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Exploring cold sensitivity among workers with hand-arm vibration syndrome.

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Τίτλος: Exploring cold sensitivity among workers with hand-arm vibration syndrome.
Συγγραφείς: Bezanson S; Interdisciplinary Health Program, St. Francis Xavier University, Antigonish, Nova Scotia, B2G 2W5, Canada., Ruco A; Interdisciplinary Health Program, St. Francis Xavier University, Antigonish, Nova Scotia, B2G 2W5, Canada.; Peter Gilgan Centre for Women's Cancers, Women's College Hospital, Toronto, Ontario, M5S 1B2, Canada.; VHA Home HealthCare, Toronto, Ontario, M4S 1V6, Canada.; Nova Scotia Health, Halifax, Nova Scotia, B3H 1V8, Canada., Howse M; Interdisciplinary Health Program, St. Francis Xavier University, Antigonish, Nova Scotia, B2G 2W5, Canada., Budd D; Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, M5B 1X3, Canada., House R; Division of Occupational Medicine, Department of Medicine, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, M5B 1W8, Canada.; Dalla Lana School of Public Health and Department of Medicine, University of Toronto, Toronto, Ontario, M5T 3M7, Canada.; Division of Occupational Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, M5S 3K3, Canada., Khakpour M; Interdisciplinary Health Program, St. Francis Xavier University, Antigonish, Nova Scotia, B2G 2W5, Canada., Holness DL; Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, M5B 1X3, Canada.; Division of Occupational Medicine, Department of Medicine, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, M5B 1W8, Canada.; Dalla Lana School of Public Health and Department of Medicine, University of Toronto, Toronto, Ontario, M5T 3M7, Canada.; Division of Occupational Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, M5S 3K3, Canada.
Πηγή: Occupational medicine (Oxford, England) [Occup Med (Lond)] 2026 Jan 01; Vol. 76 (1), pp. 13-20.
Τύπος έκδοσης: Journal Article; Research Support, Non-U.S. Gov't
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Oxford University Press Country of Publication: England NLM ID: 9205857 Publication Model: Print Cited Medium: Internet ISSN: 1471-8405 (Electronic) Linking ISSN: 09627480 NLM ISO Abbreviation: Occup Med (Lond) Subsets: MEDLINE
Imprint Name(s): Publication: 2001- : London : Oxford University Press
Original Publication: Oxford, UK : Published quarterly on behalf of the Society of Occupational Medicine by Butterworth-Heinemann, c1992-
Ιατρικοί όροι (MeSH): Hand-Arm Vibration Syndrome*/complications , Hand-Arm Vibration Syndrome*/physiopathology , Cold Temperature*/adverse effects , Occupational Diseases*/physiopathology, Occupational Exposure/adverse effects ; Vibration/adverse effects ; Foot/physiopathology ; Foot/blood supply ; Humans ; Male ; Middle Aged ; Female ; Retrospective Studies ; Adult ; Surveys and Questionnaires ; Severity of Illness Index ; Hand ; Cryopyrin-Associated Periodic Syndromes
Περίληψη: Background: Previous research on functional impairments due to vascular effects in workers with hand-arm vibration syndrome (HAVS) has focused on the upper extremities with little attention to the lower extremities.
Aims: To examine the severity and factors associated with cold intolerance and sensitivity in the hands and feet of workers with HAVS.
Methods: A survey and retrospective chart review were used to collect demographics, work conditions and disease characteristics on workers undergoing HAVS assessments. Data also included workers' scores on the Cold Intolerance Symptom Severity (CISS) questionnaire, which was adapted to evaluate the upper and lower extremities separately. Associations between upper and lower extremity scores were explored using Spearman correlations and Wilcoxon signed rank tests, and regression models were used to evaluate whether variables of interest predicted CISS total scores.
Results: Participants (N = 93; 55% response rate) worked primarily in mining and construction, were exclusively male, and had a mean age of 48 years. Cold intolerance and sensitivity were commonly reported in the feet and correlated with hand symptoms, but most CISS individual questions and total scores were significantly higher for the hands (versus feet). Regression models indicated that QuickDASH and Stockholm vascular scale scores significantly predicted CISS total scores for the hands, while exposure to foot vibration, plethysmography severity scores of the feet and QuickDASH scores significantly predicted CISS total scores for the feet.
