漸増抵抗運動時における脊髄損傷者の鼓膜温及び皮膚温

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  • Tympanic membrane and skin temperatures during progressive resistance exercise in patients with spinal cord injury

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This study was conducted in a room where the temperature and relative humidity were controlled at about 25℃ and 50%. Five parients with spinal cord injury (SCI) at the T4-T12/L1 levels sat at rest during the first 60 minutes. Subsequently they performed an arm-cranking exercise, with the load being progressed by 5 watts every minute until the subject reached exhaustion. At rest and during exercise, we measured the tympanic membrane temperature (Try) and skin temperature (Tsk) of the head, arm, chest, thigh, and shin. The Try at rest (36.15- 36.65℃) and during exercise (36.15- 36.70℃) in the SCI group was slightly lower than those in healthy controls. The Tsk at each site was also slightly lower in the SCI group than in the healthy controls. The inter-group difference was partucularly marked in terms of the skin temperature of the thigh and shin where the sensory function had been injured in SCI patients. We did not calculate the mean skin temperature for the SCI patients, because the equation conventionally used for this calculation in healthy individuals dis not seem to be velid for SCI patients. The results of this study suggest that the functions such as the input of information regarding temperatures, the initiation of signals for regulation of body temperature and the modification of responses (i.e., functional in which an intact spinal cord is involved) are impaired if the spinal cord is injured.

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