{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T14:25:24Z","timestamp":1793197524902,"version":"4.5.0"},"reference-count":30,"publisher":"Wiley","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002569","name":"Wonkwang University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002569","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2017]]},"abstract":"<jats:p><jats:italic>Objective<\/jats:italic>. To investigate the prevalence of autonomic dysreflexia (AD) using ambulatory blood pressure monitoring (ABPM) and the autonomic dysfunction following spinal cord injury (ADFSCI) questionnaire in patients with spinal cord injury (SCI) above T6.<jats:italic>Methods<\/jats:italic>. Twenty-eight patients diagnosed with SCI above T6 were enrolled. ABPM and ADFSCI were utilized to assess AD. Using ABPM, systolic blood pressure (SBP), diastolic blood pressure, and heart rate (HR) were measured at 30-minute intervals. AD was defined as SBP 20\u2009mmHg higher than basal SBP, and the number of AD events was counted. The ADFSCI questionnaire evaluates the severity and frequency of the AD symptoms.<jats:italic>Results<\/jats:italic>. According to the ABPM, AD occurred in 26 patients and AD events occurred<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mn fontstyle=\"italic\">5.8<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn fontstyle=\"italic\">4.7<\/mml:mn><\/mml:math>times. Average daytime and nighttime SBP were<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mn fontstyle=\"italic\">119.9<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn fontstyle=\"italic\">18.8<\/mml:mn><\/mml:math>\u2009mmHg and<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mn fontstyle=\"italic\">123.8<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn fontstyle=\"italic\">21.2<\/mml:mn><\/mml:math>\u2009mmHg, respectively, and the nighttime mean SBP appeared to be 4\u2009mmHg higher than daytime mean SBP. These findings suggest the loss of nocturnal BP dipping in SCI patients. ADFSCI results revealed that 16 of the patients evaluated were symptomatic while 12 were asymptomatic.<jats:italic>Conclusion<\/jats:italic>. AD following SCI above T6 was highly prevalent and several patients seemed asymptomatic. These results suggest the necessity of proper diagnostic and therapeutic interventions for managing AD.<\/jats:p>","DOI":"10.1155\/2017\/2027594","type":"journal-article","created":{"date-parts":[[2017,10,26]],"date-time":"2017-10-26T19:30:45Z","timestamp":1509046245000},"page":"1-6","source":"Crossref","is-referenced-by-count":29,"title":["Prevalence of Autonomic Dysreflexia in Patients with Spinal Cord Injury above T6"],"prefix":"10.1155","volume":"2017","author":[{"given":"Eun Sun","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine, Wonkwang University School of Medicine, 895 Muwang-ro, Iksan, Jeonbuk 54538, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2778-4194","authenticated-orcid":true,"given":"Min Cheol","family":"Joo","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine and Institute of Wonkwang Medical Science, Wonkwang University School of Medicine, 895 Muwang-ro, Iksan, Jeonbuk 54538, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.ph.50.030188.003045"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1053\/mr.2000.3848"},{"key":"3","first-page":"834","volume":"67","year":"1986","journal-title":"Physical Medicine and Rehabilitation"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1097\/00002060-199110000-00008"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1038\/sc.1992.82"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3101780"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1097\/PAF.0b013e3180600f99"},{"key":"8","first-page":"839","volume-title":"Autonomic disturbances in spinal cord lesions","year":"2002"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)66438-3"},{"key":"10","first-page":"43","volume":"30","year":"2007","journal-title":"The Journal of Spinal Cord Medicine"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1097\/phm.0b013e31802f0247"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2013.3148"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1093\/ajh\/hpu122"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1038\/sc.1992.87"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(99)90252-6"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3101729"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1097\/00002060-199110000-00002"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1038\/sc.1980.51"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1080\/10790268.2006.11753876"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.62.5.473"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1016\/S0079-6123(05)52014-4"},{"key":"23","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/S1047-9651(18)30466-2","volume":"6","year":"1995","journal-title":"Physical Medicine & Rehabilitation Clinics of North America"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e31824e8eaa"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2002.36070"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1179\/2045772313Y.0000000098"},{"key":"27","volume-title":"The cardiovascular system in tetraplegia and paraplegia","year":"1992"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.1089\/089771503767869944"},{"key":"29","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3100996"},{"key":"30","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2002.43.3.320"},{"key":"31","doi-asserted-by":"publisher","DOI":"10.3109\/10641969509087077"}],"container-title":["BioMed Research International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2017\/2027594.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2017\/2027594.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2017\/2027594.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,10,5]],"date-time":"2019-10-05T02:30:53Z","timestamp":1570242653000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/bmri\/2017\/2027594\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017]]},"references-count":30,"alternative-id":["2027594","2027594"],"URL":"https:\/\/doi.org\/10.1155\/2017\/2027594","relation":{},"ISSN":["2314-6133","2314-6141"],"issn-type":[{"value":"2314-6133","type":"print"},{"value":"2314-6141","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017]]}}}