Skin temperature recovery from cold provocation in workers exposed to vibration: A longitudinal study

M. Cherniack, A. Brammer, J. Meyer, T. Marse, D. Peterson, Rongwei (Rochelle) Fu

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Background: Vibration white finger (VWF) is characterised by arterial hyperresponsiveness and vasoconstriction following cold provocation. Several years after of removal from exposure, most subjects show improved finger systolic blood pressure (FSBP) under conditions of cold challenge, but continue to report cold hands and finger blanching. Aims: To assess the underlying reasons for the persistence of cold symptoms. Methods: A total of 204 former users of pneumatic tools with cold related hand symptoms were evaluated and then re-evaluated a year later. Symptoms were evaluated using the Stockholm Workshop Scale. Finger systolic blood pressure per cent (FSBP%) was assessed by comparing digital blood pressure in a cold provoked and normalised state. Fingertip skin temperature was measured during cooling and occlusion and during rewarming and recovery. Results: There were dramatic improvements in FSBP% (14. 3 mm Hg %), modest improvement in recovered skin temperature (0.86°C), and no change in symptom stage. When the most symptomatic subjects (n = 75) were compared with the less symptomatic subjects (n = 129), there were similar inter-test improvements in FSBP%. Skin temperature recovery improved in the less symptomatic (+1.49°C), but did not change in the most symptomatic group (-0.12°C). However, the more symptomatic group had higher temperatures at the initial test, thus qualifying the result. Conclusions: Skin temperature recovery after cold challenge in subjects with VWF remains reduced in the symptomatic subjects several years after exposure removal. This is evident even when blood pressure has increased in the setting of cold provocation. Results suggest that in VWF, the dermal circulation remains impaired, even after the restoration of arterial blood pressure in the digits.

Original languageEnglish (US)
Pages (from-to)962-968
Number of pages7
JournalOccupational and Environmental Medicine
Volume60
Issue number12
DOIs
StatePublished - Dec 2003
Externally publishedYes

Fingerprint

Skin Temperature
Vibration
Longitudinal Studies
skin
vibration
Fingers
Blood Pressure
blood
temperature
Hand
cold
Rewarming
Vasoconstriction
persistence
cooling
Arterial Pressure
Education
Skin
Temperature

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Environmental Science(all)

Cite this

Skin temperature recovery from cold provocation in workers exposed to vibration : A longitudinal study. / Cherniack, M.; Brammer, A.; Meyer, J.; Marse, T.; Peterson, D.; Fu, Rongwei (Rochelle).

In: Occupational and Environmental Medicine, Vol. 60, No. 12, 12.2003, p. 962-968.

Research output: Contribution to journalArticle

Cherniack, M. ; Brammer, A. ; Meyer, J. ; Marse, T. ; Peterson, D. ; Fu, Rongwei (Rochelle). / Skin temperature recovery from cold provocation in workers exposed to vibration : A longitudinal study. In: Occupational and Environmental Medicine. 2003 ; Vol. 60, No. 12. pp. 962-968.
@article{ebdcfb64cc824a7ab4354d1051d06e12,
title = "Skin temperature recovery from cold provocation in workers exposed to vibration: A longitudinal study",
abstract = "Background: Vibration white finger (VWF) is characterised by arterial hyperresponsiveness and vasoconstriction following cold provocation. Several years after of removal from exposure, most subjects show improved finger systolic blood pressure (FSBP) under conditions of cold challenge, but continue to report cold hands and finger blanching. Aims: To assess the underlying reasons for the persistence of cold symptoms. Methods: A total of 204 former users of pneumatic tools with cold related hand symptoms were evaluated and then re-evaluated a year later. Symptoms were evaluated using the Stockholm Workshop Scale. Finger systolic blood pressure per cent (FSBP{\%}) was assessed by comparing digital blood pressure in a cold provoked and normalised state. Fingertip skin temperature was measured during cooling and occlusion and during rewarming and recovery. Results: There were dramatic improvements in FSBP{\%} (14. 3 mm Hg {\%}), modest improvement in recovered skin temperature (0.86°C), and no change in symptom stage. When the most symptomatic subjects (n = 75) were compared with the less symptomatic subjects (n = 129), there were similar inter-test improvements in FSBP{\%}. Skin temperature recovery improved in the less symptomatic (+1.49°C), but did not change in the most symptomatic group (-0.12°C). However, the more symptomatic group had higher temperatures at the initial test, thus qualifying the result. Conclusions: Skin temperature recovery after cold challenge in subjects with VWF remains reduced in the symptomatic subjects several years after exposure removal. This is evident even when blood pressure has increased in the setting of cold provocation. Results suggest that in VWF, the dermal circulation remains impaired, even after the restoration of arterial blood pressure in the digits.",
author = "M. Cherniack and A. Brammer and J. Meyer and T. Marse and D. Peterson and Fu, {Rongwei (Rochelle)}",
year = "2003",
month = "12",
doi = "10.1136/oem.60.12.962",
language = "English (US)",
volume = "60",
pages = "962--968",
journal = "Occupational and Environmental Medicine",
issn = "1351-0711",
publisher = "BMJ Publishing Group",
number = "12",

