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…showed last 75 words of 974 total…level of the lesion to the spinal cord so there is less available surface area for sweat to evaporate to cool the body. For these reasons I would advise SPI people to avoid exercising in the heat, where possible. And, if they do need to train or compete in the heat, they should follow the above-mentioned (elderly) guidelines, as well as having someone monitor them frequently during their training to avoid heat stress and illness.