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

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

The Journal of Spinal Cord Medicine, 2017 · DOI: 10.1080/10790268.2016.1154670 · Published: July 4, 2017

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Simple Explanation

Cervical spinal cord injury (tetraplegia) disrupts the body's ability to regulate blood flow to maintain core temperature in cold environments, making individuals susceptible to hypothermia. This study investigates how people with tetraplegia perceive cold and whether it limits their daily activities. The study used surveys to compare how people with tetraplegia and non-SCI controls feel in cold temperatures and whether it affects their ability to perform routine activities. The surveys asked about clothing needed for comfort, thermal discomfort, and impact on daily routines. The findings indicate that individuals with tetraplegia experience greater discomfort and limitations in performing daily activities during colder seasons compared to non-SCI controls, highlighting the need to address thermoregulatory impairment in this population.

Study Duration
Not specified
Participants
44 subjects with tetraplegia; 41 matched non-SCI controls
Evidence Level
Prospective, two-group, self-report surveys

Key Findings

  • 1
    Persons with tetraplegia need significantly more clothing to stay comfortable indoors and outdoors compared to non-SCI individuals in the same environment.
  • 2
    Individuals with tetraplegia are more likely to feel cold indoors when others are comfortable and less likely to feel comfortable both indoors and outdoors during colder months.
  • 3
    Cold seasonal temperatures negatively affect the ability of individuals with tetraplegia to perform bathing routines, maintain social schedules, keep medical appointments, sleep, think clearly, and complete work duties more often than non-SCI controls.

Research Summary

This study investigates the subjective experience of cold temperature exposure in persons with tetraplegia compared to non-SCI controls, focusing on personal comfort and the ability to perform daily activities during the cooler seasons. The results indicate that individuals with tetraplegia report greater discomfort and limitations in performing vital activities during colder months compared to non-SCI controls, suggesting a need to address thermoregulatory impairment in this population. The study highlights the importance of considering thermoregulatory dysfunction in persons with tetraplegia to improve clinical care, reduce hospitalizations, and enhance their overall quality of life.

Practical Implications

Enhanced Clinical Care

The study underscores the necessity for healthcare providers to acknowledge and address thermoregulatory issues in tetraplegic patients, potentially leading to improved management strategies.

Targeted Interventions

The findings advocate for the development and implementation of tailored interventions, such as exercise, diet, and specialized clothing, aimed at maintaining core temperature and mitigating the adverse effects of cold exposure in individuals with SCI.

Improved Quality of Life

By addressing thermoregulatory challenges, healthcare interventions can contribute to a better quality of life for individuals with tetraplegia, reducing limitations in daily activities and promoting greater independence.

Study Limitations

  • 1
    Small sample size limits generalizability.
  • 2
    The ratio of male/female subjects is greater in the group with tetraplegia than controls.
  • 3
    Additional factors besides discomfort affecting activities were not addressed.

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