title: The effect of autonomic nervous system dysfunction on oxygen consumption during daily living activities in patients with spinal cord injury.
abstract: METHODS
  Case-control study.
  
  
  OBJECTIVE
  To investigate the level of autonomic nervous system dysfunction in patients with spinal cord injury and to determine its effect on the basal metabolic rate and oxygen consumption during daily living activities.
  
  
  METHODS
  Turkish Armed Forces Rehabilitation Center, Ankara, Turkey.
  
  
  METHODS
  Thirty-six patients with chronic spinal cord injury (SCI) were allocated into two groups according to the presence of autonomic nervous system dysfunction. Autonomic nervous system dysfunction was investigated with the measurements of blood pressure and heart rate during urodynamic examination and several provocative maneuvers (standing at tilt table, forcing deep respiration and Valsalva). Groups were compared in terms of the basal metabolic rate and oxygen consumption during daily living activities. Measurement of the basal metabolic rate was determined by indirect calorimetry under standardized conditions. Total body fat mass and lean tissue mass were measured in all participants using dual-energy X-ray absorptiometry by standard methods. Telemetric intrapulmonary gas exchange analyzer was used to measure oxygen consumption during daily living activities.
  
  
  RESULTS
  There was no statistically significant difference between the groups in age, time since injury, body mass lean and fat rates, or sensory and motor scores (P>0.05). Basal metabolic rates and oxygen consumption during daily living activities were not different between the groups (P>0.05).
  
  
  CONCLUSIONS
  These results suggest that the presence of autonomic dysfunction does not change oxygen consumption at rest and during daily living activities.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Gülhane Military Medical Academy, Turkish Armed Forces Rehabilitation Center, Ankara, Turkey.
authors.forename: B
authors.initials: B
authors.lastname: Yilmaz
authors.affiliation: Department of Physical Medicine and Rehabilitation, Gülhane Military Medical Academy, Turkish Armed Forces Rehabilitation Center, Ankara, Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Göktepe
authors.affiliation: Department of Physical Medicine and Rehabilitation, Gülhane Military Medical Academy, Turkish Armed Forces Rehabilitation Center, Ankara, Turkey.
authors.forename: E
authors.initials: E
authors.lastname: Yaşar
authors.affiliation: Department of Physical Medicine and Rehabilitation, Gülhane Military Medical Academy, Turkish Armed Forces Rehabilitation Center, Ankara, Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Kesikburun
authors.affiliation: Department of Physical Medicine and Rehabilitation, Gülhane Military Medical Academy, Turkish Armed Forces Rehabilitation Center, Ankara, Turkey.
authors.forename: E
authors.initials: E
authors.lastname: Adıgüzel
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D001341:Autonomic Nervous System / Q000503:physiopathology*; D001342:Autonomic Nervous System Diseases / Q000209:etiology / Q000503:physiopathology*; D001794:Blood Pressure / Q000502:physiology; D050218:Body Fat Distribution; D016022:Case-Control Studies; D002574:Cervical Vertebrae; D002908:Chronic Disease; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D008297:Male; D009043:Motor Activity / Q000502:physiology*; D010101:Oxygen Consumption / Q000502:physiology*; D011187:Posture / Q000502:physiology; D012047:Rehabilitation Centers; D012119:Respiration; D013119:Spinal Cord Injuries / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology*; D013904:Thoracic Vertebrae; D014563:Urodynamics / Q000502:physiology