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Cardiovascular Status of Individuals With Incomplete Spinal Cord Injury From 7 NeuroRecovery Network Rehabilitation Centers  Sue Ann Sisto, PT, PhD, Douglas.

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Presentation on theme: "Cardiovascular Status of Individuals With Incomplete Spinal Cord Injury From 7 NeuroRecovery Network Rehabilitation Centers  Sue Ann Sisto, PT, PhD, Douglas."— Presentation transcript:

1 Cardiovascular Status of Individuals With Incomplete Spinal Cord Injury From 7 NeuroRecovery Network Rehabilitation Centers  Sue Ann Sisto, PT, PhD, Douglas J. Lorenz, PhD, Karen Hutchinson, DPT, PhD, Lisa Wenzel, MD, Susan J. Harkema, PhD, Andrei Krassioukov, MD, PhD  Archives of Physical Medicine and Rehabilitation  Volume 93, Issue 9, Pages (September 2012) DOI: /j.apmr Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

2 Fig 1 Schematic diagram of autonomic control of CV systems. Afferent feedback for cardiorespiratory functions from the central and peripheral baroreceptors and chemoreceptors is not shown. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

3 Fig 2 An individual with SCI in a specialized testing chair that allows for passive changes in position from sitting to supine and a rapid return to sitting for the orthostatic challenge. Legs are strapped in to avoid spasms during position changes. A chest strap may be used to prevent trunk motion during the maneuver. The person has an automatic blood pressure/heart rate cuff attached to the arm that records data each minute for specified intervals. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

4 Fig 3 Boxplots of SBP (left panel), DBP (center panel), and heart rate (right panel) in sitting at rest and supine positions for patients with cervical injuries (maroon, n=271), patients with high thoracic injuries (green, n=46), and patients with low thoracic injuries (blue, n=33). All parameters in all positions significantly differed (P<.03) over the neurologic levels. Abbreviations: BP, blood pressure; bpm, beats per minute; HR, heart rate. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

5 Fig 4 Boxplots of SBP (left panel), DBP (center panel), and heart rate (right panel) in sitting at rest and supine positions for patients with (light gray, n=35) and without (dark gray, n=315) central cord syndrome. Supine SBP and heart rate in all positions significantly differed between groups (P<.006). Abbreviation: BP, blood pressure. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

6 Fig 5 Boxplots of SBP (left panel) and DBP (right panel) in the supine preorthostatic challenge and sitting postorthostatic challenge positions for patients with (n=75, light gray) and without (n=275, dark gray) orthostatic hypotension. Abbreviation: BP, blood pressure. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

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