Cruz Sebastian, Blauwet Cheri A
University of Chicago Pritzker School of Medicine, Chicago, IL, USA.
Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, USA; Spaulding Rehabilitation Hospital/Brigham and Women's Hospital, Boston, MA, USA.
Auton Neurosci. 2018 Jan;209:100-104. doi: 10.1016/j.autneu.2017.03.006. Epub 2017 Apr 4.
It is well known that athletes with spinal cord injury (SCI) may experience altered autonomic physiology that impacts their exercise capacity and sports performance. This is particularly relevant given the ever-increasing number of individuals with SCI who are actively engaged in sports at all levels, from community-based adaptive sports to elite Paralympic competitions. As such, the purpose of this article is to review the present literature regarding the implications of altered autonomic control on the safety and performance of athletes with SCI. A particular emphasis will be placed on the autonomic aspects of cardiovascular and thermoregulatory control in the athlete population, as well as the implications of autonomic dysreflexia in enhancing sports performance. Further research is needed to understand the autonomic factors that influence athletes with SCI in order to ensure optimal and safe sports competition. Additionally, this information is crucially relevant to the coaches, sports administrators, and team medical staff who work closely with athletes with SCI.
众所周知，脊髓损伤（SCI）运动员可能会出现自主神经生理改变，这会影响他们的运动能力和运动表现。鉴于脊髓损伤患者的数量不断增加，他们积极参与各级体育运动，从社区适应性运动到精英残奥会比赛，这一点尤为重要。因此，本文的目的是回顾目前关于自主神经控制改变对脊髓损伤运动员安全性和表现影响的文献。将特别强调运动员群体中心血管和体温调节控制的自主神经方面，以及自主神经反射异常对提高运动表现的影响。需要进一步研究以了解影响脊髓损伤运动员的自主神经因素，以确保最佳和安全的体育比赛。此外，这些信息对于与脊髓损伤运动员密切合作的教练、体育管理人员和团队医务人员至关重要。
