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Effect of prostaglandin E1 analogue administration on peripheral skin temperature at high altitude.

The effect of prostaglandin E1 analogue on peripheral skin temperature was examined at high altitude, where local cold injuries are common owing to severe environmental conditions. The peripheral skin temperature at rest was significantly lower at higher altitudes. Oral administration of the prostaglandin E1 analogue limaprost reversed this temperature decrease, probably by enhancement of peripheral circulation. The temperature recovery rate after a cold water challenge was also improved after the administration of limaprost. This oral type of prostaglandin E1 analogue is strongly recommended as an effective prophylactic and therapeutic vasodilator for local cold injuries at high altitudes.

Adult↗

Cold injury caused by psychiatric illness: six case reports.

Six patients are reported in whom mental illness led to severe cold injury. The main contributory factors were cold surroundings, inactivity and neglect. The additional factor of impaired microcirculation in these patients may also be significant. In the winter of 1979 two instances of cold injury in patients with mental illness came to our attention. A search of the medical records at the Whittington Hospital revealed a further three cases over a period of 14 years. One patient was seen at the National Hospital for Nervous Diseases, Queen Square.

Adult↗

Environmental conditions affecting the athlete.

The athlete is exposed to a number of environmental conditions that may affect performance and health. The sports physical therapist must be aware of the effects of these conditions on the performance and well-being of athletes under his/her care. Decisions about an individual's participation and decisions about the safety of holding an event are within the scope of practice of a sports physical therapist. Additionally, the athlete looks to the sports physical therapist for training guidelines for events in various environmental conditions. A literature search was performed to determine the relevant issues related to sports participation in hot and cold environments. The current body of knowledge in these areas is presented to guide sports physical therapists in training and advising athletes in their care. These areas include thermoregulation, heat, cold, fluid replacement, and clothing considerations.

Body Fluids↗

Custom skiing and trekking adaptations for a trans-tibial and trans-radial quadrilateral amputee.

A keen skier who is a trans-tibial and trans-radial quadrilateral amputee sought an improved adaptation for skiing from the Rehabilitation Engineering Service in Edinburgh. The unpredictable nature of the bending moments and loads that can be imposed on the prostheses during skiing raised concern about the suitability of standard prosthetic components for this purpose. The authors report a ski boot modification that incorporates mechanical protection for the standard prosthetic components and a description of the custom-adapted alpine trekking sticks used also as ski poles. Reference is made to the role of risk assessment, the design and manufacture in providing this type of custom-made rehabilitation device.

Adult↗

Cold injury amputees--a psychosocial problem?

The rehabilitation of 8 cold injury lower limb amputees is described, 7 of whom were alcoholic and had significant personality disorders. Delayed wound healing was the only common physical problem but the psychosocial difficulties were substantial and were the principal determinant of outcome following rehabilitation.

Adult↗

Playing it safe in winter.

Outdoor activities can be an exciting part of winter, provided you are prepared and can protect yourself from cold, windy, and wet conditions. Remember that temperatures need not be extremely low for injuries to occur, and even people living in warm climates are vulnerable to "exposure." Young age, old age, physical problems, and medications also play a role. Here is some information to help you stay safe.

Cold Temperature↗