Evidence map›Paper›PMID 20671034›Full record

ReviewJournal of applied physiology (Bethesda, Md. : 1985)2010

Thermoregulation in multiple sclerosis.

Scott L Davis, Thad E Wilson, Andrea T White, Elliot M Frohman

Open access · greenAbstract readReview
In one paragraph

Review in Journal of applied physiology (Bethesda, Md. : 1985), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 177 citations in OpenAlex.

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  16. Regional skin wetness perception and its modulation by warm and cold whole body skin temperatures in people with multiple sclerosis.American journal of physiology. Regulatory, integrative and comparative physiology · 2022
    Article
  17. Article
  18. Review
  19. The importance of body core temperature evaluation in balneotherapy.International journal of biometeorology · 2022
    Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

Scott L DavisDepartment of Applied Physiology and Wellness, Annette Caldwell Simmons School of Education and Human Development, Southern Methodist University, Dallas, TX 75275-0382, USA. sldavis@smu.edu
Thad E Wilson
Andrea T White
Elliot M Frohman
Ohio University · USSouthern Methodist University · USThe University of Texas Southwestern Medical Center · USUniversity of Utah · US

Funding

Fatigue in MS: Effects of central conductionR15AR050435 · NIAMS · UNIVERSITY OF UTAH · PI WHITE, ANDREA T · 2006 to 2006
$224k
NIAMS NIH HHS R15AR050435
6 · The paper itself

Abstract

Multiple sclerosis (MS) is a progressive neurological disorder that disrupts axonal myelin in the central nervous system. Demyelination produces alterations in saltatory conduction, slowed conduction velocity, and a predisposition to conduction block. An estimated 60-80% of MS patients experience temporary worsening of clinical signs and neurological symptoms with heat exposure. Additionally, MS may produce impaired neural control of autonomic and endocrine functions. This review focuses on five main themes regarding the current understanding of thermoregulatory dysfunction in MS: 1) heat sensitivity; 2) central regulation of body temperature; 3) thermoregulatory effector responses; 4) heat-induced fatigue; and 5) countermeasures to improve or maintain function during thermal stress. Heat sensitivity in MS is related to the detrimental effects of increased temperature on action potential propagation in demyelinated axons, resulting in conduction slowing and/or block, which can be quantitatively characterized using precise measurements of ocular movements. MS lesions can also occur in areas of the brain responsible for the control and regulation of body temperature and thermoregulatory effector responses, resulting in impaired neural control of sudomotor pathways or neural-induced changes in eccrine sweat glands, as evidenced by observations of reduced sweating responses in MS patients. Fatigue during thermal stress is common in MS and results in decreased motor function and increased symptomatology likely due to impairments in central conduction. Although not comprehensive, some evidence exists concerning treatments (cooling, precooling, and pharmacological) for the MS patient to preserve function and decrease symptom worsening during heat stress.

Indexed as

Body Temperature RegulationAutonomic Nervous SystemCentral Nervous SystemHeat ExhaustionHemodynamicsHumansMultiple SclerosisRegional Blood FlowSkinSweatingThermosensing

Identifiers

PMID20671034
PMCPMC2980380
OpenAlexW2145593481

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.