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Silent autonomic dysreflexia during a routine bowel program in persons with traumatic spinal cord injury
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KIRSHBLUM SC; HOUSE JG; OCONNOR KC
ARCH PHYS MED REHABIL , 2002, vol. 83, n° 12, p. 1774-1776 Doc n°: 107495 Localisation : Documentation IRR Descripteurs : AE21 - ORIGINE TRAUMATIQUE Url : http://www.archives-pmr.org/issues
Article consultable sur : http://www.archives-pmr.org
Objective: To determine the existence and frequency of silent autonomic dysreflexia in subjects with a complete spinal cord injury (SCF) above the neurologic level of T6. Design: Prospective design. Setting: Blood pressure monitoring Of subjects during a routine bowel program. Participants: Ten subjects with chronic (>1y), complete (American Spinal Injury Association Impairment Scale class A) SCI with a neurologic level of injury above T6. Interventions: Not applicable. Main Outcome Measures: An increase in systolic blood pressure (SBP) of greater than 20 to 40mmHg above baseline or an SBP greater than 150mmHg. Results: The mean resting blood pressure for the subject vas 104/65mmHg. During the bowel program, no subject reported experiencing any of the classic symptoms of autonomic dysreflexia. The mean maximum blood pressure recorded during the bowel program was 160/90mmHg. All of the patients had an increase in SBP greater than 20mmHg above baseline, and 70% had an increase in SBP greater than 40mmHg above baseline. Sixty percent of subjects had an increase in SBP greater than 150mmHg, Langue : ANGLAIS Identifiant basis : 2003225576 |
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