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Circulatory disturbances of the foot in vibration syndrome

  • Hisataka Sakakibara
  • Toshinori Hashiguchi
  • Masashi Furuta
  • Taka'aki Kondo
  • Masaru Miyao
  • Shin'ya Yamada
Article

Summary

Circulatory disturbances of the foot in patients with vibration syndrome were studied by measuring the skin temperature of both index fingers and great toes through a 3-min immersion of the right foot in cold water at 10°C. Subjects included 11 patients with vibration-induced white finger (VWF) [VWF(+) group], 12 patients without VWF [VWF(−) group], and 20 healthy referents not exposed to vibration. Patients were all male chain saw operators who had scarcely been exposed to vibration of the foot. The prevalence of coldness felt in the upper and lower extremities was > 90% in the VWF(+) group, about 60% in the VWF(−) group, and < 10% in the referents. The extent of the coldness was greatest in the VWF (+) group. The skin temperature of both fingers and toes was lowest in the VWF(+) group, somewhat higher in the VWF(−) group, and highest in the referents both before and after immersion. These findings indicate that patients with vibration syndrome, especially those with VWF, have circulatory disturbances in the foot as well as in the hand. The disturbances in the foot may be related to long-term repeated vasoconstriction in the foot induced by hand-arm vibration through the sympathetic nervous system.

Key words

Circulation Coldness Foot Skin temperature Vibration 

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References

  1. Asaba G, Kimura A, Tsubahara A, Sakai H, Shinohara Y (1981) Effect of hot-spring baths on peripheral circulatory disorders in vibration disease (in Japanese). JJA Phys M Baln Clim 45:3–4Google Scholar
  2. Bini G, Hagbarth K-E, Hynninen P, Wallin BG (1980) Regional similarities and differences in thermoregulatory vaso- and sudomotor tone. J Physiol 306:553–565Google Scholar
  3. Burton AC (1939) The range and variability of the blood flow in the human fingers and the vasomotor regulation of body temperature. Am J Physiol 127:437–453Google Scholar
  4. Ekenvall L, Lindblad LE, Bevegård S, Etzell B-M (1987) High vascular tone but no obliterative lesions in vibration white fingers. Am J Ind Med 12:47–54Google Scholar
  5. Färkkilä M, Pyykkö I (1979) Blood flow in the contralateral hand during vibration and hand grip contraction of lumberjacks. Scand J Work Environ Health 5:368–374Google Scholar
  6. Futatsuka M, Ueda T (1982) Quantitative observations on thermal and metabolic responses to cold of workers using vibrating tools. Int Arch Occup Environ Health 49:213–221Google Scholar
  7. Futatsuka M, Pyykkö I, Färkkilä M, Korhonen O, Starck J (1983) Blood pressure, flow and peripheral resistance of digital arteries in vibration syndrome. Br J Ind Med 40:434–441Google Scholar
  8. Gomibuchi R, Ohi T (1962) So-called “white waxy finger” (in Japanese). JJTOM 15:177–182Google Scholar
  9. Hashiguchi T, Sakakibara H, Furuta M, Yamada S, Horio K, Toibana N (1988) Raynaud's phenomenon in the lower extremities induced by vibration exposure, report of three cases (in Japanese, with English abstract). JJTOM 36:651–657Google Scholar
  10. Hashiguchi T, Sakakibara H, Yamada S (1990) Changes of skin blood flow in the finger and dorsum of the foot during chain saw operation. In: Okada A, Taylor W, Dupuis H (eds) Hand-arm vibration. Kyoei Press, Kanazawa, Japan, pp 133–135Google Scholar
  11. Hedlund U (1989) Raynaud's phenomenon of fingers and toes of miners exposed to local and whole-body vibration and cold. Int Arch Occup Environ Health 61:457–461Google Scholar
  12. Iki M, Kurumatani N, Hirata K, Moriyama T, Satoh M, Arai T (1986) Association between vibration-induced white finger and hearing loss in forestry workers. Scand J Work Environ Health 12:365–370Google Scholar
  13. Kondo T, Sakakibara H, Miyao M, Akamatsu Y, Yamada S, Nakagawa T, Koike Y (1987) Effect of exposure to hand-transmitted vibration on digital skin temperature change. Ind Health 25:41–53Google Scholar
  14. Nakamoto M (1990) Responses of sympathetic nerve system to cold exposure in vibration syndrome subjects and age-matched healthy controls. Int Arch Occup Environ Health 62:177–181Google Scholar
  15. Nasu Y (1977) Changes of the skin temperature caused by local vibratory stimulation in normals and patients with vibration syndrome. Yonago Acta Med 21:83–99Google Scholar
  16. Okada A (1990) Pathogenic mechanism of vibration-induced white finger (VWF) — recent findings and speculations. In: Okada A, Taylor W, Dupuis H (eds) Hand-arm vibration. Kyoei Press, Kanazawa, Japan, pp 1–8Google Scholar
  17. Olsen N, Nielsen SL, Voss P (1982) Cold response of digital arteries in chain saw operators. Br J Ind Med 39:82–88Google Scholar
  18. Olsen N, Fjeldborg P, Brøchner-Mortensen J (1985) Sympathetic and local vasoconstrictor response to cold in vibration induced white finger. Br J Ind Med 42:272–275Google Scholar
  19. Pyykkö I, Hyvärinen J (1973) The physiological basis of the traumatic vasospastic disease: a sympathetic vasoconstrictor reflex triggered by high frequency vibration. Work Environ Health 10:36–47Google Scholar
  20. Pyykkö I, Starck J, Färkkilä M, Hoikkala M, Korhonen O, Nurminen M (1981) Hand-arm vibration in the aetiology of hearing loss in lumberjacks. Br J Ind Med 38:281–289Google Scholar
  21. Sakakibara H, Akamatsu Y, Miyao M, Kondo T, Furuta M, Yamada S, Harada N, Miyake S, Hosokawa M (1988) Correlation between vibration-induced white finger and symptoms of upper and lower extremities. Int Arch Occup Environ Health 60:285–289Google Scholar
  22. Sakakibara H, Iwase S, Mano T, Watanabe T, Kobayashi F, Furuta M, Kondo T, Miyao M, Yamada S (1990) Skin sympathetic activity in the tibial nerve triggered by vibration applied to the hand. Int Arch Occup Environ Health 62:455–458Google Scholar
  23. Suzuki Y, Nishiyama K, Nagayasu M, Nishihara S (1966) A case of the occupational Raynaud's phenomenon observed on the foot of a vibrating tool operator (in Japanese, with English abstract). Shikoku Acta Med 22:70–72Google Scholar
  24. Toibana N, Ishikawa N (1990) The patients with Raynaud's phenomenon in fingers and toes caused by vibration. In: Okada A, Taylor W, Dupuis H (eds) Hand-arm vibration. Kyoei Press, Kanazawa, Japan, pp 245–248Google Scholar
  25. Yamada S, Suzuki H, Maeda K, Takeuchi Y (1974) Skin temperature of the finger and value of nail press test under various environmental conditions in persons affected by vibration hazards (in Japanese, with English abstract). J Sci Labor 50:439–450Google Scholar

Copyright information

© Springer-Verlag 1991

Authors and Affiliations

  • Hisataka Sakakibara
    • 1
  • Toshinori Hashiguchi
    • 1
  • Masashi Furuta
    • 1
  • Taka'aki Kondo
    • 1
  • Masaru Miyao
    • 1
  • Shin'ya Yamada
    • 1
  1. 1.Department of Public HealthNagoya University School of MedicineShowa-ku, NagoyaJapan

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