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  4. Self-reported effects of warm seasonal temperatures in persons with spinal cord injury

Self-reported effects of warm seasonal temperatures in persons with spinal cord injury

The Journal of Spinal Cord Medicine, 2024 · DOI: 10.1080/10790268.2023.2194962 · Published: January 1, 2024

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Simple Explanation

Spinal cord injury can disrupt the body's ability to regulate temperature, making individuals more susceptible to overheating. This study investigates how warmer seasons impact the comfort and daily activities of people with spinal cord injuries compared to those without. The research involved surveying three groups: individuals with tetraplegia (impairment in all four limbs), paraplegia (impairment in the lower body), and a control group without spinal cord injuries, to understand their experiences during warmer months. The findings reveal that warmer temperatures have a more significant negative impact on the comfort and daily lives of people with spinal cord injuries, especially those with tetraplegia, suggesting a need for greater awareness and interventions to help them manage heat-related challenges.

Study Duration
Not specified
Participants
150 (50 tetraplegia, 50 paraplegia, 50 non-SCI controls)
Evidence Level
Cross-sectional, self-report surveys

Key Findings

  • 1
    Individuals with tetraplegia take significantly longer to cool down after overheating compared to those with paraplegia and non-SCI controls.
  • 2
    Heat-related discomfort limits the ability of individuals with tetraplegia to go outside their homes more often than those with paraplegia and non-SCI controls.
  • 3
    Persons with tetraplegia reported a greater frequency of reliance on water misters to cope with heat exposure compared to persons with paraplegia or controls.

Research Summary

This study examined the self-reported effects of warm seasonal temperatures on individuals with spinal cord injury (SCI) compared to non-SCI controls, focusing on comfort and participation in daily activities. The results indicated that warmer temperatures had a greater negative impact on the comfort and daily activities of persons with SCI, particularly those with tetraplegia. The study highlights the need for increased awareness and targeted interventions to address the vulnerability of persons with SCI, especially those with tetraplegia, to hyperthermia.

Practical Implications

Increased Awareness

Raise awareness among healthcare providers, caregivers, and individuals with SCI about the heightened risk of hyperthermia and its impact on daily life.

Targeted Interventions

Develop and implement specific strategies to help individuals with SCI, particularly tetraplegia, manage heat exposure and prevent hyperthermia.

Personalized Risk Assessment

Recognize that the risk level for thermodysregulation varies among individuals with paraplegia (high vs. low) and tailor interventions accordingly.

Study Limitations

  • 1
    The survey questions were not formally validated.
  • 2
    No objective data (e.g., core temperature, autonomic function) were recorded.
  • 3
    Dividing the paraplegia group into subgroups limited the statistical power of post hoc comparisons.

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