Skip to main content
Log in

Pain, nerve dysfunction and fatigue in a vibration-exposed population

  • Research Papers
  • Published:
Quality of Life Research Aims and scope Submit manuscript

Abstract

The long term use of hand-held vibrating tools may cause vasospastic and neuromuscular problems. Symptoms include painful blanching of the fingers at low temperatures, intermittent paresthesia and numbness, impaired dexterity, a tendency to drop tools, and an increasing inability to identify small objects by touch alone. Neurological as well as vasospastic problems are graded according to the Stockholm workshop scales. Accurate and early diagnosis is particularly important (e.g., in vibration-exposed patients presenting a carpal tunnel syndrome, it is necessary to distinguish whether compression of the median nerve occurs at the digital, skin receptor or carpal tunnel levels). A variety of improved diagnostic techniques are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Lidström IM. The influence of local vibration on the arms. (In Swedish with summary in English). Arbete och Hälsa 1974; 8.

  2. Ekenvall L, Lindblad LE. Vibration white finger and digital systolic pressure during cooling. Br J Ind Med 1986; 43: 280–283.

    Google Scholar 

  3. Ekenvall L, Nilsson BY, Gustavsson P. Temperature and vibration thresholds in vibration syndrome. Br J Ind Med 1986; 43: 825–829.

    Google Scholar 

  4. Ahlborg G, Voog L, de Laval J, Holm Glad J. Vibration exposure and distal compression of the median nerve (‘carpal tunnel syndrome’). Läkartidningen 1982; 79: 4905–4908.

    Google Scholar 

  5. Brammer AJ, Piercy JE, Auger PL. Assessment of impaired tactile sensation: A pilot study. Scand J Work Environ Health 1987; 13: 279–283.

    Google Scholar 

  6. Brammer AJ, Piercy JE, Auger PL, Nohara S. Tactile perception in hands occupationally exposed to vibration. J Hand Surg 1987; 12A: 870–875.

    Google Scholar 

  7. Brammer AJ, Taylor W, Lundborg G. Sensorineural stages of the hand-arm vibration syndrome. Scand J Work Environ Health 1987; 13: 279–283.

    Google Scholar 

  8. Färkkilä M. Grip force in vibration disease. Scand J Work Environ Health 1978; 4: 159–166.

    Google Scholar 

  9. Färkkilä M, Pyykkö I, Korhonen O, Starck J. Vibration-induced decrease in the muscle force in lumberjacks. Eur J Appl Physiol 1980; 43: 1–9.

    Google Scholar 

  10. Färkkilä M, Aatola S, Starck J, Korhonen O, Pyykkö I. Hand-grip force in lumberjacks: two-year follow-up. Int Arch Occup Environ Health 1986; 58: 203–208.

    Google Scholar 

  11. Gemne G. Pathophysiology and multifactorial etiology of asquired vasospastic disease (Raynaud syndrome) in vibration-exposed workers. Scand J Work Environ Health 1982; 8: 243–249.

    Google Scholar 

  12. Hagberg M, Morgenstern H, Kelsh M. Impact of occupations and job tasks on the prevalence of carpal tunnel syndrome. Scand J Work Environ Health 1992; 18: 337–345.

    Google Scholar 

  13. Lundström R, Hagberg M, Johansson K, Lindmark A, Nilsson T. Sensorineural disturbances in vibration-exposed hands among platers and assemblers. (In Swedish with summary in English). Arbete och Hälsa 1991; 42.

  14. Lundström R, Lindmark A. Effects of local vibration on tactile perception in the hands of dentists. J Low Frw Noise Vibration 1982; 1: 1–11.

    Google Scholar 

  15. Hjortsberg U, Rosén I, Örbaek P, Balogh I, Lundborg G. Finger receptor dysfunction in dental technicians exposed to high frequency of vibration. Scand J Work Environ Health 1989; 15: 339–344.

    Google Scholar 

  16. Gemne G, Saraste H. Bone and joint pathology in workers using handheld vibrating tools. Scand J Work Environ Health 1987; 13: 290–300.

    Google Scholar 

  17. Hagberg M, Hansson-Risberg E, Jorulf L, et al. Höga risker för besvär i händerna för vissa yrkesgrupper. Läkartidningen 1990; 87: 201–205.

