Peripheral neuropathy and vibration syndrome

A clinical and neurophysiological study of 103 patients
  • Juhani Juntunen
  • Esko Matikainen
  • Anna Maria Seppäläinen
  • Arto Laine
Original Papers


Hundred and three patients with suspected or diagnosed vibration syndrome caused by the prolonged use of chain saws were examined during 1978–1980. Neurological or neurophysiological examinations revealed slight changes suggesting polyneuropathy in the lower extremities of 42 patients. Peripheral neuropathy in the upper extremities was only detected in 39 patients. No evidence of peripheral neuropathy was found for 22 patients. The polyneuropathic patients did not significantly differ from the non-polyneuropathic patients with regard to other clinical symptoms and signs, laboratory findings, or data on exposure. We concluded that patients with neuropathic diathesis tend to be selected into groups of patients with suspected vibration syndrome. This study emphasizes the need for the careful neurological examination of each patient with suspected vibration syndrome.

Key words

Neuropathy Vibration Vibration syndrome Polyneuropathy Neurophysiology 


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  1. Alaranta H, Seppäläinen AM (1977) Neuropathy and the automatic analysis of electromyographic signals from vibration exposed workers. Scand J Work Environ Health 3:128–134Google Scholar
  2. Asbury A, Johnson P (1978) Diabetic neuropathy. In: Asbury A, Johnson P (Eds) Pathology of peripheral nerve. Saunders, London, pp 96–102Google Scholar
  3. Dyck PJ, Lambert EH, Nichols PC (1971) Quantitative measurement of sensation related to compound action potential and number and sizes of myelinated and unmyelinated fibers of sural nerve in health, Friedreichs' ataxia, Hereditary sensory neuropathy and Tabes dorsalis. In: Cobb WA (ed) Handbook of electroencephalography and clinical neurophysiology, vol 9, pp 83–94Google Scholar
  4. Feldman RG, Niles CA, Kelly-Hayes M, et al. (1979) Peripheral neuropathy in arsenic smelter workers. Neurology 29:939–944Google Scholar
  5. Färkkilä M (1979) Symptoms of vibration syndrome, muscle force and transmission of vibration to upper extremity. Academic Dissertation, University of Helsinki. Inst Occup Health 160:1–48Google Scholar
  6. Husman K, Karli P (1980) Clinical neurological findings among car painters exposed to a mixture of organic solvents. Scand J Work Environ Health 6:33–39Google Scholar
  7. Hyvärinen J, Pyykkö I, Sundberg S (1973) Vibration in frequencies and amplitudes in the etiology of traumatic vasospastic disease. Lancet I: 791–794Google Scholar
  8. Juntunen J, Antti-Poika M, Tola S, et al. (1982) Clinical prognosis of patients with diagnosed chronic solvent intoxication. Acta Neurol Scand 65: 488–503Google Scholar
  9. Klimkova-Deutschova E (1966) Neurologische Aspekte der Vibrationskrankheit. Arch Gewerbepathol 22:297–305Google Scholar
  10. Kumlin T, Wiikeri M, Sumari P (1973) Radiological changes in carpal and metacarpal bones and phalanges caused by cain saw vibration. Br J Ind Med 30:71–73Google Scholar
  11. Lukas E (1970) Lesion of the peripheral nervous system due to vibration. Work Environ Health 7: 67–79Google Scholar
  12. McLeod JG (1975) Carcinomatous neuropathy. In: Dyck PJ, Thomas PK, Lambert EH (eds) Peripheral neuropathy, vol 2. Saunders, Philadelphia, pp 1301–1313Google Scholar
  13. Ochoa J (1980) Criteria for the assessment of polyneuropathy. In: Spencer PS, Schaumburg HH (eds) Experimental and clinical neurotoxicology. Williams and Wilkins, Baltimore, pp 681–707Google Scholar
  14. Palumbo PJ, Elveback LR, Whisnant JP (1978) Neurologic complications of diabetes mellitus: Transient ischaemic atack, stroke and peripheral neuropathy. In: Schoenberg BS (ed) Advances in neurology, vol 19. Raven Press, New York, pp 593–599Google Scholar
  15. Pyykkö I (1974) The prevalence and symptoms of traumatic vasospastic disease among lumberjacks in Finland. Work Environ Health 11:118–131Google Scholar
  16. Pyykkö I, Farkkila M, Toivanen J, et al. (1976) Transmission of vibration in the hand-arm system with special reference to changes in compression force and acceleration. Scand J Work Environ Health 2:87–95Google Scholar
  17. Pyykkö I, Sairanen E, Korhonen 0, et al. (1978) A decrease in the prevalence and severity of vibration induced white fingers among lumberjacks in Finland. Scand J Work Environ Health 4:246–254Google Scholar
  18. Seppäläinen AM (1970) Nerve conduction in the vibration syndrome. Work Environ Health 7: 82–84Google Scholar
  19. Seppäläinen AM (1972) Peripheral neuropathy in forest workers. A field study. Work Environ Health 9:106–111Google Scholar
  20. Seppäläinen AM, Hernberg S, Kock B (1979) Relationship between blood lead levels and nerve conduction velocities. Neurotoxicology 1:313–332Google Scholar
  21. Taylor W, Pelmear PL (1975) Vibration white finger in industry. Academic Press, New York, pp 1–166Google Scholar
  22. Victor M (1975) Polyneuropathy due to nutritional deficiency and alcoholism. In: Dyck PJ, Thomas PK, Lambert E (Eds) Peripheral neuropathy, vol 2. Saunders, London, pp 1030–1066Google Scholar

Copyright information

© Springer-Verlag 1983

Authors and Affiliations

  • Juhani Juntunen
    • 1
  • Esko Matikainen
    • 1
  • Anna Maria Seppäläinen
    • 2
  • Arto Laine
    • 1
  1. 1.Neuroscience Group, Department of Occupational MedicineInstitute of Occupational HealthHelsinki 29Finland
  2. 2.Neuroscience Group, Laboratory of Clinical Neurophysiology, Department of Occupational MedicineInstitute of Occupational HealthHelsinki 29Finland

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