Advertisement

Quantitative vibration perception thresholds in healthy subjects of working age

  • P. Halonen
Article

Summary

Quantitative determinations were made of vibration perception thresholds (VPTs) at six different measurement sites in 202 healthy subjects of working age (16–68 years). Measurements were made with a commercially available device, the frequency of vibrations being 100 Hz. The temperature of the skin at the measurement sites was also determined. The effect of temperature on VPT values was evaluated separately in eight test subjects. In addition, determinations were made of intraindividual variations in VPT values and it was found that there was an almost 100% variation under identical conditions. Variation in VPTs caused by temperature was only slightly greater than intraindividual variation from day to day. It did not seem to be necessary, for the making of measurements, to take into account variations of temperature within physiological limits. VPT was found to increase exponentially with age, more steeply among men than women. In practice, it is most important when making VPT measurements to take into account the age and sex of the subject and possibly also to allow for thresholds slightly higher than usual with subjects engaged in physical work. An important field of application for this method is in occupational health services, where there is a need for a simple and reliable screening test when attempting to diagnose polyneuropathy. The method is also very suitable for determining the neurotoxic effect of different drugs.

Key words

Polyneuritis Sensory threshold Vibration 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Bechmann H, Ossenkop Ch, Quellhorst E (1977) Changes in peripheral nerve function with long-term hemofiltration treatment. J Dialysis 1:585–594Google Scholar
  2. Calne DB, Pallis CA (1966) Vibratory sense: A critical review. Brain 89:723–746Google Scholar
  3. Cosh JA (1953) Studies on the nature of vibration sense. Clin Sci 12:131–151Google Scholar
  4. Daniel CR, Bower JD, Pearson JE, Holbert RD (1977) Vibrometry and uremic peripheral neuropathy. South Med J 70:1311–1313Google Scholar
  5. Dellon AL (1980) Clinical use of vibratory stimuli to evaluate peripheral nerve injury and compression neuropathy. Plast Reconstr Surg 65:466–476Google Scholar
  6. Dellon AL (1983) The vibrometer. Plastic Reconstr Surg 3:427–431Google Scholar
  7. Detre TP, Feldman RG, Rosner B, Ferriter, C (1962) Vibration perception in normal and schizophrenic subjects. J Neuropsychiatry 3:145–150Google Scholar
  8. Dyk PJ, Zimmerman IR, O'Brien PC, Ness A, Caskey PE, Karnes J, Bushek W (1978) Introduction of automated systems to evaluate touch-pressure, vibration, and thermal cutaneous sensation in man. Ann Neurol 4:502–510Google Scholar
  9. Edwards AEE, Kopple JD, Kornfeld CM (1973) Vibrotactile threshold in patients undergoing maintenance hemodialysis. Arch Int Med 132:706–708Google Scholar
  10. Fox Jr, JC, Klemperer W (1942) Vibration sensibility. Arch Neurol Psych 48:622–645Google Scholar
  11. Goff GD, Rosner BS, Detre T, Kennard D (1965) Vibration perception in normal man and medical patients. J Neurol Neurosurg Psychiatry 28:503–509Google Scholar
  12. Goldberg JM, Lindblom U (1979) Standardised method of determining vibratory perception thresholds for diagnosis and screening in neurological investigation. J Neurol Neurosurg Psychiatry 42:793–803Google Scholar
  13. Green BG (1977) The effect of skin temperature on vibrotactile sensitivity. Percept Psychophys 21:243–248Google Scholar
  14. Gregersen G (1968) Vibratory perception threshold and motor conduction velocity in diabetics and non-diabetics. Acta Med Scand 183:61–65Google Scholar
  15. Gregg Jr, EC (1951) Absolute measurement of the vibratory threshold. Arch Neurol Psych 66:403–411Google Scholar
  16. Gregg Jr, EC (1952) Effect of non-opiate analgesics and other drugs on the vibratory threshold. J Pharmacol Exp Ther 106:1–13Google Scholar
