Literature DB >> 30765840

Comparison between esophageal and intestinal temperature responses to upper-limb exercise in individuals with spinal cord injury.

Jason S Au1, Yoshi-Ichiro Kamijo2, Victoria L Goosey-Tolfrey3, Christof A Leicht3, Maureen J MacDonald4, Yuki Mukai2, Fumihiro Tajima2.   

Abstract

STUDY
DESIGN: Experimental study.
OBJECTIVE: Individuals with spinal cord injuries (SCI) may present with impaired sympathetic control over thermoregulatory responses to environmental and exercise stressors, which can impact regional core temperature (Tcore) measurement. The purpose of this study was to investigate whether regional differences in Tcore responses exist during exercise in individuals with SCI.
SETTING: Rehabilitation centre in Wakayama, Japan.
METHODS: We recruited 12 men with motor-complete SCI (7 tetraplegia, 5 paraplegia) and 5 able-bodied controls to complete a 30-min bout of arm-cycling exercise at 50% V̇O2 peak reserve. Tcore was estimated using telemetric pills (intestinal temperature; Tint) and esophageal probes (Teso). Heat storage was calculated from baseline to 15 and 30 min of exercise.
RESULTS: At 15 min of exercise, elevations in Teso (Δ0.39 ± 0.22 °C; P < 0.05), but not Tint (Δ0.04 ± 0.18 °C; P = 0.09), were observed in able-bodied men. At 30 min of exercise, men with paraplegia and able-bodied men both exhibited increases in Teso (paraplegia: Δ0.56 ± 0.30 °C, P < 0.05; able-bodied men: Δ0.60 ± 0.31 °C, P < 0.05) and Tint (paraplegia: Δ0.38 ± 0.33 °C, P < 0.05; able-bodied men: Δ0.30 ± 0.30 °C, P < 0.05). Teso began rising 7.2 min earlier than Tint (pooled, P < 0.01). Heat storage estimated by Teso was greater than heat storage estimated by Tint at 15 min (P = 0.02) and 30 min (P = 0.03) in men with paraplegia. No elevations in Teso, Tint, or heat storage were observed in men with tetraplegia.
CONCLUSIONS: While not interchangeable, both Teso and Tint are sensitive to elevations in Tcore during arm-cycling exercise in men with paraplegia, although Teso may have superior sensitivity to capture temperature information earlier during exercise.

Entities:  

Mesh:

Year:  2019        PMID: 30765840     DOI: 10.1038/s41393-019-0257-5

Source DB:  PubMed          Journal:  Spinal Cord        ISSN: 1362-4393            Impact factor:   2.772


  29 in total

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2.  Effects of two cooling strategies on thermoregulatory responses of tetraplegic athletes during repeated intermittent exercise in the heat.

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Authors:  K Shiraki; N Konda; S Sagawa
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6.  Thermoregulatory responses of paraplegic and able-bodied athletes at rest and during prolonged upper body exercise and passive recovery.

Authors:  M J Price; I G Campbell
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7.  Effects of spinal cord lesion level upon thermoregulation during exercise in the heat.

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8.  Evidence-based scientific exercise guidelines for adults with spinal cord injury: an update and a new guideline.

Authors:  Kathleen A Martin Ginis; Jan W van der Scheer; Amy E Latimer-Cheung; Andy Barrow; Chris Bourne; Peter Carruthers; Marco Bernardi; David S Ditor; Sonja Gaudet; Sonja de Groot; Keith C Hayes; Audrey L Hicks; Christof A Leicht; Jan Lexell; Steven Macaluso; Patricia J Manns; Christopher B McBride; Vanessa K Noonan; Pierre Pomerleau; James H Rimmer; Robert B Shaw; Brett Smith; Karen M Smith; John D Steeves; Dot Tussler; Christopher R West; Dalton L Wolfe; Victoria L Goosey-Tolfrey
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