Did you know that many people with high-level spinal cord injuries cannot regulate their body temperature? Not only that but their bodies do not sweat to cool down or shiver to warm up. It can be a pain in the butt for a person just wanting to get out of the house in the middle of summer or winter. For caregivers, why this happens, how to avoid hypo- and hyperthermia is extremely important (pretty much as important as how to manage autonomic dysreflexia). Even more important than that is how to treat someone who has become overheated or under heated. The excerpt below from Apparelyzed explains what is know as poikilothermia, or variable body temperature.