Neurosensory sequelae assessed by thermal and vibrotactile perception thresholds after local cold injury
Background. Local freezing cold injuries are common in the north and sequelae to cold injury can persist many years. Quantitative sensory testing (QST) can be used to assess neurosensory symptoms but has previously not been used on cold injury patients. Objective. To evaluate neurosensory sequelae a...
Published in: | International Journal of Circumpolar Health |
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Umeå universitet, Yrkes- och miljömedicin
2014
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ftumeauniv:oai:DiVA.org:umu-87184 2023-10-09T21:50:46+02:00 Neurosensory sequelae assessed by thermal and vibrotactile perception thresholds after local cold injury Carlsson, Daniel Burström, Lage Heldestad Lilliesköld, Victoria Nilsson, Tohr Nordh, Erik Wahlström, Jens 2014 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-87184 https://doi.org/10.3402/ijch.v73.23540 eng eng Umeå universitet, Yrkes- och miljömedicin Umeå universitet, Klinisk neurovetenskap Sundsvall Hosp, Dept Occupat & Environm Med, SE-85186 Sundsvall, Sweden International Journal of Circumpolar Health, 1239-9736, 2014, 73, http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-87184 doi:10.3402/ijch.v73.23540 PMID 24624368 ISI:000331885300001 Scopus 2-s2.0-84894825323 info:eu-repo/semantics/openAccess case series neurovascular quantitative sensory testing military frostbite Sweden Occupational Health and Environmental Health Arbetsmedicin och miljömedicin Article in journal info:eu-repo/semantics/article text 2014 ftumeauniv https://doi.org/10.3402/ijch.v73.23540 2023-09-22T13:57:21Z Background. Local freezing cold injuries are common in the north and sequelae to cold injury can persist many years. Quantitative sensory testing (QST) can be used to assess neurosensory symptoms but has previously not been used on cold injury patients. Objective. To evaluate neurosensory sequelae after local freezing cold injury by thermal and vibrotactile perception thresholds and by symptom descriptions. Design. Fifteen patients with a local freezing cold injury in the hands or feet, acquired during military training, were studied with QST by assessment of vibrotactile (VPT), warmth (WPT) and cold (CPT) perception thresholds 4 months post-injury. In addition, a follow-up questionnaire, focusing on neurovascular symptoms, was completed 4 months and 4 years post-injury. Results. QST demonstrated abnormal findings in one or both affected hands for VPT in 6 patients, for WPT in 4 patients and for CPT in 1 patient. In the feet, QST was abnormal for VPT in one or both affected feet in 8 patients, for WPT in 6 patients and for CPT in 4 patients. Freezing cold injury related symptoms, e. g. pain/discomfort when exposed to cold, cold sensation and white fingers were common at 4 months and persisted 4 years after the initial injury. Conclusions. Neurosensory sequelae after local freezing cold injury, in terms of abnormal thermal and/or vibration perception thresholds, may last at least 4 months after the initial injury. Symptoms such as pain/discomfort at cold exposure, cold sensations and white fingers may persist at least 4 years after the initial injury. Article in Journal/Newspaper Circumpolar Health International Journal of Circumpolar Health Umeå University: Publications (DiVA) International Journal of Circumpolar Health 73 1 23540 |
institution |
Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
case series neurovascular quantitative sensory testing military frostbite Sweden Occupational Health and Environmental Health Arbetsmedicin och miljömedicin |
spellingShingle |
case series neurovascular quantitative sensory testing military frostbite Sweden Occupational Health and Environmental Health Arbetsmedicin och miljömedicin Carlsson, Daniel Burström, Lage Heldestad Lilliesköld, Victoria Nilsson, Tohr Nordh, Erik Wahlström, Jens Neurosensory sequelae assessed by thermal and vibrotactile perception thresholds after local cold injury |
topic_facet |
case series neurovascular quantitative sensory testing military frostbite Sweden Occupational Health and Environmental Health Arbetsmedicin och miljömedicin |
description |
Background. Local freezing cold injuries are common in the north and sequelae to cold injury can persist many years. Quantitative sensory testing (QST) can be used to assess neurosensory symptoms but has previously not been used on cold injury patients. Objective. To evaluate neurosensory sequelae after local freezing cold injury by thermal and vibrotactile perception thresholds and by symptom descriptions. Design. Fifteen patients with a local freezing cold injury in the hands or feet, acquired during military training, were studied with QST by assessment of vibrotactile (VPT), warmth (WPT) and cold (CPT) perception thresholds 4 months post-injury. In addition, a follow-up questionnaire, focusing on neurovascular symptoms, was completed 4 months and 4 years post-injury. Results. QST demonstrated abnormal findings in one or both affected hands for VPT in 6 patients, for WPT in 4 patients and for CPT in 1 patient. In the feet, QST was abnormal for VPT in one or both affected feet in 8 patients, for WPT in 6 patients and for CPT in 4 patients. Freezing cold injury related symptoms, e. g. pain/discomfort when exposed to cold, cold sensation and white fingers were common at 4 months and persisted 4 years after the initial injury. Conclusions. Neurosensory sequelae after local freezing cold injury, in terms of abnormal thermal and/or vibration perception thresholds, may last at least 4 months after the initial injury. Symptoms such as pain/discomfort at cold exposure, cold sensations and white fingers may persist at least 4 years after the initial injury. |
format |
Article in Journal/Newspaper |
author |
Carlsson, Daniel Burström, Lage Heldestad Lilliesköld, Victoria Nilsson, Tohr Nordh, Erik Wahlström, Jens |
author_facet |
Carlsson, Daniel Burström, Lage Heldestad Lilliesköld, Victoria Nilsson, Tohr Nordh, Erik Wahlström, Jens |
author_sort |
Carlsson, Daniel |
title |
Neurosensory sequelae assessed by thermal and vibrotactile perception thresholds after local cold injury |
title_short |
Neurosensory sequelae assessed by thermal and vibrotactile perception thresholds after local cold injury |
title_full |
Neurosensory sequelae assessed by thermal and vibrotactile perception thresholds after local cold injury |
title_fullStr |
Neurosensory sequelae assessed by thermal and vibrotactile perception thresholds after local cold injury |
title_full_unstemmed |
Neurosensory sequelae assessed by thermal and vibrotactile perception thresholds after local cold injury |
title_sort |
neurosensory sequelae assessed by thermal and vibrotactile perception thresholds after local cold injury |
publisher |
Umeå universitet, Yrkes- och miljömedicin |
publishDate |
2014 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-87184 https://doi.org/10.3402/ijch.v73.23540 |
genre |
Circumpolar Health International Journal of Circumpolar Health |
genre_facet |
Circumpolar Health International Journal of Circumpolar Health |
op_relation |
International Journal of Circumpolar Health, 1239-9736, 2014, 73, http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-87184 doi:10.3402/ijch.v73.23540 PMID 24624368 ISI:000331885300001 Scopus 2-s2.0-84894825323 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.3402/ijch.v73.23540 |
container_title |
International Journal of Circumpolar Health |
container_volume |
73 |
container_issue |
1 |
container_start_page |
23540 |
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1779313821981081600 |