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Vibrotactile perception threshold measurements for diagnosis of sensory neuropathy

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Summary

Recognition of the fact that impairment of the tactile sense may occur independently of other disturbances in the vibration syndrome has rekindled an interest in developing a diagnostic method for early detection of vibration-induced neuropathy. There is also evidence suggesting that vibrotactile measurements represent a valuable diagnostic tool in compressive neuropathies, such as the carpal tunnel syndrome. The method may also become useful for diagnosing sensory neuropathies caused by other factors, such as solvents, pesticides, heavy metals, alcoholism, and diabetes. However, before vibrotactile measurement can be accepted and established as a tool for clinical diagnostic purposes, for screening, and in research, the level and the shape of the normal threshold curve have to be specified. With the purpose of assembling normative data, the vibrotactile perception thresholds (8–500 Hz) of the right index fingertip were measured in 171 healthy males (19–75 years) not exposed to vibration. A Békésy audiometer was modified to operate in combination with a vibration exciter, instead of headphones, at frequencies lower than usual (8–500 Hz). The results showed that the perception thresholds increased from about 100 dB to about 140 dB (rel. 10−6 m/s2rms) as a function of frequency and age. The frequency-dependent changes were not linear, however, but displayed a peak in sensitivity at 125 Hz. Threshold changes due to aging were most pronounced at the highest frequencies. It is of the utmost importance that these natural changes are taken into account when making comparisons between groups or individuals.

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References

  1. Bdkdsy G von (1947) A new audiometer. Acta Otolaryngol (Stockh) 34:411–422

    Google Scholar 

  2. Bolanowski S, Gescheider G, Verrillo R, Checkosky C (1988) Four channels mediate the mechanical aspects of touch. J Acoust Soc Am 84:1680–1694

    Google Scholar 

  3. Bovenzi M, Fiorito A, Volpe C (1987) Bone and joint disorders in the upper extremities of chipping and grinding operators. Int Arch Occup Environ Health 59:189–198

    Google Scholar 

  4. Brammer A, Piercy J, Auger P (1987) Assessment of impaired tactile sensation: a pilol study. Scand J Work Environ Health 13:380–384

    Google Scholar 

  5. Brammer A, Taylor W, Lundborg G (1987) Sensorineural stages of the hand-arm vibration syndrome. Scand J Work Environ Health 13:279–283

    Google Scholar 

  6. Brammer AJ, Piercy JE (1990) Tactile sensation in vibration-exposed workers: quantitative assessment. In: Okada A, Taylor W, Dupuis H (eds) Hand-arm vibration. Kyoei, Kanazawa, Japan, pp 71–74

    Google Scholar 

  7. Brammer AJ, Taylor W, Piercy JE (1986) Assessing the severity of the neurological component of the hand-arm vibration syndrome. Scand J Work Environ Health 12:428–431

    Google Scholar 

  8. Ekenvall L, Nilsson B, Gustavsson P (1986) Temperature and vibration thresholds in vibration syndrome. Br J Ind Med 43:825–829

    Google Scholar 

  9. Fagius J, Wahren L-K (1981) Variability of sensory threshold determinations in clinical use. J Neurol Sci 51:11–27

    Google Scholar 

  10. Färkkilä M, Pyykkö I, Starck J, Korhonen O (1982) Hand grip force and muscle fatigue in the etiology of the vibration syndrome. In: Brammer A, Taylor W (eds) Vibration effects on the hand and arm in industry. John Wiley, New York, pp 45–50

    Google Scholar 

  11. Gemne G (1982) Pathophysiology and multifactorial etiology of acquired vasospastic disease (Raynaud syndrome) in vibration-exposed workers. Scand J Work Environ Health 8:243249

    Google Scholar 

  12. Gemne G, Saraste H (1987) Bone and joint pathology in workers using hand-held vibrating tools. Scand J Work Environ Health 13:290–300

    Google Scholar 

  13. Goff GD (1965) Vibration perception in normal man and medical patients. J Neurol Neurosurg Psychiatry 28:503–509

    Google Scholar 

  14. Goldberg JM, Lindblom U (1979) Standardized method of determining vibratory perception thresholds for diagnosis and screening in neurological investigation. J Neurol Neurosurg Psychiatry 42:793–803

    Google Scholar 

  15. Green BG (1977) The effects of skin temperature on vibrotactile sensitivity. Percept Psychophys 21:243–248

    Google Scholar 

  16. Gregersen G (1968) Vibratory perception threshold and motor conduction velocity in diabetes and non-diabetics. Acta Med Scand 183:61–65

    Google Scholar 

  17. Gregg EC (1951) Absolute measurement of the vibratory threshold. Arch Neurol Psychiatry 66:403–411

    Google Scholar 

  18. Hagberg M, Johansson RS, Zetterlund B (1985) Tactile perception in workers with vibration syndrome. Fourth Int Symp Hand-Arm Vibration (abstract). Helsinki, p 56

  19. Halonen P (1986) Quantitative vibration perception thresholds in healthy subjects of working age. Eur J Appl Physiol 54:647–655

    Google Scholar 

  20. Jetzer T, MacLeod D, Conrad J, Troyer S, Jacobs P, Albin T (1990) The use of vibration testing to evaluate workers and tools. In: Okada A, Taylor W, Dupuis H (eds) Hand-arm vibration. Kyoei, Kanazawa, Japan, pp 79–82

