Risk assessment of vascular disorders by a supplementary hand-arm vascular weighting of hand-transmitted vibration

A roadmap for assessing the diagnostic usefulness of neurosensory testing and an updated method for exposure assessment among vibration-exposed workers in northern Sweden

Workers who use handheld vibrating machines such as grinders, hammers and chainsaws expose themselves to hand-arm vibration (HAV). Exposure to HAV may cause injuries to both the neurological and the vascular system. The occupational health services (OHS) in Sweden use a formal guideline for secondary prevention focusing on early detection of vibration-related injuries. The guide includes several screening tools, such as a screening questionnaire, clinical examinations, and laboratory tests. There are no studies, to our knowledge, on the diagnostic value of the separate items on symptoms in the screening questionnaire in relation to the laboratory tests or the clinical examinations performed during a medical examination among patients exposed to HAV. Furthermore, the recently presented ISO standard for HAV measurements (ISO/TR 18,750) has only been tested for vascular injuries and not neurological injuries. This research roadmap aims to evaluate separate items in a screening questionnaire on neurological symptoms in relation to laboratory and clinical tests among HAV exposed workers in the Arctic region of Northern Sweden. It also covers a comparison of the dose-response of the current ISO 5349-1 measurement standard and the new suggested standard ISO/TR 18,750 with the neurosensory outcomes. This manuscript describes the study rationale, design, methods, and significance.

Relation of digital arterial dysfunction to alternative frequency weightings of hand-transmitted vibration

This study compared the relative performance of alternative frequency weightings of hand-transmitted vibration (HTV) to predict the extent of cold-induced vasoconstriction in the digital arteries of HTV workers. The cold response of digital arteries was related to measures of daily vibration exposure expressed in terms of r.m.s. acceleration magnitude normalised to an 8-h day, frequency weighted according to either the frequency weighting Wh defined in international standard ISO 5349-1:2001 (Ah(8) in ms-2 r.m.s.) or the hand-arm vascular frequency weighting Wp proposed in the ISO Technical Report 18570:2007 (Ap(8) in ms-2 r.m.s.). The measure of daily vibration exposure constructed with the frequency weighting Wp (Ap(8)) was a better predictor of the cold response of the digital arteries in the HTV workers than the metric derived from the conventional ISO frequency weighting Wh (Ah(8)). This finding suggests that a measure of daily vibration exposure constructed with the vascular weighting Wp, which gives more weight to intermediate- and high-frequency vibration (31.5-250 Hz), performed better for the prediction of cold induced digital arterial hyperresponsiveness than that obtained with the frequency weighting Wh recommended in ISO 5349-1 which gives more importance to lower frequency vibration (≤16 Hz).

Powered-hand tools and vibration-related disorders in US-railway maintenance-of-way workers

Maintenance-of-way workers in North America who construct railroad tracks utilize specialized powered-hand tools, which lead to hand-transmitted vibration exposure. In this study, the maintenance-of-way workers were surveyed about neuro-musculoskeletal disorders, powered-hand tools and work practices. Information about vibration emission data of trade specific powered-hand tools for the North American and European Union markets was searched online to obtain respective user information of manufacturer and compared to non-commercial international data banks. The survey showed that maintenance-of-way workers frequently reported typical hand-transmitted vibration-related symptoms, and appear to be at a risk for neuro-musculoskeletal disorders of the upper extremity. Of all of the powered-hand tools used by this trade, 88% of the selected tools exceeded a=5 m/s² and were above vibration magnitudes of common tools of other comparable industries. This may create a risk if these tools are used throughout an 8-h work day and management of vibration exposure may be needed. In the North-American market, limited or no vibration emission data is available from manufacturers or distributors. Vibration emission information for powered-hand tools, including vibration emission levels (in m/s²), uncertainty factor K, and the applied testing standard/norm may assist employers, users and occupational health providers to better assess, compare and manage risk.

Distributed vibration isolation and manual dexterity of anti-vibration gloves: is there a correlation?

This study focuses on the integrated performance of anti-vibration (AV) gloves in terms of manual dexterity and distributed palm and fingers' vibration transmissibility. Experiments were designed to measure vibration transmission and manual dexterity performance of 10 different gloves using 15 subjects. The results showed all gloves impeded manual dexterity, while five gloves satisfied the AV glove screening criteria. Glove type yielded a significant effect on manual dexterity (p < 0.001) and vibration transmissibility (p ≤ 0.001). Manual dexterity decreased nearly linearly with an increase in glove thickness (p < 0.05), while palm and fingers' vibration transmissibility in high-frequency range was negatively correlated with glove thickness (R² > 0.70). A strong correlation was evident between glove material stiffness and the H-frequency range palm vibration transmissibility (R² ≥ 0.8). While the vibration isolation of a glove is strongly related to material properties at the palm, the dexterity performance is dependent on design factors such as thickness and bulkiness. Practitioner summaryAnti-vibration gloves are used to isolate hand from power tools vibration, while these may adversely affect manual dexterity. Vibration isolation was correlated with material properties and thickness, while dexterity was correlated with thickness alone. Glove thickness is a vital parameter for realising a compromise between vibration isolation and manual dexterity. Abbreviations: HTV: hand-transmitted vibration; AV: anti-vibration; MANOVA: multivariate analysis of variance; TR: vibration transmissibility; ASTM: ASTM F2010 standard test; Minnesota: Two-Hand Turning and Placing Minnesota test; rANOVA: repeated-measures analysis of variance; rms: root mean square; CoV: coefficient of variations; S: score.