}

TY - JOUR

T1 - Skin temperature recovery from cold provocation in workers exposed to vibration

T2 - A longitudinal study

AU - Cherniack, M.

AU - Brammer, A.

AU - Meyer, J.

AU - Marse, T.

AU - Peterson, D.

AU - Fu, Rongwei (Rochelle)

PY - 2003/12

Y1 - 2003/12

N2 - Background: Vibration white finger (VWF) is characterised by arterial hyperresponsiveness and vasoconstriction following cold provocation. Several years after of removal from exposure, most subjects show improved finger systolic blood pressure (FSBP) under conditions of cold challenge, but continue to report cold hands and finger blanching. Aims: To assess the underlying reasons for the persistence of cold symptoms. Methods: A total of 204 former users of pneumatic tools with cold related hand symptoms were evaluated and then re-evaluated a year later. Symptoms were evaluated using the Stockholm Workshop Scale. Finger systolic blood pressure per cent (FSBP%) was assessed by comparing digital blood pressure in a cold provoked and normalised state. Fingertip skin temperature was measured during cooling and occlusion and during rewarming and recovery. Results: There were dramatic improvements in FSBP% (14. 3 mm Hg %), modest improvement in recovered skin temperature (0.86°C), and no change in symptom stage. When the most symptomatic subjects (n = 75) were compared with the less symptomatic subjects (n = 129), there were similar inter-test improvements in FSBP%. Skin temperature recovery improved in the less symptomatic (+1.49°C), but did not change in the most symptomatic group (-0.12°C). However, the more symptomatic group had higher temperatures at the initial test, thus qualifying the result. Conclusions: Skin temperature recovery after cold challenge in subjects with VWF remains reduced in the symptomatic subjects several years after exposure removal. This is evident even when blood pressure has increased in the setting of cold provocation. Results suggest that in VWF, the dermal circulation remains impaired, even after the restoration of arterial blood pressure in the digits.

AB - Background: Vibration white finger (VWF) is characterised by arterial hyperresponsiveness and vasoconstriction following cold provocation. Several years after of removal from exposure, most subjects show improved finger systolic blood pressure (FSBP) under conditions of cold challenge, but continue to report cold hands and finger blanching. Aims: To assess the underlying reasons for the persistence of cold symptoms. Methods: A total of 204 former users of pneumatic tools with cold related hand symptoms were evaluated and then re-evaluated a year later. Symptoms were evaluated using the Stockholm Workshop Scale. Finger systolic blood pressure per cent (FSBP%) was assessed by comparing digital blood pressure in a cold provoked and normalised state. Fingertip skin temperature was measured during cooling and occlusion and during rewarming and recovery. Results: There were dramatic improvements in FSBP% (14. 3 mm Hg %), modest improvement in recovered skin temperature (0.86°C), and no change in symptom stage. When the most symptomatic subjects (n = 75) were compared with the less symptomatic subjects (n = 129), there were similar inter-test improvements in FSBP%. Skin temperature recovery improved in the less symptomatic (+1.49°C), but did not change in the most symptomatic group (-0.12°C). However, the more symptomatic group had higher temperatures at the initial test, thus qualifying the result. Conclusions: Skin temperature recovery after cold challenge in subjects with VWF remains reduced in the symptomatic subjects several years after exposure removal. This is evident even when blood pressure has increased in the setting of cold provocation. Results suggest that in VWF, the dermal circulation remains impaired, even after the restoration of arterial blood pressure in the digits.

UR - http://www.scopus.com/inward/record.url?scp=0344735797&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0344735797&partnerID=8YFLogxK

U2 - 10.1136/oem.60.12.962

DO - 10.1136/oem.60.12.962

M3 - Article

C2 - 14634190

AN - SCOPUS:0344735797

VL - 60

SP - 962

EP - 968

JO - Occupational and Environmental Medicine

JF - Occupational and Environmental Medicine

SN - 1351-0711

IS - 12

ER -