Conclusions: Clinicians should assess and treat cold intolerance and sensitivity in both the hands and feet of workers with HAVS to improve workers' daily functioning.
(© The Author(s) 2025. Published by Oxford University Press on behalf of the Society of Occupational Medicine.)
Grant Information: Centre for Research Expertise in Occupational Disease
SCR Disease Name: Cold Hypersensitivity
Entry Date(s): Date Created: 20251231 Date Completed: 20260215 Latest Revision: 20260506
Update Code: 20260506
DOI: 10.1093/occmed/kqaf115
PMID: 41475021
Βάση Δεδομένων: MEDLINE
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  Data: Exploring cold sensitivity among workers with hand-arm vibration syndrome.
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  Data: <searchLink fieldCode="AU" term="%22Bezanson+S%22">Bezanson S</searchLink>; Interdisciplinary Health Program, St. Francis Xavier University, Antigonish, Nova Scotia, B2G 2W5, Canada.<br /><searchLink fieldCode="AU" term="%22Ruco+A%22">Ruco A</searchLink>; Interdisciplinary Health Program, St. Francis Xavier University, Antigonish, Nova Scotia, B2G 2W5, Canada.; Peter Gilgan Centre for Women's Cancers, Women's College Hospital, Toronto, Ontario, M5S 1B2, Canada.; VHA Home HealthCare, Toronto, Ontario, M4S 1V6, Canada.; Nova Scotia Health, Halifax, Nova Scotia, B3H 1V8, Canada.<br /><searchLink fieldCode="AU" term="%22Howse+M%22">Howse M</searchLink>; Interdisciplinary Health Program, St. Francis Xavier University, Antigonish, Nova Scotia, B2G 2W5, Canada.<br /><searchLink fieldCode="AU" term="%22Budd+D%22">Budd D</searchLink>; Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, M5B 1X3, Canada.<br /><searchLink fieldCode="AU" term="%22House+R%22">House R</searchLink>; Division of Occupational Medicine, Department of Medicine, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, M5B 1W8, Canada.; Dalla Lana School of Public Health and Department of Medicine, University of Toronto, Toronto, Ontario, M5T 3M7, Canada.; Division of Occupational Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, M5S 3K3, Canada.<br /><searchLink fieldCode="AU" term="%22Khakpour+M%22">Khakpour M</searchLink>; Interdisciplinary Health Program, St. Francis Xavier University, Antigonish, Nova Scotia, B2G 2W5, Canada.<br /><searchLink fieldCode="AU" term="%22Holness+DL%22">Holness DL</searchLink>; Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, M5B 1X3, Canada.; Division of Occupational Medicine, Department of Medicine, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, M5B 1W8, Canada.; Dalla Lana School of Public Health and Department of Medicine, University of Toronto, Toronto, Ontario, M5T 3M7, Canada.; Division of Occupational Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, M5S 3K3, Canada.
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  Data: <searchLink fieldCode="JN" term="%229205857%22">Occupational medicine (Oxford, England)</searchLink> [Occup Med (Lond)] 2026 Jan 01; Vol. 76 (1), pp. 13-20.
