The prevalence and association of neck (coat-hanger) pain and orthostatic (postural) hypotension in human spinal cord injury

Cariga, Pietro; Ahmed, Susan W.; Mathias, C. J.; Gardner, B P

doi:10.1038/sj.sc.3101259

Cited by 58 publications

(28 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One study reports orthostatic hypotension during tilting in 57% of SCI patients, and symptoms associated with the hypotension in 25% of these patients. 40 The reason why passive tilting is less likely to produce orthostatic hypotension is unclear, but the presence or absence of orthostatic hypotension is likely to be related, at least in part, to the type of orthostatic manoeuvre performed, and whether this is active or passive in nature. It is known, however, that the likelihood of experiencing orthostatic hypotension is greater in patients with higher spinal cord lesions, and thus it is more common in individuals with tetraplegia.…”

Section: Prevalence Of Orthostatic Hypotension In Scimentioning

confidence: 99%

“…38 There is also an increased risk of orthostatic hypotension in individuals who sustain a traumatic SCI than in nontraumatic injury such as spinal stenosis. 39 Finally, it is notable that there are few reported incidences of orthostatic hypotension associated with SCI in the elderly, 40 which is surprising since among able-bodied elderly persons, orthostatic hypotension is a common and troublesome phenomena. 41 The reasons why there is little evidence of orthostatic hypotension in elderly SCI patients are unknown and warrant further investigation.…”

Section: Prevalence Of Orthostatic Hypotension In Scimentioning

confidence: 99%

See 1 more Smart Citation

Orthostatic hypotension following spinal cord injury: understanding clinical pathophysiology

2005

View full text Add to dashboard Cite

Motor and sensory deficits are well-known consequences of spinal cord injury (SCI). During the last decade, a significant number of experimental and clinical studies have focused on the investigation of autonomic dysfunction and cardiovascular control following SCI. Numerous clinical reports have suggested that unstable blood pressure control in individuals with SCI could be responsible for their increased cardiovascular mortality. The aim of this review is to outline the incidence and pathophysiological mechanisms underlying the orthostatic hypotension that commonly occurs following SCI. We describe the clinical abnormalities of blood pressure control following SCI, with particular emphasis upon orthostatic hypotension. Possible mechanisms underlying orthostatic hypotension in SCI, such as changes in sympathetic activity, altered baroreflex function, the lack of skeletal muscle pumping activity, cardiovascular deconditioning and altered salt and water balance will be discussed. Possible alterations in cerebral autoregulation following SCI, and the impact of these changes upon cerebral perfusion are also examined. Finally, the management of orthostatic hypotension will be considered.

show abstract

Section: Prevalence Of Orthostatic Hypotension In Scimentioning

confidence: 99%

Section: Prevalence Of Orthostatic Hypotension In Scimentioning

confidence: 99%

Orthostatic hypotension following spinal cord injury: understanding clinical pathophysiology

2005

View full text Add to dashboard Cite

show abstract

“…[4][5][6] Both of these responses are clinically recognized in patients with the higher, more extensive spinal cord lesions. 3,4 It is reasonable to suspect that BP is unstable subclinically as well in the tetraplegic patient.…”

Section: Introductionmentioning

confidence: 99%

Unstable baseline blood pressure in chronic tetraplegia

Frisbie

2006

Spinal Cord

View full text Add to dashboard Cite

show abstract

“…4 In turn, immobility may contribute to complications such as pressure ulcers, contractures, and pneumonia. Furthermore, Cariga et al 5 showed that there is a high prevalence of neck pain in SCI individuals with OH that significantly delayed their rehabilitation. All these factors lead to prolonged bed rest, which increases the likelihood of OH.…”

Section: Introductionmentioning

confidence: 99%

Orthostatic hypotension in the first month following acute spinal cord injury

et al. 2007

View full text Add to dashboard Cite

Study Design: Retrospective data analysis. Objectives: To determine prevalence of orthostatic hypotension (OH) in patients with spinal cord injury (SCI) during the acute rehabilitation period. Setting: Quaternary care spinal unit, Vancouver General Hospital, British Columbia, Canada Methods: Eighty-nine patients with acute SCI stratified by neurological level (cervical, 55 (62%); upper thoracic, 12 (13%); lower thoracic, 22 (25%)), and graded by American Spinal Injury Association standards. Non-invasive measurement of systolic and diastolic blood pressure and heart rate were made at baseline and 3 min following an orthostatic challenge test administered during the first month after SCI. Results: Patients with cervical or upper thoracic motor complete SCI more frequently experienced OH (Po0.01). OH persisted during the first month following SCI in 74% of cervical and only 20% of upper thoracic motor complete SCI patients. Conclusion: Patients with cervical and upper thoracic motor complete SCI are more likely to experience persistent OH than those with lower level or motor incomplete SCI during the first month of rehabilitation.

show abstract

The prevalence and association of neck (coat-hanger) pain and orthostatic (postural) hypotension in human spinal cord injury

Abstract: There is a high prevalence of neck pain and OH in SCI, with a positive association similar to that reported in primary autonomic failure with OH.

Cited by 58 publications

References 21 publications

Orthostatic hypotension following spinal cord injury: understanding clinical pathophysiology

Orthostatic hypotension following spinal cord injury: understanding clinical pathophysiology

Unstable baseline blood pressure in chronic tetraplegia

Orthostatic hypotension in the first month following acute spinal cord injury

Contact Info

Product

Resources

About