Paraplegic spinal cord injury alters local thermal hyperemic responses. We hypothesized that a similar effect would be observed in tetraplegia. 6 able‐bodied (AB), 5 paraplegic (PARA), and 5 tetraplegic (TETRA) age and gender matched subjects participated. Skin blood flow (SkBF) was monitored by laser‐Doppler flowmetry (LDF) from forearm and calf sites. Local skin temperature (Tloc) was controlled with combined LDF/local heating probe holders. Tloc was measured with thermocouples placed between the probe holders and the skin. Mean arterial pressure (MAP) was recorded by Finapres. After instrumentation, Tloc was increased slowly from normothermic levels to 42°C and maintained at that temperature for at least 25 minutes to cause maximal local vasodilation. Cutaneous vascular conductance was calculated as CVC=LDF/MAP and analyzed by ANOVA. Results: At Tloc=42°C, CVC measured from forearm skin was 47±7mV in AB, 49±8mV in PARA, and 42±8mV in TETRA. These responses did not statistically differ among groups. At Tloc=42°C, CVC measured from calf skin was 26±7mV in AB, 50±8mV in PARA, and 42±8mV in TETRA. These responses differed between AB and PARA (p=0.04) and tended to differ between AB and TETRA (p=0.15). Within groups, forearm responses tended to be greater than calf responses in AB (p=0.06), but not in PARA and TETRA groups. We conclude that spinal cord injury alters maximal SkBF levels in the calf, but not the forearm. In AB persons, maximal SkBF tends to be lower in the calf than the forearm (supported by NIH Grant R03NS083961).Grant Funding Source: Supported by NIH R03NS083961
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