Summary
The vibration perception thresholds (VPT) at six frequencies from 16 to 500 Hz were examined in 77 workers exposed to hand-arm vibration and in 77 controls using a limits procedure. A dose-response relationship between VPTs and exposure to vibration was found, and the age-adjusted VPTs at each frequency were higher in workers exposed to vibration than in controls. Carpal tunnel syndrome (at 250 Hz) and consumption of alcohol (at 125 Hz) significantly increased the VPT, but vibration-induced white finger was not correlated with VPT. Indices for low (16 and 32 Hz) and high (63–500 Hz) VPT frequencies were calculated to evaluate the entire vibrogram, which consisted of several frequencies with two numbers. The results showed that hand-arm vibration disturbs first the high frequencies, and that the disturbance spreads thereafter to the low frequencies. The characteristics of the VPT test regarding vibration exposure and the association between VPT and nerve symptoms in the hand support the view that VPT is a useful measure for vibration-induced sensory nerve damage.
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References
Aatola S, Färkkilä M, Pyykkö I, Korhonen O, Starck J (1990) Measuring method for vibration perception threshold of fingers and its application to vibration exposed workers. Int Arch Occup Environ Health 62:239–242
Alaranta H, Seppäläinen A-M (1977) Neuropathy and the automatic analysis of electromyographic signals from vibration exposed workers. Scand J Work Environ Health 3:128–134
Bergström J, Lindblom U, Noree L-O (1975) Preservation of peripheral nerve function in severe uremia during treatment with low protein high calorie diet and surplus of essential amino acids. Acta Neurol Scand 51:99–109
Brammer AJ, Pyykkö I (1987) Vibration-induced neuropathy: detection by nerve conduction measurements. Scand J Work Environ Health 13:317–322
Brammer AJ, Taylor W, Piercy J (1986) Assessing the severity of the neurological component of the hand-arm vibration syndrome. Scand J Work Environ Health 12:428–431
Brammer AJ, Taylor W, Lundborg G (1987) Sensorineural stages of the hand-arm vibration syndrome. Scand J Work Environ Health 13:279–283
Brammer AJ, Piercy J, Nohara S, Nakamura A, Auger PL, Haines AT, Lawrence M, Brubaker RL, Van Netten C (1990) Vibrotactile thresholds in operators of vibrating hand-held power tools. In: Okada A, Taylor W, Dupuis H (eds) Hand-arm vibration. Kyoei, Kanazawa, pp 221–223
Brammer AJ, Koskimies K, Rajamäki M, Sakakibara H, Pyykkö I, Starck J (1992) Peripheral sensory nerve potentials in the hands of forest workers. In: Proceedings of the 6th International Conference on Hand-Arm Vibration (Abstr). Hauptverband der gewerblichen Berufsgenossenschaften, Berufsgenossenschaftliches Institut für Arbeitssicherheit (Bonn), p 53
Ekenvall L, Gemne G, Tegner R (1989) Correspondence between neurological symptoms and outcome of quantitative sensory testing in the hand-arm vibration syndrome. Br J Ind Med 46:570–574
Ekenvall L, Nilsson BY, Falconer C (1990) Sensory perception in the hands of dentists. Scand J Work Environ Health 16:334–339
Färkkilä M, Aatola S, Starck J, Pyykkö I, Korhonen O (1985) Vibration-induced neuropathy among forestry workers. Acta Neurol Scand 71:221–225
Gerr FE, Letz R (1988) Reliability of a widely used test of peripheral cutaneous vibration sensitivity and a comparison of two testing protocols. Br J Ind Med 45:635–639
Grunert BK, Wertsch JJ, Matloub HS, McCallum-Burke S (1990) Reliability of sensory threshold measurement using a digital vibrogram. J Occup Med 32:2, 100–102
Halonen P (1986) Quantitative vibration perception thresholds in healthy subjects of working age. Eur J Appl Physiol 54:647–655
International Organization for Standardization (1986) Mechanical vibration — guidelines for the measurement and the assessment of human exposure to hand transmitted vibration. International Standard ISO 5349, Geneva
Jetzer T (1990) Use of vibration testing in the early evaluation of workers with carpal tunnel syndrome. J Occup Med 33:2, 117–120
Johansson RS, Landström U, Landström R (1982a) Responses of mechanoreceptive afferent units in the glabrous skin of the human hand to sinusoidal skin displacements. Brain Res 244:17–25
Johansson RS, Landström U, Landström R (1982b) Sensitivity to edges of mechanoreceptive afferent units intervating the glabrous skin of the human hand. Brain Res 244:27–32
Juntunen J, Haltia M (1982) Polyneuropathies in occupational neurology: pathogenetic and clinical aspects. Acta Neurol Scand [Suppl] 66:59–73
Koradecka D (1974) Changes in the threshold of vibration sensibility depending on skin temperature. Acta Physiol Pol 25:3, 207–214
Lundborg G, Sollerman C, Strömberg T, Pyykkö I, Rosen B (1987) A new principle for assessing vibrotactile sense in vibration-induced neuropathy. Scand J Work Environ Health 13:375–379
Michele G, Filla A, Coppola N, Bisogno A, Trombetta L, Santorelli F, Campanella G (1991) Influence of age, gender, height and education on vibration sense. A study by tuning fork in 192 normal subjects. J Neurol Science 105:155–158
Niskanen J, Anttonen H, Pekkarinen A, Raunu P (1990) Hand-held tamping machines as a health risk to track maintenance workers. In: Proceedings of the 39th Nordic Work Environment Congress. Institute of Occupational Health, Helsinki, pp 242–243
Oh S (1984) Clinical electromyography: nerve conduction studies. University Park, Baltimore
Perret E, Regli F (1970) Age and the perceptual threshold for vibratory stimuli. Europ Neurol 4:65–76
Roland PE, Nielsen VK (1980) Vibratory threshold in the hands. Comparison of patients with suprathalamic lesions with normal subjects. Arch Neurol 37:775–779
Sackett DL, Haynes RB, Tugwell P (1985) Clinical epidemiology. A basic science for clinical medicine. Little-Brown, Boston 1985
Sakakibara H, Brammer A, Pyykkö I, Starck J (1992) Vibrotactile evoked resposnes — a new method for evaluating of vibration-induced nerve damage. In: Proceedings of the 6th International Conference on Hand-Arm Vibration (Abstr). Hauptverband der gewerblichen Berufsgenossenschaften, Berufsgenossenschaftliches Institut für Arbeitssicherheit (Bonn), p 45
Sosenko JM, Kato M, Soto R, Ayyar DR (1989) Determinants of quantitative sensory testing in non-neuropahy individuals. Electromyogr Clin Neurophysiol 29:459–463
Starck J (1984) Characteristics of vibration, hand grip force and hearing loss in vibration syndrome. Original reports 4/1984, natural sciences. University of Kuopio, Kuopio
Starck J, Färkkilä M, Aatola S, Pyykkö I, Korhonen O (1983) Vibration syndrome and vibration in pedestal grinding. Br J Ind Med 40:426–433
Verrillo RT (1979) Change in vibrotactile thresholds as a function of age. Sensory Processes 3:49–59
Virokannas H (1992) Peripheral vascular and nerve disorders in workers exposed to hand-arm vibration with special reference to snowmobile drivers. Acta Universitas Ouluensis, series D medica 246, University of Oulu, Oulu
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Virokannas, H. Vibration perception thresholds in workers exposed to vibration. Int. Arch Occup Environ Heath 64, 377–382 (1992). https://doi.org/10.1007/BF00379549
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DOI: https://doi.org/10.1007/BF00379549