Skip to main content
Top
Published in: Journal of Occupational Medicine and Toxicology 1/2020

Open Access 01-12-2020 | Research

Vibration-induced injuries in workers exposed to transient and high frequency vibrations

Authors: Lars Gerhardsson, Christina Ahlstrand, Per Ersson, Ewa Gustafsson

Published in: Journal of Occupational Medicine and Toxicology | Issue 1/2020

Login to get access

Abstract

Background

The risk of developing vibration white fingers and neurosensory symptoms increases with the duration and intensity of the exposure. The aim of this study was to investigate the risk of developing vibration white fingers (VWF), neurosensory symptoms and musculoskeletal disorders among workers exposed to transient and high frequency vibrations.

Methods

The study included 38 vibration exposed workers from a loader assembly plant in Sweden (30 males and 8 females). All participants answered questionnaires and had a structured interview about work and medical history. A following medical examination included the determination of vibration and temperature perception thresholds and musculoskeletal symptoms in the neck, shoulder, elbow and hands. The individual vibration exposure expressed as A (8)-values and vibration exposure in minutes per day, were obtained from questionnaires answered by the participants.

Results

The prevalence of VWF was 30% among the male workers and 50% among the females. The corresponding prevalence of neurosensory symptoms was 70% among the males and 88% among the females. Musculoskeletal findings were common among the male workers. Dominant symptoms/syndromes were tension neck syndrome, biceps tendinitis, carpal tunnel syndrome and ulnar entrapment in hand/wrist. A total of 32 diagnoses were observed among the male workers and four diagnoses among the female workers. Numbness in fingers and age had the strongest impact on perceived work ability.

