Abstract
Tympanic temperature measurements in the able bodied have been well studied and validated in previous investigations. This validation has not been studied in individuals with high spinal cord injuries where autonomic control is different above and below the level of the lesion, which makes the accuracy of this measurement for core body temperature questionable. In this correlational study we look at the reliability and validity of tympanic temperature measurement in individuals with high spinal cord injuries in comparison to oral and rectal temperature measures. The rectal measurement proved to be the most reliable with an r value of 0.975 overall. The oral was minimally better than the tympanic with r values of 0.88 and 0.86, respectively. The validity of the oral measure in predicting changes in the rectal temperature (gold standard) was slightly better than the tympanic with r values of 0.88 and 0.77, respectively. Both the oral and tympanic measures accurately reflected changes in the rectal (core) temperature.
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Bloch R F . Autonomic dysfunction. In Bloch RF (ed). Management of Spinal Cord Injuries. Williams and Wilkins, Baltimore and London, 1986, pp 149–163.
Shinozaki T, Deane R, Perkins F . Infrared tympanic thermometer: evaluation of a new clinical thermometer. Crit Care Med 1988; 16: 148–150.
Jakobsson J, Nilsson A, Carlsson L . Core temp measured in the auricular canal: comparison between four different thermometers. Acta Anaes Scand 1992; 36: 819–824.
Heidenreich T, Giuffre M, Doorley J . Temperature and temperature measurement after induced hypothermia. Nursing Res 1992; 41: 296–300.
Nierman D . Core temperature measurement in the intensive care unit. Crit Care Med 1991; 16: 818–823.
Burnham R . Intentional induction of autonomic dysreflexia among quadriplegic athletes for performance enhancement: efficacy, safety and mechanism of action. Clin J Sports Med (in press).
Guttmann L, Silver J, Wyndham C H . Thermoregulation in spinal man. J Physiol 1958; 142: 406–419.
Normell C A . Distribution of impaired cutaneous vasomotor and sudomotor function on paraplegic man. Scand J Lab Invest 1974; 33(S138): 25–41.
Phillips D B . The physiologic rationale for the ear as an ideal site for core temperature assessment. Presented at the Seventh Annual Spring Head and Neck Workshop, March 85, Snowbird, Utah.
Alexander J . Cost effectiveness of tympanic thermometry in the pediatric office setting. Clin Pediatr (Philadelphia) 1991; 30: 57–59.
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Chu, A., Burnham, R. Reliability and validity of tympanic temperature measurement in persons with high spinal cord injuries. Spinal Cord 33, 476–479 (1995). https://doi.org/10.1038/sc.1995.104
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DOI: https://doi.org/10.1038/sc.1995.104
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