Assessment of autonomic dysfunction following spinal cord injury: rationale for additions to International Standards for Neurological Assessment

We present a preliminary report of the discussion of the joint committee of the American Spinal Injury Association (ASIA) and the International Spinal Cord Society concerning the development of assessment criteria for general autonomic function testing following spinal cord injury (SCI). Elements of...

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Bibliographic Details
Published in:Journal of rehabilitation research and development 2007, Vol.44 (1), p.103-112
Main Authors: Krassioukov, Andrei V, Karlsson, Ann-Katrin, Wecht, Jill M, Wuermser, Lisa-Ann, Mathias, Christopher J, Marino, Ralph J
Format: Article
Language:English
Subjects:
Autonomic Nervous System Diseases - diagnosis
Autonomic Nervous System Diseases - etiology
Autonomic Nervous System Diseases - physiopathology
Blood pressure
Health aspects
Humans
Intensive care
MEDICAL AND HEALTH SCIENCES
MEDICIN OCH HÄLSOVETENSKAP
Spinal cord injuries
Spinal Cord Injuries - complications
Temperature
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Summary:We present a preliminary report of the discussion of the joint committee of the American Spinal Injury Association (ASIA) and the International Spinal Cord Society concerning the development of assessment criteria for general autonomic function testing following spinal cord injury (SCI). Elements of this report were presented at the 2005 annual meeting of the ASIA. To improve the evaluation of neurological function in individuals with SCI and therefore better assess the effects of therapeutic interventions in the future, we are proposing a comprehensive set of definitions of general autonomic nervous system dysfunction following SCI that should be assessed by clinicians. Presently the committee recommends the recognition and assessment of the following conditions: neurogenic shock, cardiac dysrhythmias, orthostatic hypotension, autonomic dysreflexia, temperature dysregulation, and hyperhidrosis.
ISSN:0748-7711
1938-1352
DOI:10.1682/jrrd.2005.10.0159