Nerve conduction velocity in human limbs with late sequelae after local cold injury.
Cold-induced neuropathy may play a dominant role in the long-term sequelae with cold sensitivity after local cold injuries (LCIs). Somatosensory functions were assessed and nerve conduction velocity (NCV) and motor distal delay (MDD) were measured in the limbs of 31 Norwegian former soldiers with persistent cold intolerance 3-4 years after the primary LCI. NCV measurements were performed in 24 lower and 16 upper extremities. NCV was related to degree of overall subjective complaints quantified by means of a visual analogue scale (VAS). Motor (MNCV) and sensory conduction velocity (SNCV) in the lower extremities and SNCV in the hands were significantly decreased compared with controls. MDD was pathologically increased in the feet. NCV of the forearms ranged from normal to significant reduction. The more pronounced effect on the lower extremities may be caused by deeper cooling of the calves compared with forearms for several reasons. No significant associations were found between VAS and NCV except for the right median nerve. NCV measurements may provide objective findings in cold-injured patients and in those with few or no conspicuous clinical signs.
Arvesen
A
A
Norwegian Army Medical Training Center, Skjetten, Norway.
Wilson
J
J
Rosén
L
L
D000328:Adult; D003080:Cold Temperature / Q000009:adverse effects*; D005542:Forearm / Q000503:physiopathology; D005627:Frostbite / Q000150:complications; D006801:Humans; D006967:Hypersensitivity / Q000503:physiopathology; D007866:Leg / Q000503:physiopathology; D009046:Motor Neurons / Q000502:physiology; D009431:Neural Conduction / Q000502:physiology*; D009475:Neurons, Afferent / Q000502:physiology; D010147:Pain Measurement