  17. Halonen P, Lang HA, Nyrke T (1985) Quantitative vibration perception thresholds in patients under prolonged antiepileptic treatment. Acta Neurol Scand 17:307–311Google Scholar
  18. HÄkkinen VK, Saarnio I, Ignatius J (1983) A microprocessor-based vibrometer for clinical research. Electroenceph Clin Neurophysiol 56:95Google Scholar
  19. Iversen M (1950) The vibratory sense in poliomyelitis. Acta Med Scand 137:79–86Google Scholar
  20. Kardel T, Nielsen VK (1974) Hepatic neurophathy. A clinical and electrophysiological study. Acta Neurol Scand 50:513–526Google Scholar
  21. Kopple JD, Kornfeld CM, Edwards AE (1971) Vibratory threshold, a sensitive index of uremic status. Clin Res 19:151Google Scholar
  22. Koradecka D (1981) Changes in threshold values of finger vibration sensibility depending on differences in measurement conditions. Acta Physiol Pol 32:83–92Google Scholar
  23. Lindblom U, Goldberg JM (1979) Screening for neurological symptoms and signs after exposure to jet fuel. Abstracts 6th international congress of electromyography. Acta Neurol Scand 60 [Suppl 73]Google Scholar
  24. Mirsky IA, Futterman P, Broh-Kan RH (1953) The quantitative measurement of vibratory perception in subjects with an without diabetes mellitus. J Lab Clin Med 41:221–235Google Scholar
  25. Müller R (1949) Studies of disseminated sclerosis with special reference to symptomatology, course and prognosis. Acta Med Scand 133 [Suppl 222]Google Scholar
  26. Nielsen VK (1972) The peripheral nerve function in chronic renal failure. IV An analysis of the vibratory perception threshold. Acta Med Scand 191:287–296Google Scholar
  27. Nielsen VK (1974a) The peripheral nerve function in chronic renal failure. VII Longitudinal course during terminal renal failure and regular hemodialysis. Acta Med Scand 195:155–162Google Scholar
  28. Nielsen VK (1974b) The peripheral nerve function in chronic renal failure. VIII. Recovery after renal transplantation. Clinical aspects. Acta Med Scand 195:163–170Google Scholar
  29. Pearson GHI (1928) Effects of age on vibratory sensibility. Arch Neurol Psychiat (Chicago) 20:482–496Google Scholar
  30. Perret E, Regli F (1970) Age and the perceptual threshold for vibratory stimuli. Eur Neurol 4:65–76Google Scholar
  31. Roos D (1977) The vibration perception threshold in gastrectomized patients with low serum B 12. Acta Neurol Scand 56:551–562Google Scholar
  32. Rosenberg G (1958) Effects of age on peripheral vibratory perception. J Am Geriatr Soc 6:471–481Google Scholar
  33. Smaje JC, McLellan DL (1981) Depth sense aesthesiometry: an advance in the clinical assessment of sensation in the hands. J Neurol Neurosurg Psychiatry 44:950–956Google Scholar
  34. Steinberg FU, Graber AL (1963) The effect of age and peripheral circulation on the perception of vibration. Arch Phys Med 44:645–650Google Scholar
  35. Steiness I (1957a) Vibratory perception in normal subjects. A biothesiometric study. Acta Med Scand 158:315–325Google Scholar
  36. Steiness, I (1957b) Vibratory perception in diabetics. A biothesiometric study. Acta Med Scand 158:327–335Google Scholar
  37. Steiness I (1959) Vibratory perception in diabetics during arrested blood flow to the limb. Acta Med Scand 163:195–205Google Scholar
  38. Steiness I (1961a) Vibratory perception in non-diabetic subjects during ischaemia. Acta Med Scand 169:17–26Google Scholar
  39. Steiness I (1961b) Influence of diabetic status on vibratory perception during ischaemia. Acta Med Scand 170:319–338Google Scholar
  40. Tenckhoff HA, Boen FST, Jebsen RH, Spiegler JH (1965) Polyneuropathy in chronic renal insufficienc. JAMA 192:1121–1124Google Scholar
  41. Weber EH (1842) Tastsinn und Gemeingefühl. In: Wanger R (ed) Handwörterbuch der Physiologie, vol 3. F. Vieweg u. Sohn, Brunswick, p 401Google Scholar
  42. Weitz J (1941) Vibratory sensitivity as a function of skin temperature. J Exp Psychol 28:21–36Google Scholar

Copyright information

© Springer-Verlag 1986

Authors and Affiliations

  • P. Halonen
    • 1
  1. 1.Department of Clinical NeurophysiologyUniversity Central HospitalTurku 52Finland

Personalised recommendations