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

Musculoskeletal disorders Neurophysiologic effects Vibration white fingers Work ability

Journal

Journal of occupational medicine and toxicology (London, England)
ISSN: 1745-6673
Titre abrégé: J Occup Med Toxicol
Pays: England
ID NLM: 101245790

Informations de publication

Date de publication:
2020
Historique:
received: 18 03 2020
accepted: 08 06 2020
entrez: 23 6 2020
pubmed: 23 6 2020
medline: 23 6 2020
Statut: epublish

Résumé

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. 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. 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. 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.

Sections du résumé

BACKGROUND 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 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 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 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.

Identifiants

pubmed: 32565877
doi: 10.1186/s12995-020-00269-w
pii: 269
pmc: PMC7301979
doi:

Types de publication

Journal Article

Langues

eng

Pagination

18

Informations de copyright

© The Author(s) 2020.

Déclaration de conflit d'intérêts

Competing interestsThe authors declare that they have no competing interests.

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Auteurs

Lars Gerhardsson (L)

Department of Occupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Medicinaregatan 16A, Box 414, SE-405 30 Gothenburg, Sweden.

Christina Ahlstrand (C)

Department of Occupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Medicinaregatan 16A, Box 414, SE-405 30 Gothenburg, Sweden.

Per Ersson (P)

Department of Occupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Medicinaregatan 16A, Box 414, SE-405 30 Gothenburg, Sweden.

Ewa Gustafsson (E)

Department of Occupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Medicinaregatan 16A, Box 414, SE-405 30 Gothenburg, Sweden.

Classifications MeSH