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Published on: March 17, 2015
Activity limitations related to cold hypersensitivity in patients with hand injuries
Brynhild Krog Eriksen1, Tone Vaksvik1
1Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.
Background:
Knowledge of specific activity limitations due to cold hypersensitivity is sparse.
Purpose:
To explore activity limitations caused by cold hypersensitivity and the associated environmental factors in patients with hand injuries.
Study Design:
Descriptive study.
Methods:
Seventy-seven patients with multiple tissue hand injuries described activity limitations related to cold hypersensitivity in questionnaires six and/or 12 months after surgery. To characterize the activity limitations, we performed a quantitative content analysis applying the International classification of functioning and health (ICF).
Results:
The respondents described on average 3.6 cold related activity limitations in leisure and/or work. The activities were most frequently (n) assigned to the ICF domains d920 Recreation and leisure (95), d440 Fine hand use (77), and d850 Remunerative employment (39). The most common related environmental factors were Products and technology for e140 Culture, recreation and sport (79) and for e135 Employment (71), respectively, and e225 Climate (71). Gloves were both a facilitator and a barrier for activity performance.
Conclusion:
The impact of cold hypersensitivity on activity was related to both the activity and the environment. The results call for clinical interventions and product development, for example of gloves, to help patients solve their cold related activity limitations.
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