Conclusions

ISO 5349-1 considerably underestimates the risks of VWF for this group of workers exposed to transient and high frequency vibrations. It is therefore important to develop a risk assessment standard also covering this frequency range.
Literature
1.
go back to reference Gemne G. Diagnostics of hand-arm system disorders in workers who use vibrating tools. Occup Environ Med. 1997;54(2):90–5.PubMedPubMedCentral Gemne G. Diagnostics of hand-arm system disorders in workers who use vibrating tools. Occup Environ Med. 1997;54(2):90–5.PubMedPubMedCentral
2.
go back to reference Heaver C, Goonetilleke K, Ferguson H, Shiralkar S. Hand–arm vibration syndrome: a common occupational hazard in industrialized countries. J Hand Surg Eur Vol. 2011;36(5):354–63.PubMed Heaver C, Goonetilleke K, Ferguson H, Shiralkar S. Hand–arm vibration syndrome: a common occupational hazard in industrialized countries. J Hand Surg Eur Vol. 2011;36(5):354–63.PubMed
3.
go back to reference Gerr F, Letz R, Landrigan PJ. Upper-extremity musculoskeletal disorders of occupational origin. Annu Rev Public Health. 1991;12(1):543–66.PubMed Gerr F, Letz R, Landrigan PJ. Upper-extremity musculoskeletal disorders of occupational origin. Annu Rev Public Health. 1991;12(1):543–66.PubMed
4.
go back to reference Mason H, Poole K, Elms J. Upper limb disability in HAVS cases—how does it relate to the neurosensory or vascular elements of HAVS? Occup Med. 2005;55(5):389–92. Mason H, Poole K, Elms J. Upper limb disability in HAVS cases—how does it relate to the neurosensory or vascular elements of HAVS? Occup Med. 2005;55(5):389–92.
5.
go back to reference Krajnak K. Health effects associated with occupational exposure to hand-arm or whole body vibration. J Toxicol Environ Health Part B. 2018;21(5):320–34. Krajnak K. Health effects associated with occupational exposure to hand-arm or whole body vibration. J Toxicol Environ Health Part B. 2018;21(5):320–34.
6.
go back to reference Nordander C, Ohlsson K, Åkesson I, Arvidsson I, Balogh I, Hansson G-Å, et al. Risk of musculoskeletal disorders among females and males in repetitive/constrained work. Ergonomics. 2009;52(10):1226–39.PubMed Nordander C, Ohlsson K, Åkesson I, Arvidsson I, Balogh I, Hansson G-Å, et al. Risk of musculoskeletal disorders among females and males in repetitive/constrained work. Ergonomics. 2009;52(10):1226–39.PubMed
7.
go back to reference Jonker D, Gustafsson E, Rolander B, Arvidsson I, Nordander C. Health surveillance under adverse ergonomics conditions–validity of a screening method adapted for the occupational health service. Ergonomics. 2015;58(9):1519–28.PubMedPubMedCentral Jonker D, Gustafsson E, Rolander B, Arvidsson I, Nordander C. Health surveillance under adverse ergonomics conditions–validity of a screening method adapted for the occupational health service. Ergonomics. 2015;58(9):1519–28.PubMedPubMedCentral
8.
go back to reference Ilmarinen J, Tuomi K. Work ability of aging workers. Scand J Work Environ Health. 1992;18(2):8–10.PubMed Ilmarinen J, Tuomi K. Work ability of aging workers. Scand J Work Environ Health. 1992;18(2):8–10.PubMed
9.
go back to reference Ilmarinen J, Tuomi K, Klockars M. Changes in the work ability of active employees over an 11-year period. Scand J Work Environ Health. 1997;23(1):49–57.PubMed Ilmarinen J, Tuomi K, Klockars M. Changes in the work ability of active employees over an 11-year period. Scand J Work Environ Health. 1997;23(1):49–57.PubMed
10.
go back to reference Starck J. High impulse acceleration levels in hand-held vibratory tools: an additional factor in the hazards associated with the hand-arm vibration syndrome. Scand J Work Environ Health. 1984;10:171–8.PubMed Starck J. High impulse acceleration levels in hand-held vibratory tools: an additional factor in the hazards associated with the hand-arm vibration syndrome. Scand J Work Environ Health. 1984;10:171–8.PubMed
11.
go back to reference Dandanell R, Engström K. Vibration from riveting tools in the frequency range 6 Hz—10 MHz and Raynaud's phenomenon. Scand J Work Environ Health. 1986;12:338–42.PubMed Dandanell R, Engström K. Vibration from riveting tools in the frequency range 6 Hz—10 MHz and Raynaud's phenomenon. Scand J Work Environ Health. 1986;12:338–42.PubMed
12.
go back to reference Barregard L, Ehrenström L, Marcus K. Hand-arm vibration syndrome in Swedish car mechanics. Occup Environ Med. 2003;60(4):287–94.PubMedPubMedCentral Barregard L, Ehrenström L, Marcus K. Hand-arm vibration syndrome in Swedish car mechanics. Occup Environ Med. 2003;60(4):287–94.PubMedPubMedCentral
13.
go back to reference Lindsell CJ, Griffin MJ. Normative data for vascular and neurological tests of the hand-arm vibration syndrome. Int Arch Occup Environ Health. 2002;75(1–2):43–54.PubMed Lindsell CJ, Griffin MJ. Normative data for vascular and neurological tests of the hand-arm vibration syndrome. Int Arch Occup Environ Health. 2002;75(1–2):43–54.PubMed
14.
go back to reference Seah SA, Griffin MJ. Normal values for thermotactile and vibrotactile thresholds in males and females. Int Arch Occup Environ Health. 2008;81(5):535–43.PubMed Seah SA, Griffin MJ. Normal values for thermotactile and vibrotactile thresholds in males and females. Int Arch Occup Environ Health. 2008;81(5):535–43.PubMed
