Abstract
Digital photoplethysmography and skin thermometry are both measures of circluation in the skin of the fingers. These methods and a cold provocation test were performed on 29 chain-saw workers grouped in stages 0, 1, 2, or 3 according to the Stockholm Workshop scale of hand-arm vibration syndrome, and on 16 controls. The reduction of photoplethysmographic amplitude after the cold test reflects the degree of vasoconstriction, and the recovery rate demonstrates passive vasodilatative capacity. Both tests were found to distinguish all vibration - exposed subjects, including those without clinically manifest vibration-induced white fingers, from the controls. With a 75% reduction in photoplethysmographic amplitude as a discriminating threshold, the sensitivity for the detection of Raynaud's phenomenon was 62% and the specificity, 87%. The discriminating threshold of 90% for recovery rate yielded a sensitivity of 69% and a specificity of 72%.
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References
Almond NE, Jones DP, Cooke ED (1988) Noninvasive measurement of the human peripheral circulation: relationship between laser Doppler flowmeter and photoplethysmograph signals from the finger. Angiology 39:819–829
Arneklo-Nobin B, Johansen K, Sjoberg T (1987) The objective diagnosis of vibration-induced vascular injury. Scand J Work Environ Health 13:337–342
Bovenzi M (1987) Finger thermometry in the assessment of subjects with vibration-induced white finger. Scand J Work Environ Health 13:348–351
Bovenzi M (1988) Finger systolic pressure during local cooling in normal subjects aged 20 to 60 years: reference values for the assessment of digital vasospasm in Raynaud's phenomenon of occupational origin. Int Arch Occup Environ Health 61:179–181
Bovenzi M (1992) Respones of finger systolic pressure to cold provocation in healthy subjects and in Raynaud's phenomenon of occupational origin. In: Dupuis H, Christ E, Sandover DJ, Taylor E, Okada A (eds) 6th international conference on handarm vibration. Preceedings. Schriftenreihe des Hauptverbandes der gewerblichen Berufsgenossenschaften, Bonn, pp 75–80
Caramaschi P, Codella O, Poli G, Perbellini L, Biasi D, Bambara LM, Corrocher R, De Sandre G (1989) Use of computerized digital thermometry for diagnosis of Raynaud's phenomenon. Angiology 40:863–871
Cooke ED, Bowcock SA, Smith AT (1985) Photoplethysmography of the digital pulp in the assessment of the vasospastic hand. Angiology 65:33–40
Ekenvall L, Lindblad LE (1986) Vibration white finger and digital systolic pressure during cooling. Br J Ind Med 43:280–283
Futatsuka M, Pyykko I, Farkkila M, Korhonen O, Starck JP (1983) Blood pressure, flow, and peripheral resistance of digital arteries in vibration syndrome. Br J Ind Med 40:434–441
Gemne G, Pyykkö I, Taylor W, Pelmear PL (1987) 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 13:275–278
Grigg MH, Wolfe JHN (1991) Raynaud's syndrome and similar conditions. Br Med J 303:913–916
Harada N, Matsumoto T (1984) Validity of various function tests performed in Japan as a screening test for vibration syndrome. Int Arch Occup Environ Health 5:283–293
Hellstrom B, Myhre K (1971) A comparison of some methods of diagnosing Raynaud phenomena of occupational origin. Br J Ind Med 28:272–279
Juul C, Nielsen SL (1981) Locally induced digital vasospasm detected by delayed rewarming in Raynaud's phenomenon of occupational origin. Br J Ind Med 38:87–90
Kurozawa Y, Nasu Y, Nose T (1991) Diagnostic value of finger systolic blood pressure in the assessment of vasospastic reactions in the finger skin of vibration-exposed subjects after finger and body cooling. Scand J Work Environ Health 1:184–189
Kurumatani N, Hirata K, Moriyama T, Satoh M, Arai T (1986) Usefulness of fingertip skin temperature for examining peripheral circulatory disturbances of vibrating tool operators. Scand J Work Environ Health 12:245–248
Laroche GP (1990) Vibration syndrome: legal aspects and staging. Vasc Surg 35:579–586
Matoba T, Sakurai T (1987) Physiological methods used in Japan for the diagnosis of suspected hand-arm vibration syndrome. Scand J Work Environ Health 13:334–336
Matsumoto T (1987) Tests employed in Japan for the investigation of peripheral circulatory disturbances due to hand-arm vibration exposure. Scand J Work Environ Health 13:356–357
Miyashita K, Shiomi S, Itoh N, Kasamatsu T, Iwata H (1983) Epidemiological study of vibration syndrome in response to total hand-tool operating time. Br J Ind Med 4:92–98
Nasu Y, Kurosawa Y (1992) Changes of skin blood flow waves in the finger measured by laser Doppler flowmeter on workers using vibratory tools. In: Dupuis H, Christ E, Sandover DJ, Taylor E, Okada A (eds) 6th international conference on handarm vibration. Proceedings. Schriftenreihe des Hauptverbandes der gewerblichen Berufsgenossenschaften, Bonn, pp 193–204
Niioka T, Kojima Y, Kaji H, Saito K (1986) Diagnostic method for the vibration syndrome with special reference to finger skin temperature and vibratory sense threshold. Scand J Work Envrion Health 12:251–253
Olsen N (1988) Diagnostic tests in Raynaud's phenomena in workers exposed to vibration: a comparative study. Br J Ind Med 4:426–430
Okada A, Nakamura H (1992) Some features of peripheral circulatory and nervous function in workers with hand-held vibratory tools. In: Dupuis H, Christ E, Sandover DJ, Taylor E, Okada A (eds) 6th international conference on hand-arm vibration. Proceedings. Schriftenreihe des Hauptverbandes der gewerblichen Berufsgenossenschaften, Bonn, pp 37–60
Pelmear PL, Roos J, Leong D, Wong L (1987) Cold provocation test results from a 1985 survey of hard-rock miners in Ontario. Scand J Work Environ Health 13:343–347
Pelmear PL, Taylor W (1991) Hand-arm vibration syndrome: clinical evaluation and prevention. J Occup Med 33:1144–1149
Scharze S, Jansen G (1992) Fingeroscillometry in diagnostics of VWF disease. In: Dupuis H, Christ E, Sandover DJ, Taylor E, Okada A (eds) 6th international conference on hand-arm vibration. Proceedings. Schriftenreihe des Hauptverbandes der gewerblichen Berufsgenossenschaften, Bonn, pp 93–100
Taylor JS (1985) Vibration syndrome in industry: dermatological viewpoint. A missed diagnosis. Am J Med 8:415–432
Virokannas H, Rintamaki H (1991) Finger blood pressure and rewarming rate for screening and diagnosis of Raynaud's phenomenon in workers exposed to vibration. Br J Ind Med 48: 480–484
Welsh CL (1980) The effect of vibration on digital blood flow. Br J Surg 67:708–710
Welsh CL (1986) Digital rewarming time in the assessment of vibration-induced white finger. Scand J Work Environ Health 12:249–250
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Bogadi-Šare, A., Zavalić, M. Diagnostic value of finger thermometry and photoplethysmography in the assessment of hand-arm vibration syndrome. Int Arch Occup Environ Health 66, 137–140 (1994). https://doi.org/10.1007/BF00383370
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DOI: https://doi.org/10.1007/BF00383370