+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Hand function in workers with hand-arm vibration syndrome



Hand function in workers with hand-arm vibration syndrome



Journal of Hand Therapy 12(1): 16-24



Hand-arm vibration syndrome has been specially addressed in the Scandinavian countries in recent years, but the syndrome is still not sufficiently recognized in many countries. The object of this preliminary study was to describe the nature and character of vibration-induced impairment in the hands of exposed workers. Twenty symptomatic male workers (aged 28 to 65 years) subjected to vibration by hand-held tools were interviewed about subjective symptoms and activities of daily living and were assessed with a battery of objective tests for sensibility, dexterity, grip function, and grip strength. The test results were compared with normative data. The majority of patients complained of cold intolerance, numbness, pain, sensory impairment, and difficulties in handling manual tools and in handwriting. The various objective tests showed considerable variation in indications of pathologic outcome, revealing differences in sensitivity to detect impaired hand function. Semmes-Weinstein monofilament testing for perception of light touch-deep pressure sensation, the small-object shape identification test, and moving two-point discrimination testing for functional sensibility provided the most indications of pathologic outcomes. The authors conclude that vibration-exposed patients present considerable impairment in hand function.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 046210796

Download citation: RISBibTeXText

PMID: 10192631

DOI: 10.1016/s0894-1130(99)80029-5


Related references

Hand function tests and questions on hand symptoms as related to the Stockholm workshop scales for diagnosis of hand-arm vibration syndrome. Journal of Hand Surgery 28(2): 165-171, 2003

Fourth international symposium on hand-arm vibration: Helsinki, 6-8 May 1985 || Assessing the severity of the neurological component of the hand-arm vibration syndrome. Scandinavian Journal of Work Environment & Health 12(4): 428-431, 1986

Fourth international symposium on hand-arm vibration: Helsinki, 6-8 May 1985 || Administrative and judicial control of the hand-arm vibration syndrome in Japan. Scandinavian Journal of Work Environment & Health 12(4): 400-401, 1986

Fourth international symposium on hand-arm vibration: Helsinki, 6-8 May 1985 || A clinical assessment of seventy-eight cases of hand-arm vibration syndrome. Scandinavian Journal of Work Environment & Health 12(4): 265-268, 1986

The effectiveness of using two different types of anti-vibration gloves compared to bare hand condition at dampening the frequencies associated with hand-arm vibration syndrome. Work 25(3): 197-203, 2005

Risk of hand-arm vibration syndrome according to occupation and sources of exposure to hand-transmitted vibration: A national survey. American Journal of Industrial Medicine 39(4): 389-396, 2001

Hand-arm vibration syndrome: a new clinical classification and an updated British standard guide for hand transmitted vibration. British Journal of Industrial Medicine 45(5): 281-282, 1988

Measures of hand function: Arthritis Hand Function Test (AHFT), Australian Canadian Osteoarthritis Hand Index (AUSCAN), Cochin Hand Function Scale, Functional Index for Hand Osteoarthritis (FIHOA), Grip Ability Test (GAT), Jebsen Hand Function Test (JHFT), and Michigan Hand Outcomes Questionnaire (MHQ). Arthritis Care and Research 63 Suppl 11: S189-S199, 2012

Dose-response relationship between hand-transmitted vibration and hand-arm vibration syndrome in a tropical environment. Occupational and Environmental Medicine 70(7): 498-504, 2013

Fourth international symposium on hand-arm vibration: Helsinki, 6-8 May 1985 || Transcutaneous partial pressure of oxygen in the forearm in the determination of the hand-arm vibration syndrome. Scandinavian Journal of Work Environment & Health 12(4): 242-244, 1986

Hand-arm vibration syndrome with use of anti-vibration chain saws: 19-year follow-up study of forestry workers. International Archives of Occupational and Environmental Health 79(8): 665-671, 2006

Stockholm Workshop 86: Symptomatology and diagnostic methods in the hand-arm vibration syndrome: Hsselby Castle, Stockholm, 2123 May 1986 || Bone and joint pathology in workers using hand-held vibrating tools: An overview [with Discussion]. Scandinavian Journal of Work, Environment & Health 13(4): 290-300, 1987

Test-retest reliability of neurophysiological tests of hand-arm vibration syndrome in vibration exposed workers and unexposed referents. Journal of Occupational Medicine and Toxicology 9(1): 38, 2014

Fourth international symposium on hand-arm vibration: Helsinki, 6-8 May 1985 || Vibration syndrome among Finnish forest workers, a follow-up from 1972 to 1983. Scandinavian Journal of Work Environment & Health 12(4): 307-312, 1986

Proposal for hand-arm vibration exposure limits adopted for Japanese workers operating hand-held vibrating tools. International Archives of Occupational & Environmental Health 69(6): 418-422, 1997