Document Detail


Cardiovascular Status of Individuals With Incomplete Spinal Cord Injury From 7 NeuroRecovery Network Rehabilitation Centers.
MedLine Citation:
PMID:  22920455     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: To examine cardiovascular (CV) health in a large cohort of individuals with incomplete spinal cord injury (SCI). The CV health parameters of patients were compared based on American Spinal Injury Association Impairment Scale (AIS), neurologic level, sex, central cord syndrome, age, time since injury, Neuromuscular Recovery Scale, and total AIS motor score.
DESIGN: Cross-sectional study.
SETTING: Seven outpatient rehabilitation clinics.
PARTICIPANTS: Individuals (N=350) with incomplete AIS classification C and D were included in this analysis.
INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURES: Heart rate, systolic and diastolic blood pressure during resting sitting and supine positions and after an orthostatic challenge.
RESULTS: CV parameters were highly variable and significantly differed based on patient position. Neurologic level (cervical, high and low thoracic) and age were most commonly associated with CV parameters where patients classified at the cervical level had the lowest resting CV parameters. After the orthostatic challenge, blood pressure was highest for the low thoracic group, and heart rate for the high thoracic group was higher. Time since SCI was negatively related to blood pressure at rest but not after orthostatic challenge. Men exhibited higher systolic blood pressure than women and lower heart rate. The prevalence of orthostatic hypotension (OH) was 21% and was related to the total motor score and resting seated blood pressures. Cervical injuries had the highest prevalence.
CONCLUSIONS: Resting CV parameters of blood pressure and heart rate are affected by position, age, and neurologic level. OH is more prevalent in cervical injuries, those with lower resting blood pressures and who are lower functioning. Results from this study provide reference for CV parameters for individuals with incomplete SCI. Future research is needed on the impact of exercise on CV parameters.
Authors:
Sue Ann Sisto; Douglas J Lorenz; Karen Hutchinson; Lisa Wenzel; Susan J Harkema; Andrei Krassioukov
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  93     ISSN:  1532-821X     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-08-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1578-87     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Physical Therapy, Division of Rehabilitation Sciences, Stony Brook University, Stony Brook, NY.
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