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Oxford+University+Press%22">Oxford University Press </searchLink><i>Country of Publication: </i>England <i>NLM ID: </i>9205857 <i>Publication Model: </i>Print <i>Cited Medium: </i>Internet <i>ISSN: </i>1471-8405 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2209627480%22">09627480 </searchLink><i>NLM ISO Abbreviation: </i>Occup Med (Lond) <i>Subsets: </i>MEDLINE
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  Data: <searchLink fieldCode="MM" term="%22Hand-Arm+Vibration+Syndrome%22">Hand-Arm Vibration Syndrome*</searchLink>/<searchLink fieldCode="MM" term="%22Hand-Arm+Vibration+Syndrome+complications%22">complications</searchLink> <br /><searchLink fieldCode="MM" term="%22Hand-Arm+Vibration+Syndrome%22">Hand-Arm Vibration Syndrome*</searchLink>/<searchLink fieldCode="MM" term="%22Hand-Arm+Vibration+Syndrome+physiopathology%22">physiopathology</searchLink> <br /><searchLink fieldCode="MM" term="%22Cold+Temperature%22">Cold Temperature*</searchLink>/<searchLink fieldCode="MM" term="%22Cold+Temperature+adverse+effects%22">adverse effects</searchLink> <br /><searchLink fieldCode="MM" term="%22Occupational+Diseases%22">Occupational Diseases*</searchLink>/<searchLink fieldCode="MM" term="%22Occupational+Diseases+physiopathology%22">physiopathology</searchLink><br /><searchLink fieldCode="MH" term="%22Occupational+Exposure%22">Occupational Exposure</searchLink>/<searchLink fieldCode="MH" term="%22Occupational+Exposure+adverse+effects%22">adverse effects</searchLink> ; <searchLink fieldCode="MH" term="%22Vibration%22">Vibration</searchLink>/<searchLink fieldCode="MH" term="%22Vibration+adverse+effects%22">adverse effects</searchLink> ; <searchLink fieldCode="MH" term="%22Foot%22">Foot</searchLink>/<searchLink fieldCode="MH" term="%22Foot+physiopathology%22">physiopathology</searchLink> ; <searchLink fieldCode="MH" term="%22Foot%22">Foot</searchLink>/<searchLink fieldCode="MH" term="%22Foot+blood+supply%22">blood supply</searchLink> ; <searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Male%22">Male</searchLink> ; <searchLink fieldCode="MH" term="%22Middle+Aged%22">Middle Aged</searchLink> ; <searchLink fieldCode="MH" term="%22Female%22">Female</searchLink> ; <searchLink fieldCode="MH" term="%22Retrospective+Studies%22">Retrospective Studies</searchLink> ; <searchLink fieldCode="MH" term="%22Adult%22">Adult</searchLink> ; <searchLink fieldCode="MH" term="%22Surveys+and+Questionnaires%22">Surveys and Questionnaires</searchLink> ; <searchLink fieldCode="MH" term="%22Severity+of+Illness+Index%22">Severity of Illness Index</searchLink> ; <searchLink fieldCode="MH" term="%22Hand%22">Hand</searchLink> ; <searchLink fieldCode="MH" term="%22Cryopyrin-Associated+Periodic+Syndromes%22">Cryopyrin-Associated Periodic Syndromes</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Previous research on functional impairments due to vascular effects in workers with hand-arm vibration syndrome (HAVS) has focused on the upper extremities with little attention to the lower extremities.<br />Aims: To examine the severity and factors associated with cold intolerance and sensitivity in the hands and feet of workers with HAVS.<br />Methods: A survey and retrospective chart review were used to collect demographics, work conditions and disease characteristics on workers undergoing HAVS assessments. Data also included workers' scores on the Cold Intolerance Symptom Severity (CISS) questionnaire, which was adapted to evaluate the upper and lower extremities separately. Associations between upper and lower extremity scores were explored using Spearman correlations and Wilcoxon signed rank tests, and regression models were used to evaluate whether variables of interest predicted CISS total scores.<br />Results: Participants (N = 93; 55% response rate) worked primarily in mining and construction, were exclusively male, and had a mean age of 48 years. Cold intolerance and sensitivity were commonly reported in the feet and correlated with hand symptoms, but most CISS individual questions and total scores were significantly higher for the hands (versus feet). Regression models indicated that QuickDASH and Stockholm vascular scale scores significantly predicted CISS total scores for the hands, while exposure to foot vibration, plethysmography severity scores of the feet and QuickDASH scores significantly predicted CISS total scores for the feet.<br />Conclusions: Clinicians should assess and treat cold intolerance and sensitivity in both the hands and feet of workers with HAVS to improve workers' daily functioning.<br /> (© The Author(s) 2025. Published by Oxford University Press on behalf of the Society of Occupational Medicine.)
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  Data: Cold Hypersensitivity
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