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what exactly is a quad belly?

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    #16
    Hi SCI Nurse,

    Could the abdominal binder be worn 24/7 to help with the quad belly?

    Or, should it be for a certain number of hours in the day?

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      #17
      Only when sitting up/getting up in a wheelchair. It can cause skin problems if left on 24/7. Some people do need to wear theirs when on the commode/shower chair too.

      (KLD)
      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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        #18
        My injury was at c4/5 (incomplete) 16 years ago...I'm now 33 and definitely have something of a "quad-belly" or gut that I'm not so fond of. Then again I'm not fond of a lot of the changes to my body (and body image) after I got hurt. I guess we just have to accept the things that happen to us that we can't change...
        C4/5 incomplete, 17 years since injury

        "The trick is in what one emphasizes. We either make ourselves miserable, or we make ourselves happy. The amount of work is the same.” - Carlos Castaneda

        "We live not alone but chained to a creature of a different kingdom: our body." - Marcel Proust

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          #19
          Hey KLD,

          Just wondering... would the abdominal binder be kept on when eating?

          Could we place the binder on top of the hospital gown?

          Reason: while in the ICU, my Dad could sit up for over 5-6 hours (90 degrees) -- they were helping to prep him for rehab. But in rehab and now, he is left on his back (in bed) and is lucky to get into a chair once a week. So, the goal for me is to sit him up in bed cuz it seems to help with his breathing too - they'll help put him in an upright position in bed for mealtimes.

          And, yes, the belly is getting larger. But, another contributing reason is that he is eating but also he is getting fed via the peg -- so, even if he eats 75% of two meals, he'll get the liquid feeding as well. So, it's like eating 5 full meals per day. Big tummy!

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            #20
            Quad belly is caused not by fat, but by the abdominal wall paralysis, and overstretching of the abdominal muscles from the weight of the internal organs while sitting. Generally it is not needed or helpful to wear it in bed.

            I would be very concerned about them having him sitting up in bed this much daily, as this adds to pressure ulcer risk, even on a LAL mattress like he is on, due to increased shear and friction whenever the head of the bed is over 30 degrees. Much better for him to be moved to as reclining or tilt-in-space wheelchair from the bed, and develop sitting tolerance (with the binder, TEDs and ace wraps) there, as long as someone gives him wheelchair weight shifts every 15 minutes or so.

            (KLD)
            The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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              #21
              In hopes of fighting off a quad belly would the use of a tens unit be helpful?
              I've also recently (three days) started a high protein diet in hopes of shedding a few extra pounds to maybe slim down the size of the pot bellied stove sitting on my lap.
              Courage is being scared to death but saddling up anyway. .(John Wayne)

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