Effects of ambient and local cutaneous temperatures on hand blood flow

Abstract

The hand blood flow ($\dot Q$) was investigated in response to a wide range of general and local cutaneous thermal stimuli (0–36°C and 4–42°C respectively), the local stimulus consisting of a thermostatically controlled water bath for the right hand (T_w), and the general stimulus, the ambient room temperature (T_a).$\dot Q$ was measured at the right wrist by strain gauge plethysmography; it was seen to respond more significantly to variations in T_w than to those in T_a at cold to comfortable ambient temperatures (T_a<22°C). A paradoxical vasodilatation was observed at T_w=4°C (Lewis' “hunting” phenomenon). The graphs of$\dot Q$ versus T at average to high local cutaneous temperatures (T_w > 33°C) are remarkably similar, except for an upward shift at successively higher values of T_w. The slope (or vasomotor reactivity) is interpreted as being controlled by variations in T_a. The curves exhibited maximum values at T_a = 31°C. Their subsequent decrease could represent a thermoregulatory adaptation to environment-organism heat transfer, the relative vasoconstriction tending to reduce the transfer. Although the qualitative$\dot Q$ response was the same for both sexes, the absolute value of$\dot Q$ was generally greater in male than in female subjects.