Evidence map›Paper›PMID 36457358›Full record

ArticleTopics in spinal cord injury rehabilitation2022

Are Thermoregulatory Sweating and Active Vasodilation in Skin Controlled by Separate Nerves During Passive Heat Stress in Persons With Spinal Cord Injury?

Michelle Trbovich, Beth Wu, Wouker Koek, Jill Wecht, Dean Kellogg

Open access · greenAbstract read
In one paragraph

Article in Topics in spinal cord injury rehabilitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 37% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

5 authors at 3 institutions in 1 country.

Michelle TrbovichDepartment of Rehabilitation Medicine, University of Texas Health Science Center, San Antonio Audie L. Murphy Memorial Veterans Affairs Hospital, San Antonio, Texas.
Beth WuDepartment of Medicine, University of Texas Health Science Center, San Antonio, Texas.
Wouker KoekDepartment of Psychiatry, University of Texas Health Science Center, San Antonio, Texas.
Jill WechtJames J Peters Department of Veterans Affairs Medical Center, Bronx, New York.
Dean KelloggDepartment of Medicine, University of Texas Health Science Center, San Antonio, Texas.
The University of Texas Health Science Center at San Antonio · USGeriatric Research Education and Clinical Center · USJames J. Peters VA Medical Center · US

Funding

Vasomotor and Sudomotor Activity During Heat Stress in Spinal Cord InjuryIK2RX001805 · VA · SOUTH TEXAS VETERANS HEALTH CARE SYSTEM · PI TRBOVICH, MICHELLE · 2017 to 2022
–
RRD VA IK2 RX001805
6 · The paper itself

Abstract

Background: Sudomotor responses (SR) and active vasodilation (AVD) are the primary means of heat dissipation during passive heat stress (PHS). It is unknown if they are controlled by a single or separate set of nerves. Older qualitative studies suggest that persons with spinal cord injury (SCI) have discordant areas of sweating and vasodilation. Objectives: To test the hypothesis that neural control of SR and AVD is through separate nerves by measuring SR and vasodilation in persons with SCI to determine if these areas are concordant or discordant. Methods: Nine persons with tetraplegia, 13 with paraplegia, and nine able-bodied controls underwent PHS (core temperature rise 1°C) twice. Initially, the starch iodine test measured SR post-PHS in skin surface areas surrounding the level of injury. Subsequently, laser Doppler imagery scans measured vasodilation pre- and post-PHS in areas with and without SR. Percent change in red blood cell (RBC) flux was compared in areas with and without SR. Results: Persons with tetraplegia were anhidrotic on all areas; however, the same areas demonstrated minimal RBC flux change significantly less than equivalent able-bodied skin surface areas. In persons with paraplegia, areas of intact SR correlated with areas of RBC flux change quantitatively comparable to able-bodied persons. In anhidrotic areas, RBC flux change was significantly less than areas with SR and likely resulted from non-AVD mechanisms. Conclusion: In persons with SCI under PHS, areas with intact SR and AVD are concordant, suggesting these two aspects of thermoregulation are controlled by a single set of nerves.

Indexed as

Spinal Cord InjuriesSweatingBody Temperature RegulationHeat-Shock ResponseHumansParaplegiaQuadriplegiaVasodilationactive vasodilationpassive heat stressspinal cord injurysudomotor responses

Identifiers

PMID36457358
PMCPMC9678215
OpenAlexW4292565574

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.