scholarly journals Simultaneous Observation of Zero‐Value of FSBP% and Raynaud's Phenomenon during Cold Provocation in Vibration Syndrome

2008 ◽  
Vol 50 (1) ◽  
pp. 75-78 ◽  
Author(s):  
Yutaka Fujiwara ◽  
Satoshi Yoshino ◽  
Yoshiro Nasu
2020 ◽  
Vol 91 (5) ◽  
pp. 459-461

Warneke JA, Pavelites JJ. You’re the flight surgeon: Raynaud’s phenomenon/hand arm vibration syndrome. Aerosp Med Hum Perform. 2020; 91(5):459–461.


2010 ◽  
Vol 28 (1) ◽  
pp. 49-51 ◽  
Author(s):  
Nozomi Donoyama ◽  
Norio Ohkoshi

A 45-year-old woman with systemic lupus erythematosus presented with multiple arthralgia, coldness in fingers and toes, and Raynaud's phenomenon. Electroacupuncture (EA) therapy was performed in two courses (14 treatment sessions) 1 month apart. A needle was inserted in the proximal (or medial) side of the painful joint and another needle was inserted in the distal (or lateral) side of the same joint and a 50 Hz stimulus was applied (3 s bursts with 1 s gaps) for 15 min. A visual analogue scale was used to evaluate pain intensity. Cold provocation testing was conducted before and after EA sessions to determine the vasomotor response. Visual analogue scale scores were lower after EA sessions than before. Before starting EA, the skin temperature of the right mid fingertip was 27.9°C and that of the left mid fingertip was 28.3°C. In contrast, after the EA sessions, the skin temperature of the right mid fingertip was 34.8°C and that of the left mid fingertip was 34.7°C. In the last EA session, the patient reported that the cold in her fingers and toes had eased and Raynaud's phenomenon, in which nail colour tone changed from white to red, had disappeared. In the cold-provocation test, before EA, the temperature recovery rates of mid fingertips after cold exposure reached over 80% in 20 min. In contrast, after EA had been completed, the temperature recovery rate exceeded 80% in 10 min, thus the delay of temperature recovery was alleviated.


2009 ◽  
Vol 34 (5) ◽  
pp. 621-626 ◽  
Author(s):  
K. M. SALEM ◽  
M. BAKER ◽  
R. M. HILLIAM ◽  
S. DAVIES ◽  
C. DEIGHTON ◽  
...  

This study investigated whether a modified Cold Provocation Test could distinguish between 86 normal subjects and 31 patients with Raynaud’s phenomenon or 59 with hand arm vibration syndrome (HAVS). Of the HAVS subjects, 56 were seen for medical reports as they were involved in litigation. Their assessments were done in a different location but the same protocol was used. A standardised cold stress was used to reduce the finger temperature to 15°C or less without inducing reflex hyperaemia. This test had acceptable repeatability for subjects without HAVS with an intra-class correlation of 0.7. Baseline temperature, temperature rise in the first 30 seconds and the time taken to rewarm by 5°C were measured. Patients with Raynaud’s phenomenon and HAVS had cooler hands than controls. HAVS patients rewarmed most in the first 30 seconds. Patients with Raynaud’s phenomenon take longer to rewarm by 5°C than controls or those with HAVS ( P<0.001). A baseline difference of >7.5°C between the temperature of the digit and that of the room is unlikely to occur in patients with Raynaud’s phenomenon or HAVS. A temperature gain of ≥2.2°C in the first 30 seconds on rewarming combined with a low baseline temperature strongly suggests HAVS. This modified cold provocation test may differentiate between patients with Raynaud’s phenomenon, HAVS and controls but this observation requires independent verification in subjects not involved in litigation and tested in the same facility.


Author(s):  
Nari Choy ◽  
Chang Sun Sim ◽  
Jae Kuk Yoon ◽  
Suk Hwan Kim ◽  
Hyoung Ook Park ◽  
...  

1996 ◽  
Vol 52 (2) ◽  
pp. 193-197 ◽  
Author(s):  
Janine Dörffler-Melly ◽  
Thomas F. Lüscher ◽  
Martin Wenk ◽  
Shenghua Wen ◽  
Alfred Bollinger ◽  
...  

2016 ◽  
Vol 31 (1) ◽  
pp. 51-53 ◽  
Author(s):  
Jørgen R Jepsen ◽  
Jane A Simonsen

OBJECTIVE: Secondary Raynaud’s phenomenon is a frequent condition related to occupational exposure to local vibration but has not been described in musicians. This study aims to describe cold-induced blanching of the right second and (in particular) third digits in a 67-year-old double bass player following decades of cumulative repetitive blunt trauma to the fingers from slapping the strings. METHODS: A physical examination was undertaken and systolic blood pressure measured before and after cold provocation. RESULTS: At 10ÅãC the brachial systolic blood pressure was 156 mm Hg while blood pressure was immeasurable at the finger level, corresponding to a finger/brachial index of 0% of the second and third fingers. CONCLUSION: This is the first reported case of objectively verified, playing-related Raynaud’s phenomenon in a musician.


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