The most effective approach to AD is the prevention of occurrence of this disabling and life threatening condition (Braddom & Rocco 1991). This includes careful evaluation of individuals with SCI and early recognition of possible triggers that could result in AD. Improved clinician awareness of AD and greater attention to the need to eliminate noxious stimuli in individuals with SCI is a priority. Clinicians, family members, and caregivers should be aware that increased afferent stimulation (e.g. via surgery, invasive investigational procedures, labour and birth) to persons with SCI will increase the risk for development of AD. A variety of procedures can be used to prevent episodes of AD.