15.
go back to reference van Deursen RW, Sanchez MM, Derr JA, Becker MB, Ulbrecht JS, Cavanagh PR. Vibration perception threshold testing in patients with diabetic neuropathy: ceiling effects and reliability. Diabet Med. 2001;18(6):469–75.PubMed van Deursen RW, Sanchez MM, Derr JA, Becker MB, Ulbrecht JS, Cavanagh PR. Vibration perception threshold testing in patients with diabetic neuropathy: ceiling effects and reliability. Diabet Med. 2001;18(6):469–75.PubMed
16.
go back to reference Ilmarinen J. The work ability index (WAI). Occup Med. 2007;57(2):160. Ilmarinen J. The work ability index (WAI). Occup Med. 2007;57(2):160.
17.
go back to reference Ahlstrom L, Grimby-Ekman A, Hagberg M, Dellve L. The work ability index and single-item question: associations with sick leave, symptoms, and health–a prospective study of women on long-term sick leave. Scand J Work Environ Health. 2010;36(5):404–12.PubMed Ahlstrom L, Grimby-Ekman A, Hagberg M, Dellve L. The work ability index and single-item question: associations with sick leave, symptoms, and health–a prospective study of women on long-term sick leave. Scand J Work Environ Health. 2010;36(5):404–12.PubMed
18.
go back to reference El Fassi M, Bocquet V, Majery N, Lair ML, Couffignal S, Mairiaux P. Work ability assessment in a worker population: comparison and determinants of work ability index and work ability score. BMC Public Health. 2013;13(1):305.PubMedPubMedCentral El Fassi M, Bocquet V, Majery N, Lair ML, Couffignal S, Mairiaux P. Work ability assessment in a worker population: comparison and determinants of work ability index and work ability score. BMC Public Health. 2013;13(1):305.PubMedPubMedCentral
19.
go back to reference Ibm C. IBM SPSS statistics for windows, version Q3 25.0. Armonk: IBM Corp; 2017. Ibm C. IBM SPSS statistics for windows, version Q3 25.0. Armonk: IBM Corp; 2017.
20.
go back to reference Nilsson T, Wahlström J, Burström L. Hand-arm vibration and the risk of vascular and neurological diseases—a systematic review and meta-analysis. PLoS One. 2017;12(7):e0180795.PubMedPubMedCentral Nilsson T, Wahlström J, Burström L. Hand-arm vibration and the risk of vascular and neurological diseases—a systematic review and meta-analysis. PLoS One. 2017;12(7):e0180795.PubMedPubMedCentral
21.
go back to reference Thompson AJ, Griffin MJ. Effect of the magnitude and frequency of hand-transmitted vibration on finger blood flow during and after exposure to vibration. Int Arch Occup Environ Health. 2009;82(9):1151–62.PubMed Thompson AJ, Griffin MJ. Effect of the magnitude and frequency of hand-transmitted vibration on finger blood flow during and after exposure to vibration. Int Arch Occup Environ Health. 2009;82(9):1151–62.PubMed
22.
go back to reference Budd D, Holness D, House R. Functional limitations in workers with hand-arm vibration syndrome (HAVS). Occup Med. 2018;68(7):478–81. Budd D, Holness D, House R. Functional limitations in workers with hand-arm vibration syndrome (HAVS). Occup Med. 2018;68(7):478–81.
23.
go back to reference Budd D, House R. Examining the usefulness of ISO 10819 anti-vibration glove certification. Ann Work Expo Health. 2017;61(2):137–40.PubMed Budd D, House R. Examining the usefulness of ISO 10819 anti-vibration glove certification. Ann Work Expo Health. 2017;61(2):137–40.PubMed
24.
go back to reference Ye Y, Griffin MJ. Assessment of thermotactile and vibrotactile thresholds for detecting sensorineural components of the hand–arm vibration syndrome (HAVS). Int Arch Occup Environ Health. 2018;91(1):35–45.PubMed Ye Y, Griffin MJ. Assessment of thermotactile and vibrotactile thresholds for detecting sensorineural components of the hand–arm vibration syndrome (HAVS). Int Arch Occup Environ Health. 2018;91(1):35–45.PubMed
25.
go back to reference Rytkönen E, Sorainen E, Leino-Arjas P, Solovieva S. Hand-arm vibration exposure of dentists. Int Arch Occup Environ Health. 2006;79(6):521–7.PubMed Rytkönen E, Sorainen E, Leino-Arjas P, Solovieva S. Hand-arm vibration exposure of dentists. Int Arch Occup Environ Health. 2006;79(6):521–7.PubMed
26.
go back to reference Starck J, Jussi P, Ilmari P. Physical characteristics of vibration in relation to vibration-induced white finger. Am Ind Hyg Assoc J. 1990;51(4):179–84.PubMed Starck J, Jussi P, Ilmari P. Physical characteristics of vibration in relation to vibration-induced white finger. Am Ind Hyg Assoc J. 1990;51(4):179–84.PubMed
27.
go back to reference Engström K, Dandanell R. Exposure conditions and Raynaud's phenomenon among riveters in the aircraft industry. Scand J Work Environ Health. 1986;12:293–5.PubMed Engström K, Dandanell R. Exposure conditions and Raynaud's phenomenon among riveters in the aircraft industry. Scand J Work Environ Health. 1986;12:293–5.PubMed
28.
go back to reference Starck J, Pyykkö I. Impulsiveness of vibration as an additional factor in the hazards associated with hand-arm vibration. Scand J Work Environ Health. 1986;12:323–6.PubMed Starck J, Pyykkö I. Impulsiveness of vibration as an additional factor in the hazards associated with hand-arm vibration. Scand J Work Environ Health. 1986;12:323–6.PubMed
