Long-term effect of hand-arm vibration on thermotactile perception thresholds

Abstract Background Occupational exposure to hand-transmitted vibration (HTV) is known to cause neurological symptoms such as numbness, reduced manual dexterity, grip strength and sensory perception. The purpose of this longitudinal study was to compare thermotactile perception thresholds for cold (...

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Main Authors: Ronnie Lundström, Adnan Noor Baloch, Mats Hagberg, Tohr Nilsson, Lars Gerhardsson
Format: Article
Language:English
Published: BMC 2018-06-01
Series:Journal of Occupational Medicine and Toxicology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12995-018-0201-1
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author Ronnie Lundström
Adnan Noor Baloch
Mats Hagberg
Tohr Nilsson
Lars Gerhardsson
author_facet Ronnie Lundström
Adnan Noor Baloch
Mats Hagberg
Tohr Nilsson
Lars Gerhardsson
author_sort Ronnie Lundström
collection DOAJ
description Abstract Background Occupational exposure to hand-transmitted vibration (HTV) is known to cause neurological symptoms such as numbness, reduced manual dexterity, grip strength and sensory perception. The purpose of this longitudinal study was to compare thermotactile perception thresholds for cold (TPTC) and warmth (TPTW) among vibration exposed manual workers and unexposed white collar workers during a follow-up period of 16 years to elucidate if long-term vibration exposure is related to a change in TPT over time. Methods The study group consisted of male workers at a production workshop at which some of them were exposed to HTV. They were investigated in 1992 and followed-up in 2008. All participants were physically examined and performed TPT bilaterally at the middle and distal phalanges of the second finger. Two different vibration exposure dosages were calculated for each individual, i.e. the individual cumulative lifetime dose (mh/s2) or a lifetime 8-h equivalent daily exposure (m/s2). Results A significant mean threshold difference was found for all subjects of about 4–5 °C and 1–2 °C in TPTW and TPTC, respectively, between follow-up and baseline. No significant mean difference in TPTC between vibration exposed and non-exposed workers at each occasion could be stated to exist. For TPTW a small but significant difference was found for the right index finger only. Age was strongly related to thermotactile perception threshold. The 8-h equivalent exposure level (A (8)) dropped from about 1.3 m/s2 in 1992 to about 0.7 m/s2 in 2008. Conclusions A lifetime 8-h equivalent daily exposure to hand-transmitted vibration less than 1.3 m/s2 does not have a significant effect on thermotactile perception. Age, however, has a significant impact on the change of temperature perception thresholds why this covariate has to be considered when using TPT as a tool for health screening.
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spelling doaj.art-0acab48753334b9a80e67660443feb272022-12-22T03:19:08ZengBMCJournal of Occupational Medicine and Toxicology1745-66732018-06-011311810.1186/s12995-018-0201-1Long-term effect of hand-arm vibration on thermotactile perception thresholdsRonnie Lundström0Adnan Noor Baloch1Mats Hagberg2Tohr Nilsson3Lars Gerhardsson4Department of Radiation Sciences, Umeå UniversityDepartment of Occupational and Environmental Medicine, University of Gothenburg and Sahlgrenska University HospitalDepartment of Occupational and Environmental Medicine, University of Gothenburg and Sahlgrenska University HospitalDepartment of Occupational and Environmental Medicine, Umeå UniversityDepartment of Occupational and Environmental Medicine, University of Gothenburg and Sahlgrenska University HospitalAbstract Background Occupational exposure to hand-transmitted vibration (HTV) is known to cause neurological symptoms such as numbness, reduced manual dexterity, grip strength and sensory perception. The purpose of this longitudinal study was to compare thermotactile perception thresholds for cold (TPTC) and warmth (TPTW) among vibration exposed manual workers and unexposed white collar workers during a follow-up period of 16 years to elucidate if long-term vibration exposure is related to a change in TPT over time. Methods The study group consisted of male workers at a production workshop at which some of them were exposed to HTV. They were investigated in 1992 and followed-up in 2008. All participants were physically examined and performed TPT bilaterally at the middle and distal phalanges of the second finger. Two different vibration exposure dosages were calculated for each individual, i.e. the individual cumulative lifetime dose (mh/s2) or a lifetime 8-h equivalent daily exposure (m/s2). Results A significant mean threshold difference was found for all subjects of about 4–5 °C and 1–2 °C in TPTW and TPTC, respectively, between follow-up and baseline. No significant mean difference in TPTC between vibration exposed and non-exposed workers at each occasion could be stated to exist. For TPTW a small but significant difference was found for the right index finger only. Age was strongly related to thermotactile perception threshold. The 8-h equivalent exposure level (A (8)) dropped from about 1.3 m/s2 in 1992 to about 0.7 m/s2 in 2008. Conclusions A lifetime 8-h equivalent daily exposure to hand-transmitted vibration less than 1.3 m/s2 does not have a significant effect on thermotactile perception. Age, however, has a significant impact on the change of temperature perception thresholds why this covariate has to be considered when using TPT as a tool for health screening.http://link.springer.com/article/10.1186/s12995-018-0201-1Hand-arm vibrationHand-transmitted vibrationHandThermotactile perception
spellingShingle Ronnie Lundström
Adnan Noor Baloch
Mats Hagberg
Tohr Nilsson
Lars Gerhardsson
Long-term effect of hand-arm vibration on thermotactile perception thresholds
Journal of Occupational Medicine and Toxicology
Hand-arm vibration
Hand-transmitted vibration
Hand
Thermotactile perception
title Long-term effect of hand-arm vibration on thermotactile perception thresholds
title_full Long-term effect of hand-arm vibration on thermotactile perception thresholds
title_fullStr Long-term effect of hand-arm vibration on thermotactile perception thresholds
title_full_unstemmed Long-term effect of hand-arm vibration on thermotactile perception thresholds
title_short Long-term effect of hand-arm vibration on thermotactile perception thresholds
title_sort long term effect of hand arm vibration on thermotactile perception thresholds
topic Hand-arm vibration
Hand-transmitted vibration
Hand
Thermotactile perception
url http://link.springer.com/article/10.1186/s12995-018-0201-1
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