{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T06:48:14Z","timestamp":1776754094321,"version":"3.51.2"},"reference-count":36,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,8,31]],"date-time":"2014-08-31T00:00:00Z","timestamp":1409443200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Scandinavian Med Sci Sports"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:p>We aimed to determine the relationship between level of injury, completeness of injury, resting as well as exercise hemodynamics, and endurance performance in athletes with spinal cord injury (<jats:styled-content style=\"fixed-case\">SCI<\/jats:styled-content>). Twenty\u2010three elite male paracycling athletes (<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>3\u2010<jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>8) were assessed for neurological level\/completeness of injury, autonomic completeness of injury, resting cardiovascular function, and time to complete a 17.3\u2010km <jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>orld <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hampionship time\u2010trial test. A subset were also fitted with heart rate (<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>) monitors and their cycles were fitted with a global positioning systems device (<jats:italic>n<\/jats:italic>\u2009=\u200915). Thoracic <jats:styled-content style=\"fixed-case\">SCI<\/jats:styled-content> exhibited higher seated systolic blood pressure along with superior time\u2010trial performance compared with cervical <jats:styled-content style=\"fixed-case\">SCI<\/jats:styled-content> (all <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01). When further stratified by autonomic completeness of injury, the four athletes with cervical autonomic incomplete <jats:styled-content style=\"fixed-case\">SCI<\/jats:styled-content> exhibited a faster time\u2010trial time and a higher average speed compared with cervical autonomic complete <jats:styled-content style=\"fixed-case\">SCI<\/jats:styled-content> (all <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.042). Maximum and average <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content> also tended to be higher in cervical autonomic incomplete vs autonomic complete. There were no differences in time\u2010trial time, <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>, or speed between thoracic autonomic complete vs incomplete <jats:styled-content style=\"fixed-case\">SCI<\/jats:styled-content>. In conclusion, autonomic completeness of injury and the consequent ability of the cardiovascular system to respond to exercise appear to be a critical determinant of endurance performance in elite athletes with cervical <jats:styled-content style=\"fixed-case\">SCI<\/jats:styled-content>.<\/jats:p>","DOI":"10.1111\/sms.12308","type":"journal-article","created":{"date-parts":[[2014,9,1]],"date-time":"2014-09-01T02:11:37Z","timestamp":1409537497000},"page":"476-485","source":"Crossref","is-referenced-by-count":53,"title":["Cardiovascular control, autonomic function, and elite endurance performance in spinal cord injury"],"prefix":"10.1111","volume":"25","author":[{"given":"C. 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