1016\/j.apmr.2014.10.012","article-title":"Effects of Patient-Controlled Abdominal Compression on Standing Systolic Blood Pressure in Adults with Orthostatic Hypotension","volume":"96","author":"Figueroa","year":"2015","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_11","unstructured":"Baudenbacher, F., Biaggioni, I., Harder, R., Diedrich, A., and Okamoto, L. (2015). Compression Device, System, and Method for Decreasing Abdominal Venous Pooling. (US20150313608A1), U.S. Patent."},{"key":"ref_12","unstructured":"Biaggioni, I., and Okamoto, L. (2024, July 18). Clinical Trial ID: NCT03482297, Automated Abdominal Binder for Orthostatic Hypotension, Autonomic Dysfunction Center\/Vanderbilt University Medical Center, Nashville, TN, USA. 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Res."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1190","DOI":"10.1007\/s00134-013-2906-z","article-title":"Intra-abdominal hypertension and the abdominal compartment syndrome: Updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome","volume":"39","author":"Kirkpatrick","year":"2013","journal-title":"Intensive Care Med."}],"container-title":["Clinics and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-7283\/14\/5\/138\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:44:38Z","timestamp":1760111078000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-7283\/14\/5\/138"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,29]]},"references-count":19,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2024,10]]}},"alternative-id":["clinpract14050138"],"URL":"https:\/\/doi.org\/10.3390\/clinpract14050138","relation":{},"ISSN":["2039-7283"],"issn-type":[{"value":"2039-7283","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,29]]}}}