    Google Scholar 

  21. Johansson R, Lundström U, Lundström R (1982) Responses of mechanoreceptive afferent units in the glabrous skin of the human hand to sinusoidal skin displacements. Brain Res 244:17–25

    Google Scholar 

  22. Johansson R, Vallbo Å (1983) Tactile sensory coding in the glabrous skin of the human hand. Trends Neurosci 6:27–32

    Google Scholar 

  23. Lamore P, Keemink C (1988) Evidence for different types of mechanoreceptors from measurements of the psychophysical threshold for vibrations under different stimulation conditions. J Acoust Soc Am 83:2339–2351

    Google Scholar 

  24. Lidström I-M, Hagelthorn G, Bjerker N (1982) Vibration perception in persons not previously exposed to local vibration and in vibration-exposed workers. In: Brammer AJ, Taylor W (eds) Vibration effects on the hand and arm in industry. John Wiley, New York, pp 59–66

    Google Scholar 

  25. Lundberg G, Lie-Stenström AK, Sollerman C, Pyykkö I, Strömberg T (1986) Digital vibrogram — a new diagnostic tool for sensory testing in compression neuropathy. J Hand Surg [Am] 11:693–699

    Google Scholar 

  26. Lundborg G, Sollerman C, Strömberg T, Pyykkö I, Rosén B (1987) A new principle for assessing vibrotactile sense in vibration-induced neuropathy. Scand J Work Environ Health 13:375–379

    Google Scholar 

  27. Lundström R (1984) Vibrotactile sensitivity of the human hand's glabrous skin. J Low Freq Noise Vibration 3:88–95

    Google Scholar 

  28. Lundström R (1985) Effects of local vibration transmitted from ultrasonic devices on vibrotactile perception in the hands of therapist. Ergonomics 28:793–803

    Google Scholar 

  29. Lundström R (1986) Responses of mechanoreceptive afferent units in the glabrous skin of the human hand to vibration. Scand J Work Environ Health 12:413–416

    Google Scholar 

  30. Lundström R (1990) Digital tactilogram as a diagnostic tool for early diagnosis of vibration-induced neuropathy. In: Okada A, Taylor W, Dupuis H (eds) Hand-arm vibration. Kyoei, Kanazawa, Japan, pp 75–77

    Google Scholar 

  31. Lundström R, Lindmark A (1982) Effects of local vibration on tactile perception in the hands of dentists. J Low Freq Noise Vibration 1:1–11

    Google Scholar 

  32. Lbfvenberg J, Johansson RS (1984) Regional differences and interindividual variability in sensitivity to vibration in the glabrous skin of the human hand. Brain Res 301:65–72

    Google Scholar 

  33. Nilsson T, Hagberg M, Burström L, Lundström R (1990) Prevalence and odds ratios of numbness and carpal tunnel like syndrome in different exposure categories of platers. In: Okada A, Taylor W, Durpuis H (eds) Hand-arm vibration. Kyoei, Kanazawa, Japan pp 235–240

    Google Scholar 

  34. IOSH (1989) Occupational exposure to hand-arm vibration. Criteria for a recommended standard. U.S. Department of Health and Human Services, DHHS (NIOSH) Publication No. 89–106

  35. Pearson GHI (1928) Effects of age on vibratory sensibility. Arch Neurol Psychiatry 20:482–496

    Google Scholar 

  36. Pyykkö I, Hyvärinen J, Fdrkkilä M (1982) Studies of the etiological mechanism of the vasospastic component of the vibration syndrome. In: Brammer A, Taylor W (eds) Vibration effects on the hand and arm in industry. John Wiley, New York, pp 13–24

    Google Scholar 

  37. Taylor B (1989) Bad vibrations. New Scientist 14:41–47

    Google Scholar 

  38. Taylor W, Brammer A (1982) Vibration effects on the hand and arm in industry: an introduction and review. In: Brammer A, Taylor W (eds) Vibration effects on the hand and arm in industry. John Wiley, New York, pp 1–12

    Google Scholar 

  39. Verrillo R (1963) Effect of contactor area on the vibrotactile threshold. J Acoust Soc Am 35:1962–1966

    Google Scholar 

  40. Verrillo R (1979) Comparison of vibrotactile threshold and suprathreshold responses in men and women. Percept Psychophys 26:20–24

    Google Scholar 

  41. Verrillo R (1980) Age related changes in the sensitivity to vibration. J Gerontol 35:185–193

    Google Scholar 

  42. Verrillo R, Bolanowski SJ (1986) The effects of skin temperature on the psychophysical responses to vibration on glabrous and hairy skin. J Acoust Soc Am 80:528–532

    Google Scholar 

  43. Westling G, Johansson R (1984) Factors influencing the force control during precision grip. Exp Brain 53:277–284

    Google Scholar 

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Authors and Affiliations

  1. National Institute of Occupational Health, Box 7654, S-90713, Umeå, Sweden

    R. Lundström

  2. Department of Orthopaedics, University Hospital, Lund, Sweden

    T. Strömberg

  3. Department of Hand Surgery, Malmö General Hospital, Malmö, Sweden

    G. Lundborg

Authors
  1. R. Lundström
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  2. T. Strömberg
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  3. G. Lundborg
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Lundström, R., Strömberg, T. & Lundborg, G. Vibrotactile perception threshold measurements for diagnosis of sensory neuropathy. Int. Arch Occup Environ Heath 64, 201–207 (1992). https://doi.org/10.1007/BF00380910

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  • DOI: https://doi.org/10.1007/BF00380910

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