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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Determination of the Activities Affected Due to Cold Intolerance After Peripheral Nerve Injuries

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  • presenting/speaker Özge Buket Cesim - Hacettepe University, Ankara, Turkey
  • Çigdem Öksüz - Hacettepe University, Ankara, Turkey

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSHT19-1264

doi: 10.3205/19ifssh1610, urn:nbn:de:0183-19ifssh16107

Published: February 6, 2020

© 2020 Cesim et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

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Objective: The study was design to determine the activities affected due to cold intolerance after peripheral nerve injuries.

Materials and Methods: Individuals between 18 and 65 years of age who were diagnosed as peripheral nerve injury in the last year and who stated that their activities were affected due to cold intolerance and scored 30 or more on the Turkish version of Cold Intolerance Symptom Severity Scale (CISS) were included. The activities in which individuals have difficulties due to cold intolerance were determined by a semi-structured interview. The activities were analyzed as activities of daily living (ADL), instrumental activities of daily living (IADL), rest and sleep, education, work, play, leisure and social participation according to the third edition of Occupational Therapy Practice Framework.

Results: Forty-five individuals (30 women, 15 men) with a mean age of 42.28±13.25 were included. The mean CISS score was 51,18 ± 16,69. A total of 23 different activities (6 in ADL, 11 in IADL, 1 in work and social participation and 4 in leisure areas) were specified. Individuals did not specify activities in which they experienced difficulty due to cold intolerance in rest and sleep, education and play areas. The most difficult activity due to cold intolerance for women was dishwashing (n=19) and for men was handwashing (n=9).

Conclusions: In our study, it was found that individuals with peripheral nerve injuries had difficulty especially in the ADL and IADL due to cold intolerance. When the difficulties are examined it was seen that especially the contact with water and cold air, affected fine motor skills due to cold, manipulation of cold objects and exposure to cold in the working environment cause difficulties in these activities. According to the results of our study we think that, to evaluate the activities affected due to cold intolerance - especially ADL and IADL - and to use activity based approaches may eliminate problems caused by cold intolerance in individuals with peripheral nerve injury.