29.
go back to reference Bovenzi M, Prodi A, Mauro M. Relationships of neurosensory disorders and reduced work ability to alternative frequency weightings of hand-transmitted vibration. Scand J Work Environ Health. 2015;41(3):247–58.PubMed Bovenzi M, Prodi A, Mauro M. Relationships of neurosensory disorders and reduced work ability to alternative frequency weightings of hand-transmitted vibration. Scand J Work Environ Health. 2015;41(3):247–58.PubMed
30.
go back to reference Rolke R, Rolke S, Vogt T, Birklein F, Geber C, Treede R-D, et al. Hand-arm vibration syndrome: clinical characteristics, conventional electrophysiology and quantitative sensory testing. Clin Neurophysiol. 2013;124(8):1680–8.PubMed Rolke R, Rolke S, Vogt T, Birklein F, Geber C, Treede R-D, et al. Hand-arm vibration syndrome: clinical characteristics, conventional electrophysiology and quantitative sensory testing. Clin Neurophysiol. 2013;124(8):1680–8.PubMed
31.
go back to reference Akesson I, Lundborg G, Horstmann V, Skerfving S. Neuropathy in female dental personnel exposed to high frequency vibrations. Occup Environ Med. 1995;52(2):116–23.PubMedPubMedCentral Akesson I, Lundborg G, Horstmann V, Skerfving S. Neuropathy in female dental personnel exposed to high frequency vibrations. Occup Environ Med. 1995;52(2):116–23.PubMedPubMedCentral
32.
go back to reference Burdorf A, Monster A. Exposure to vibration and self-reported health complaints of riveters in the aircraft industry. Ann Occup Hygiene. 1991;35(3):287–98. Burdorf A, Monster A. Exposure to vibration and self-reported health complaints of riveters in the aircraft industry. Ann Occup Hygiene. 1991;35(3):287–98.
33.
go back to reference Jääskeläinen A, Kausto J, Seitsamo J, Ojajarvi A, Nygård C-H, Arjas E, et al. Work ability index and perceived work ability as predictors of disability pension: a prospective study among Finnish municipal employees. Scand J Work Environ Health. 2016;42(6):490–9.PubMed Jääskeläinen A, Kausto J, Seitsamo J, Ojajarvi A, Nygård C-H, Arjas E, et al. Work ability index and perceived work ability as predictors of disability pension: a prospective study among Finnish municipal employees. Scand J Work Environ Health. 2016;42(6):490–9.PubMed
34.
go back to reference Tuomi K, Ilmarinen J, Martikainen R, Aalto L, Klockars M. Aging, work, life-style and work ability among Finnish municipal workers in 1981—1992. Scand J Work Environ Health. 1997;23:58–65.PubMed Tuomi K, Ilmarinen J, Martikainen R, Aalto L, Klockars M. Aging, work, life-style and work ability among Finnish municipal workers in 1981—1992. Scand J Work Environ Health. 1997;23:58–65.PubMed
35.
go back to reference Tuomi K, Ilmarinen J, Seitsamo J, Huuhtanen P, Martikainen R, Nygård C-H, et al. Summary of the Finnish research project (1981—1992) to promote the health and work ability of aging workers. Scand J Work Environ Health. 1997;23:66–71.PubMed Tuomi K, Ilmarinen J, Seitsamo J, Huuhtanen P, Martikainen R, Nygård C-H, et al. Summary of the Finnish research project (1981—1992) to promote the health and work ability of aging workers. Scand J Work Environ Health. 1997;23:66–71.PubMed
36.
go back to reference Brekalo-Lazarević S, Pranjić N, Selmanović S, Grbović M. Impact of work place stresses on work ability index in patients with depressive disorders. Med Pregl. 2011;64(11–12):545–51. Brekalo-Lazarević S, Pranjić N, Selmanović S, Grbović M. Impact of work place stresses on work ability index in patients with depressive disorders. Med Pregl. 2011;64(11–12):545–51.
37.
go back to reference Takahashi N, Ohtori S, Saisu T, Moriya H, Wada Y. Second application of low-energy shock waves has a cumulative effect on free nerve endings. Clin Orthop Relat Res. 2006;443:315–9.PubMed Takahashi N, Ohtori S, Saisu T, Moriya H, Wada Y. Second application of low-energy shock waves has a cumulative effect on free nerve endings. Clin Orthop Relat Res. 2006;443:315–9.PubMed
38.
go back to reference Wu Y-H, Liang H-W, Chen W-S, Lai J-S, Luh J-J, Chong F-C. Electrophysiological and functional effects of shock waves on the sciatic nerve of rats. Ultrasound Med Biol. 2008;34(10):1688–96.PubMed Wu Y-H, Liang H-W, Chen W-S, Lai J-S, Luh J-J, Chong F-C. Electrophysiological and functional effects of shock waves on the sciatic nerve of rats. Ultrasound Med Biol. 2008;34(10):1688–96.PubMed
39.
go back to reference Raju SG, Rogness O, Persson M, Bain J, Riley D. Vibration from a riveting hammer causes severe nerve damage in the rat tail model. Muscle Nerve. 2011;44(5):795–804.PubMed Raju SG, Rogness O, Persson M, Bain J, Riley D. Vibration from a riveting hammer causes severe nerve damage in the rat tail model. Muscle Nerve. 2011;44(5):795–804.PubMed
Metadata
Title
Vibration-induced injuries in workers exposed to transient and high frequency vibrations
Authors
Lars Gerhardsson
Christina Ahlstrand
Per Ersson
Ewa Gustafsson
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Journal of Occupational Medicine and Toxicology / Issue 1/2020
Electronic ISSN: 1745-6673
DOI
https://doi.org/10.1186/s12995-020-00269-w

Other articles of this Issue 1/2020

Journal of Occupational Medicine and Toxicology 1/2020 Go to the issue