Key result
This overview provides a guide for primary care providers on managing cardiovascular and thermoregulatory disruptions secondary to autonomic dysfunction following spinal cord injury.
Why the study?
Despite the life-threatening consequences of autonomic dysregulation, the management and recovery of autonomic functions after spinal cord injury remains greatly underexplored.
This review provides an overview of cardiovascular and thermoregulatory autonomic dysfunction following spinal cord injury and offers management suggestions for primary care providers.
Answers are grounded in this paper and cite their sources.
Alerts primary care to post-SCI autonomic risks; leaves open prospective validation of suggested managements.
Spinal cord injury (SCI) disrupts the crucial "crosstalk" between the spinal autonomic nervous system and supraspinal control centers. Therefore, SCI may result not only in motor paralysis but also in potentially life-threatening impairments of many autonomic functions including, but not limited to, blood pressure regulation. Despite the detrimental consequences of autonomic dysregulation, management and recovery of autonomic functions after SCI is greatly underexplored. Although impaired autonomic function may impact several organ systems, this overview will focus primarily on disruptions of cardiovascular and thermoregulation and will offer suggestions for management of these secondary effects of SCI.
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Krassioukov et al. (2020) conducted a review in Spinal cord injury and autonomic dysfunction. This overview provides a guide for primary care providers on managing cardiovascular and thermoregulatory disruptions secondary to autonomic dysfunction following spinal cord injury.
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