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Ventilatory changes in heat-stressed humans with spinal cord injury
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WILSMORE BR; COTTER JD; BASHFORD GM; TAYLOR NAS
SPINAL CORD , 2006, vol. 44, n° 3, p. 160-164 Doc n°: 125043 Localisation : Centre de Réadaptation de Lay St Christophe , en ligne Descripteurs : AE21 - ORIGINE TRAUMATIQUE, FD2 - EXPLORATIONS EXAMENS BILANS - APPAREIL RESPIRATOIRE Url : http://www.nature.com/sc/archive/index.html Humans with spinal-cord injury have a reduced ability to dissipate heat. The current project examined the possibility that, in such people, an elevated ventilatory response (panting) may act as a supplementary avenue for heat loss. Setting: Australia, New South Wales. Methods: Breathing frequency was measured during a resting heat exposure (<= 2 h) in 10 subjects with spinal-cord injury (C4-L5), and in 10 mass- and age-matched, able-bodied subjects. Results: Subjects with spinal-cord injury displayed a ventilatory sensitivity, relative to mean body temperature change (2.4 breaths/min/degrees C +/- 0.9), more than twice that of able-bodied subjects (1.1 breaths/min/degrees C +/- 0.6; P = 0.042). Furthermore, the higher the level of spinal-cord injury, the greater was the ventilatory response (r(2) = 0.51, P = 0.048). Conclusion: While these ventilatory changes were apparently thermally mediated, they did not represent a true panting response, nor did the increased breathing frequency confer a physiologically significant thermoregulatory benefit that may help compensate for the loss of sympathetic flow to eccrine sweat glands and cutaneous blood vessels in people with spinal-cord injury. Langue : ANGLAIS |
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