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Cold Sensitivity in injured and normal hands. Consequences for daily life

Carlsson, Ingela LU (2010) In Lund University, Faculty of Medicine Doctoral Dissertation Series 2010:14.
Abstract
Cold sensitivity is a common and persistent complaint after various hand injuries and diseases. The general aim of the thesis was to investigate the consequences of cold sensitivity for daily life in patients with traumatic hand injuries and hand-arm vibration syndrome (HAVS). To obtain a richer and more comprehensive picture reflecting the aim, studies with a quantitative and a qualitative design were performed. Questionnaires comprising patients’ experience of cold sensitivity were translated into Swedish according to the cross-cultural adaptation process and content and construct validity, internal consistency and test-retest reliability were established. In addition, a cut-off for abnormal cold sensitivity was defined as a total score... (More)
Cold sensitivity is a common and persistent complaint after various hand injuries and diseases. The general aim of the thesis was to investigate the consequences of cold sensitivity for daily life in patients with traumatic hand injuries and hand-arm vibration syndrome (HAVS). To obtain a richer and more comprehensive picture reflecting the aim, studies with a quantitative and a qualitative design were performed. Questionnaires comprising patients’ experience of cold sensitivity were translated into Swedish according to the cross-cultural adaptation process and content and construct validity, internal consistency and test-retest reliability were established. In addition, a cut-off for abnormal cold sensitivity was defined as a total score > 50 on the Cold Intolerance Symptom Severity (CISS) questionnaire based on a normal population. Patients with abnormal self-reported cold sensitivity were more seriously disabled and had a poorer health-related quality of life than patients with normal cold sensitivity. The engagement in occupations was limited because of cold induced symptoms despite access to relieving strategies. The consequences and adaptation in daily life meant a change of occupational patterns and performance, a struggle with self-image and a change in life roles. Factors associated with abnormal cold sensitivity after a hand injury were a larger number of repaired vessels and use of vascular grafts at reconstruction, presence of trauma to bones and a high HISS score, suggesting multifactorial causes of cold sensitivity. Behavioural treatment offered relief to a majority of patients with a traumatic hand injury in contrast to patients with HAVS. Patients with HAVS had in comparison to hand injured patients overall significantly more severe problems with cold sensitivity. (Less)
Please use this url to cite or link to this publication:
author
supervisor
opponent
  • Universitetslektor Nilsson, Tohr, Institutionen för folkhälsa och klinisk medicin, Yrkes- och miljömedicin, Umeå Universitet
organization
publishing date
type
Thesis
publication status
published
subject
keywords
Behavioural treatment, cold sensitivity, Cold Intolerance Symptom Severity questionnaire, cold intolerance, Cold Sensitivity Severity scale, hand injury, health-related quality of life, hand-arm vibration syndrome, occupation, Potential Work Exposure Scale
in
Lund University, Faculty of Medicine Doctoral Dissertation Series
volume
2010:14
pages
138 pages
publisher
Lund University
defense location
Lilla Aulan, Medicinskt forskningscentrum, Skånes Universitetssjukhus, Malmö
defense date
2010-03-12 13:00
ISSN
1652-8220
ISBN
978-91-86443-28-3
language
English
LU publication?
yes
id
90a4868c-9dc9-4e89-b46f-1fc348712ac6 (old id 1551173)
date added to LUP
2010-02-27 10:04:49
date last changed
2018-05-29 11:25:53
@phdthesis{90a4868c-9dc9-4e89-b46f-1fc348712ac6,
  abstract     = {Cold sensitivity is a common and persistent complaint after various hand injuries and diseases. The general aim of the thesis was to investigate the consequences of cold sensitivity for daily life in patients with traumatic hand injuries and hand-arm vibration syndrome (HAVS). To obtain a richer and more comprehensive picture reflecting the aim, studies with a quantitative and a qualitative design were performed. Questionnaires comprising patients’ experience of cold sensitivity were translated into Swedish according to the cross-cultural adaptation process and content and construct validity, internal consistency and test-retest reliability were established. In addition, a cut-off for abnormal cold sensitivity was defined as a total score > 50 on the Cold Intolerance Symptom Severity (CISS) questionnaire based on a normal population. Patients with abnormal self-reported cold sensitivity were more seriously disabled and had a poorer health-related quality of life than patients with normal cold sensitivity. The engagement in occupations was limited because of cold induced symptoms despite access to relieving strategies. The consequences and adaptation in daily life meant a change of occupational patterns and performance, a struggle with self-image and a change in life roles. Factors associated with abnormal cold sensitivity after a hand injury were a larger number of repaired vessels and use of vascular grafts at reconstruction, presence of trauma to bones and a high HISS score, suggesting multifactorial causes of cold sensitivity. Behavioural treatment offered relief to a majority of patients with a traumatic hand injury in contrast to patients with HAVS. Patients with HAVS had in comparison to hand injured patients overall significantly more severe problems with cold sensitivity.},
  author       = {Carlsson, Ingela},
  isbn         = {978-91-86443-28-3},
  issn         = {1652-8220},
  keyword      = {Behavioural treatment,cold sensitivity,Cold Intolerance Symptom Severity questionnaire,cold intolerance,Cold Sensitivity Severity scale,hand injury,health-related quality of life,hand-arm vibration syndrome,occupation,Potential Work Exposure Scale},
  language     = {eng},
  pages        = {138},
  publisher    = {Lund University},
  school       = {Lund University},
  series       = {Lund University, Faculty of Medicine Doctoral Dissertation Series},
  title        = {Cold Sensitivity in injured and normal hands. Consequences for daily life},
  volume       = {2010:14},
  year         = {2010},
}