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The Clinical Relevance of Autonomic Dysfunction, Cerebral Hemodynamics, and Sleep Interactions in Individuals Living With SCI.
Ji, Wenjie; Nightingale, Tom E; Zhao, Fei; Fritz, Nora E; Phillips, Aaron A; Sisto, Sue Ann; Nash, Mark S; Badr, M Safwan; Wecht, Jill M; Mateika, Jason H; Panza, Gino S.
Affiliation
  • Ji W; Department of Rehabilitation Science, School of Public Health and Health Professions, University at Buffalo, Buffalo, NY.
  • Nightingale TE; School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK; Centre for Trauma Science Research, University of Birmingham, Birmingham, UK; International Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, Canada.
  • Zhao F; Department of Health Care Sciences, Program of Occupational Therapy, Wayne State University, Detroit, MI; John D. Dingell VA Medical Center, Research and Development, Detroit, MI.
  • Fritz NE; Department of Health Care Sciences, Program of Physical Therapy, Detroit, MI; Department of Neurology, Wayne State University, Detroit, MI.
  • Phillips AA; Department of Physiology and Pharmacology, Cardiac Sciences, Clinical Neurosciences, Biomedical Engineering, Libin Cardiovascular institute, Hotchkiss Brain Institute, Cumming School of Medicine, Calgary, AB, Canada; RESTORE.network, University of Calgary, Calgary, AB, Canad.
  • Sisto SA; Department of Rehabilitation Science, School of Public Health and Health Professions, University at Buffalo, Buffalo, NY.
  • Nash MS; Department of Neurological Surgery, Physical Medicine & Rehabilitation Physical Therapy, Miami, FL; Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL.
  • Badr MS; John D. Dingell VA Medical Center, Research and Development, Detroit, MI; Departments of Physiology and Internal Medicine, Wayne State University, Detroit, MI.
  • Wecht JM; James J Peters VA Medical Center, Department of Spinal Cord Injury Research, Bronx, NY; Icahn School of Medicine Mount Sinai, Departments of Rehabilitation and Human Performance, and Medicine Performance, and Medicine, New York, NY.
  • Mateika JH; John D. Dingell VA Medical Center, Research and Development, Detroit, MI; Departments of Physiology and Internal Medicine, Wayne State University, Detroit, MI.
  • Panza GS; Department of Health Care Sciences, Program of Occupational Therapy, Wayne State University, Detroit, MI; John D. Dingell VA Medical Center, Research and Development, Detroit, MI. Electronic address: fg5726@wayne.edu.
Arch Phys Med Rehabil ; 105(1): 166-176, 2024 01.
Article in En | MEDLINE | ID: mdl-37625532
ABSTRACT
A myriad of physiological impairments is seen in individuals after a spinal cord injury (SCI). These include altered autonomic function, cerebral hemodynamics, and sleep. These physiological systems are interconnected and likely insidiously interact leading to secondary complications. These impairments negatively influence quality of life. A comprehensive review of these systems, and their interplay, may improve clinical treatment and the rehabilitation plan of individuals living with SCI. Thus, these physiological measures should receive more clinical consideration. This special communication introduces the under investigated autonomic dysfunction, cerebral hemodynamics, and sleep disorders in people with SCI to stakeholders involved in SCI rehabilitation. We also discuss the linkage between autonomic dysfunction, cerebral hemodynamics, and sleep disorders and some secondary outcomes are discussed. Recent evidence is synthesized to make clinical recommendations on the assessment and potential management of important autonomic, cerebral hemodynamics, and sleep-related dysfunction in people with SCI. Finally, a few recommendations for clinicians and researchers are provided.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Sleep Wake Disorders / Spinal Cord Injuries Type of study: Guideline Aspects: Patient_preference Limits: Humans Language: En Journal: Arch Phys Med Rehabil Year: 2024 Document type: Article
Fulltext
Print
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PubMed Links
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Sleep Wake Disorders / Spinal Cord Injuries Type of study: Guideline Aspects: Patient_preference Limits: Humans Language: En Journal: Arch Phys Med Rehabil Year: 2024 Document type: Article