Self-reported effects of cold temperature exposure in persons with tetraplegia

Handrakis, John P.; Rosado-Rivera, Dwindally; Singh, Kamaldeep; Swonger, Kirsten N.; Azarelo, Frank; Lombard, A; Spungen, Ann M.; Kirshblum, Steven; Bauman, William A.

doi:10.1080/10790268.2016.1154670

Cited by 5 publications

(2 citation statements)

References 42 publications

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“…Thermoregulatory dysfunction is a well-known consequence of SCI and has been shown to negatively impact comfort and the ability to perform vital activities during the cooler seasons in persons with tetraplegia [39]. Recent findings from our survey study (unpublished) have shown that warmer seasonal temperatures may present a similar barrier in persons with tetraplegia to engage in activities outside of their homes as well as cause increased physical discomfort in persons with both paraplegia and tetraplegia [40].…”

Section: Discussionmentioning

confidence: 90%

Thermodysregulation in persons with spinal cord injury: case series on use of the autonomic standards

Handrakis

Trbovich

Hagen

2017

Spinal Cord Ser Cases

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The three cases demonstrate the signs and symptoms that may accompany hyperthermia in persons with SCI. The onset may be quite rapid and the condition persistent, despite ambient temperatures being much less intense than expected to be necessary to induce similar conditions in able-bodied (AB) persons. The responses of the persons in the case studies to the temperature regulation and autonomic control of sweating sections of the Autonomic Standards would identify them as being vulnerable and warrant providing appropriate exposure guidelines and precautions to them and their caregivers.

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Section: Discussionmentioning

confidence: 90%

Thermodysregulation in persons with spinal cord injury: case series on use of the autonomic standards

Handrakis

Trbovich

Hagen

2017

Spinal Cord Ser Cases

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“…P2 reported impaired tolerance for low temperatures since his injury, which is common following SCI. 60 After the tSCS with locomotor training phase, he reported that he could tolerate much longer time in low-temperature environments compared with pre-intervention. Taken together, these findings provide encouraging evidence of the efficacy of spinal stimulation to improve autonomic function.…”

Section: Discussionmentioning

confidence: 99%

Multisite Transcutaneous Spinal Stimulation for Walking and Autonomic Recovery in Motor-Incomplete Tetraplegia: A Single-Subject Design

et al. 2022

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Objective This study investigated the effect of cervical and lumbar transcutaneous spinal cord stimulation (tSCS) combined with intensive training to improve walking and autonomic function after chronic spinal cord injury (SCI). Methods Two 64-year-old men with chronic motor incomplete cervical SCI participated in this single-subject design study. They each underwent 2 months of intensive locomotor training and 2 months of multisite cervical and lumbosacral tSCS paired with intensive locomotor training. Results The improvement in 6-Minute Walk Test distance after 2 months of tSCS with intensive training was threefold greater than after locomotor training alone. Both participants improved balance ability measured by the Berg Balance Scale and increased their ability to engage in daily home exercises. Gait analysis demonstrated increased step length for each individual. Both participants experienced improved sensation and bowel function, and 1 participant eliminated the need for intermittent catheterization after the stimulation phase of the study. Conclusion These results suggest that noninvasive spinal cord stimulation might promote recovery of locomotor and autonomic functions beyond traditional gait training in people with chronic incomplete cervical SCI. Impact Multisite transcutaneous spinal stimulation may induce neuroplasticity of the spinal networks and confer functional benefits following chronic cervical SCI.

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An altered Bioheat model for persons with cervical spinal cord injury

Mneimneh

Ghaddar

Ghali

et al. 2018

Journal of Thermal Biology

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Self-reported effects of cold temperature exposure in persons with tetraplegia

Abstract: Cold seasonal temperatures have a reported greater negative impact on personal comfort and ability to perform vital activities in persons with tetraplegia than that of non-SCI controls. These findings highlight the need to address thermoregulatory impairment in persons with tetraplegia.

Cited by 5 publications

References 42 publications

Thermodysregulation in persons with spinal cord injury: case series on use of the autonomic standards

Thermodysregulation in persons with spinal cord injury: case series on use of the autonomic standards

Multisite Transcutaneous Spinal Stimulation for Walking and Autonomic Recovery in Motor-Incomplete Tetraplegia: A Single-Subject Design

An altered Bioheat model for persons with cervical spinal cord injury

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