Upper extremity neuromotor dysfunction caused by local vibration
Vibration disease (VD) (pneumatic hammer disease) is a leader among occupational diseases. The prolonged use of vibrating tools is a high occupational health risk. The clinical picture of VD caused by local vibration includes sensorineural and upper extremity locomotor impairments that are polymorph...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
IMA-PRESS LLC
2015-06-01
|
| Series: | Неврология, нейропсихиатрия, психосоматика |
| Subjects: | |
| Online Access: | https://nnp.ima-press.net/nnp/article/view/515 |
| _version_ | 1797876530280398848 |
|---|---|
| author | O. A. Shavlovskaya |
| author_facet | O. A. Shavlovskaya |
| author_sort | O. A. Shavlovskaya |
| collection | DOAJ |
| description | Vibration disease (VD) (pneumatic hammer disease) is a leader among occupational diseases. The prolonged use of vibrating tools is a high occupational health risk. The clinical picture of VD caused by local vibration includes sensorineural and upper extremity locomotor impairments that are polymorphic, polysyndromic, and not always specific. The International List of Occupational Diseases (2010) defines VD using the terms «vibration-induced white finger» (VWF) and «hand-arm vibration syndrome» (HAVS). VWF as a manifestation of secondary Raynaud’s syndrome is the most noticeable vascular injury in HAVS. According to the recommendations of the International Labor Organization (2011) and the order of the Ministry of Health of Russia (2012), the clinical manifestations of local vibration include upper extremity polyneuropathy, secondary Raynaud’s phenomenon, and carpal tunnel syndrome (CTS). The paper considers approaches to differentially diagnosing CTS and HAVS, primary and secondary Raynaud’s syndrome, as well as clinical, laboratory, and electrodiagnostic studies. Prolonged exposure to vibration may affect the large myelinated (Ab) fibers responsible for tactile touch, pressure, and vibration. Patients with VWF are frequently found to have hyperresponsiveness of the sympathetic nervous system, which affects digital vascular tone and appears as lower fingertip skin temperature. The paper discusses some possible mechanisms for the pathogenesis of vibration neuropathy (e.g. demyelinationof peripheral nerve fiber), as well as the involvement of plasma endothelin-1 in vascular response to cold as one of the components of the pathogenesis of vascular disorders. The central nervous system (cortical reorganization, plasticity phenomenon) is believed to be implicated in the development and maintenance of vibration neuropathy. |
| first_indexed | 2024-04-10T02:03:35Z |
| format | Article |
| id | doaj.art-deca0b61e8214c349932017765308e4e |
| institution | Directory Open Access Journal |
| issn | 2074-2711 2310-1342 |
| language | Russian |
| last_indexed | 2024-04-10T02:03:35Z |
| publishDate | 2015-06-01 |
| publisher | IMA-PRESS LLC |
| record_format | Article |
| series | Неврология, нейропсихиатрия, психосоматика |
| spelling | doaj.art-deca0b61e8214c349932017765308e4e2023-03-13T08:42:14ZrusIMA-PRESS LLCНеврология, нейропсихиатрия, психосоматика2074-27112310-13422015-06-0172677410.14412/2074-2711-2015-2-67-74487Upper extremity neuromotor dysfunction caused by local vibrationO. A. Shavlovskaya0Department of Neurology, Research Center, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia 11, Rossolimo St., Moscow 119021Vibration disease (VD) (pneumatic hammer disease) is a leader among occupational diseases. The prolonged use of vibrating tools is a high occupational health risk. The clinical picture of VD caused by local vibration includes sensorineural and upper extremity locomotor impairments that are polymorphic, polysyndromic, and not always specific. The International List of Occupational Diseases (2010) defines VD using the terms «vibration-induced white finger» (VWF) and «hand-arm vibration syndrome» (HAVS). VWF as a manifestation of secondary Raynaud’s syndrome is the most noticeable vascular injury in HAVS. According to the recommendations of the International Labor Organization (2011) and the order of the Ministry of Health of Russia (2012), the clinical manifestations of local vibration include upper extremity polyneuropathy, secondary Raynaud’s phenomenon, and carpal tunnel syndrome (CTS). The paper considers approaches to differentially diagnosing CTS and HAVS, primary and secondary Raynaud’s syndrome, as well as clinical, laboratory, and electrodiagnostic studies. Prolonged exposure to vibration may affect the large myelinated (Ab) fibers responsible for tactile touch, pressure, and vibration. Patients with VWF are frequently found to have hyperresponsiveness of the sympathetic nervous system, which affects digital vascular tone and appears as lower fingertip skin temperature. The paper discusses some possible mechanisms for the pathogenesis of vibration neuropathy (e.g. demyelinationof peripheral nerve fiber), as well as the involvement of plasma endothelin-1 in vascular response to cold as one of the components of the pathogenesis of vascular disorders. The central nervous system (cortical reorganization, plasticity phenomenon) is believed to be implicated in the development and maintenance of vibration neuropathy.https://nnp.ima-press.net/nnp/article/view/515occupational diseasesvibration diseasevibration disturbanceslocal vibrationpolyneuropathysensorimotor polyneuropathytunnel neuropathiescarpal tunnel syndrome |
| spellingShingle | O. A. Shavlovskaya Upper extremity neuromotor dysfunction caused by local vibration Неврология, нейропсихиатрия, психосоматика occupational diseases vibration disease vibration disturbances local vibration polyneuropathy sensorimotor polyneuropathy tunnel neuropathies carpal tunnel syndrome |
| title | Upper extremity neuromotor dysfunction caused by local vibration |
| title_full | Upper extremity neuromotor dysfunction caused by local vibration |
| title_fullStr | Upper extremity neuromotor dysfunction caused by local vibration |
| title_full_unstemmed | Upper extremity neuromotor dysfunction caused by local vibration |
| title_short | Upper extremity neuromotor dysfunction caused by local vibration |
| title_sort | upper extremity neuromotor dysfunction caused by local vibration |
| topic | occupational diseases vibration disease vibration disturbances local vibration polyneuropathy sensorimotor polyneuropathy tunnel neuropathies carpal tunnel syndrome |
| url | https://nnp.ima-press.net/nnp/article/view/515 |
| work_keys_str_mv | AT oashavlovskaya upperextremityneuromotordysfunctioncausedbylocalvibration |