Silent autonomic dysreflexia during a routine bowel program in persons with traumatic spinal cord injury: A preliminary study

Short Title:
Silent autonomic dysreflexia during a routine bowel program in persons with traumatic spinal cord injury: A preliminary study
Model System:
SCI
Reference Type:
Journal Article
Accession No.:
J44396.
Journal:
Archives of Physical Medicine and Rehabilitation
Year, Volume, Issue, Page(s):
2002, vol. 83, issue 12, pp 1774-1776
Publication Website:
Abstract:
Study examines the prevalence and frequency of silent autonomic dysreflexia during routine bowel programs in individuals with spinal cord injury (SCI). Ten subjects with chronic, complete SCI above the T6 neurologic level participated in the study. Blood pressure and heart rate were recorded before, during, and after the subjects completed their bowel programs. During the bowel program, no subject reported any of the classic symptoms of autonomic dysreflexia, which include a sudden increase in blood pressure, a slowed heart rate, severe headache, facial flushing, and sweating above the level of injury. However, all of the subjects had a significant increase in systolic blood pressure and 70 percent of the subjects responded with a decrease in heart rate. Findings indicate the some individuals may experience autonomic dysreflexia without symptoms.
Author(s):
Kirschblum, S. C.; House, J. G.; O'Connor, K. C.
Author Address(es):

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