    Google Scholar 

  18. Nilsson T, Burström L, Hagberg M. Risk assessment of vibration exposure and white fingers among platers. Int Arch Occup Environ Health 1989; 61: 473–481.

    Google Scholar 

  19. Gemne G, Pyykkö I, Taylor W, Pelmear P. The Stockholm Workshop scale for the classification of cold-induced Raynaud's phenomenon in the hand-arm vibration syndrome (revision of the Taylor-Pelmear scale). Scand J Work Environ Health 1987; 13: 275–278.

    Google Scholar 

  20. Olsen N, Nielsen S. Diagnosis of Raynaud's phenomenon in quarrymen's traumatic vasospastic disease. Scand J Work Environ Health 1979; 5: 249–256.

    Google Scholar 

  21. Ekenvall L, Lindblad LE. Is vibration white finger a primary sympathetic injury? Br J Ind Med 1986; 43: 702–706.

    Google Scholar 

  22. Ekenvall L, Lindblad LE. Effect of tobacco use on vibration white finger disease. J Occup Med 1989; 31: 13–16.

    Google Scholar 

  23. Kimura J. A method for determining median nerve conduction velocity across the carpal tunnel. J Neurol Sci 1978; 38: 1–9.

    Google Scholar 

  24. Lundborg G. Nerve Injury and Repair. Edinburgh: Churchill Livingstone, 1988.

    Google Scholar 

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

    Google Scholar 

  26. Lundborg G, Lie-Stenström AK, Sollerman C, Strömberg T, Pyykkö J. Digital vibrogram: a new diagnostic tool for sensory testing in compression neuropathy. J Hand Surg 1986; 11A: 693–699.

    Google Scholar 

  27. Lundborg G, Sollerman C, Strömberg T, Pyykkö I, Rosén B. A new principle for assessing vibrotactile sense in vibrationinduced neuropathy. Scand J Work Environ Health 1987; 13: 375–379.

    Google Scholar 

  28. Reynolds D, Angevinc E. Hand-arm vibration. Part II: Vibration transmission characteristics of the hand and arm. J Sound Vib 1977; 51: 255–265.

    Google Scholar 

  29. Abrams, S, Suggs, C. Chain saw vibration: Isolation and transmission through the human arm. Trans ASAE 1969; 423–425.

  30. Griffin M, Macfarlane C, Norman C. The transmission of vibration to the hand and the influence of gloves. In: Brammer A, Taylor W, ed. Vibration Effects on the Hand and Arm in Industry New York: Wiley, 1982: 103–116.

    Google Scholar 

  31. Lundborg G, Dahlin LB, Danielsen N, Hansson HA, Necking LE, Pyykkö I. Intraneural edema following exposure to vibration. Scand J Work Environ Health 1987; 13: 326–329.

    Google Scholar 

  32. Lundborg G, Dahlin LB, Hansson H-A, Kanje M, Necking LE. Vibration exposure and peripheral nerve fiber damage. J Hand Surg 1990; 15A: 346–351.

    Google Scholar 

  33. Tacheuchi T, Takeya M, Imanishi H. Ultrastructural changes in peripheral nerves of the fingers of three vibration-exposed persons with Raynaud's phenomenon. Scand J Work Environ Health 1988; 14: 31–35.

    Google Scholar 

  34. Armstrong T, Foulke J, Bradley S, Goldstein S. Investigation of cumulative trauma disorders in a poultry processing plant. J Am Ind Hyg Assoc 1982; 43: 103–116.

    Google Scholar 

  35. Färkkilä M, Pyykkö I, Korhonen O, Starck J. Hand grip forces during chain saw operation and vibration white finger in lumberjacks. Br J Ind Med 1979; 36: 336–341.

    Google Scholar 

  36. Necking LE, Dahlin LB, Fridén J et al. Vibration-induced muscle injury. An experimental model and preliminary findings. J Hand Surg 1992; 17B: 270–274.

    Google Scholar 

  37. Necking LE, Fridén J, Dahlin L et al. Frequency-related muscle damage following vibration. VIth International Conference on Hand and Vibration. Bonn: 1992.

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lundborg, G. Pain, nerve dysfunction and fatigue in a vibration-exposed population. Qual Life Res 3 (Suppl 1), S39–S42 (1994). https://doi.org/10.1007/BF00433375

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00433375

Key words

Navigation