Relationship between vibration dose and the absorption of mechanical power in the hand

Changes in muscle activity in response to different impact forces affect soft tissue compartment mechanical properties

Electromyographic (EMG) activity is associated with several tasks prior to landing in walking and running including positioning the leg, developing joint stiffness and possibly control of soft tissue compartment vibrations. The concept of muscle tuning suggests one reason for changes in muscle activity pattern in response to small changes in impact conditions, if the frequency content of the impact is close to the natural frequency of the soft tissue compartments, is to minimize the magnitude of soft tissue compartment vibrations. The mechanical properties of the soft tissue compartments depend in part on muscle activations and thus it was hypothesized that changes in the muscle activation pattern associated with different impact conditions would result in a change in the acceleration transmissibility to the soft tissue compartments. A pendulum apparatus was used to systematically administer impacts to the heel of shod male participants. Wall reaction forces, EMG of selected leg muscles, soft tissue compartment and shoe heel cup accelerations were quantified for two different impact conditions. The transmissibility of the impact acceleration to the soft tissue compartments was determined for each subject/soft tissue compartment/shoe combination. For this controlled impact situation it was shown that changes in the damping properties of the soft tissue compartments were related to changes in the EMG intensity and/or mean frequency of related muscles in response to a change in the impact interface conditions. These results provide support for the muscle tuning idea--that one reason for the changes in muscle activity in response to small changes in the impact conditions may be to minimize vibrations of the soft tissue compartments that are initiated at heel-strike.

A longitudinal study of finger systolic blood pressure and exposure to hand-transmitted vibration

OBJECTIVES

To investigate prospectively the relation between vibration-induced white finger (VWF), exposure to hand-transmitted vibration (HTV) and the cold response of digital arteries in users of vibrating tools.

METHODS

Two-hundred and sixteen HTV workers and 133 control men of the same companies underwent initially a medical examination and a standardised cold test with measurement of the change in finger systolic blood pressure (FSBP) after finger cooling from 30 to 10 degrees C. They were re-examined 1 year later. Tool vibration magnitudes were expressed as frequency-weighted and unweighted r.m.s. accelerations. From the vibration magnitudes and exposure durations, alternative measures of cumulative vibration dose were calculated for each HTV worker, according to the expression: Sigma(alpha)(m)(i)(t)(i), where a ( i ) is the acceleration magnitude on tool i, t ( i ) is the lifetime exposure duration for tool i, and m = 0, 1, 2 or 4.

RESULTS

Among the HTV workers, the initial prevalence and the 1-year incidence of VWF were 18.1 and 1.7%, respectively. At the first examination, the HTV workers with moderate or severe score for VWF showed a significantly increased cold reaction in the fingers when compared with the controls and the HTV workers with no vascular symptoms. At the follow-up, the controls, the asymptomatic HTV workers, and the prevalent cases of VWF did not show significant changes in the cold response of digital arteries. A deterioration of cold-induced digital vasoconstriction was found in the incident cases of VWF. In the HTV workers, vibration doses with high powers of acceleration (i.e., Sigma(alpha)(m)(i)(t)(i) with m > 1) were major predictors of the vasoconstrictor response to cold at the follow-up examination.

CONCLUSIONS

The measurement of FSBP after local cooling may be a helpful objective test to monitor prospectively the change in vibration-induced vascular symptoms. The findings of this longitudinal study suggest a dose-effect relationship between cold-induced digital arterial hyperresponsiveness over time and measures of cumulative vibration exposure. In the controls, the cold response of the digital arteries was stable over 1-year follow-up period.

Frequency weighting derived from power absorption of fingers-hand-arm system under z(h)-axis vibration

The objectives of this study are to derive the frequency weighting from three vibration power absorption (VPA) methods (finger VPA, palm VPA, and total or hand VPA), and to explore whether these energy methods are better than the currently accepted acceleration method. To calculate the VPA weightings, the mechanical impedance of eight subjects exposed to a broadband random vibration spectrum in the z(h)-axis using 18 combinations of hand couplings and applied forces was measured. The VPA weightings were compared with the frequency weighting specified in ISO 5349-1 [2001. Mechanical Vibration--Measurement and Evaluation of Human Exposure to Hand--Transmitted Vibration--Part 1: General Requirements. International Organization for Standardization, Geneva, Switzerland]. This study found that the hand and palm VPA weightings are very similar to the ISO weighting but the finger VPA weighting for the combined grip and push action is much higher than the ISO weighting at frequencies higher than 25 Hz. Therefore, this study predicted that the total power absorption of the entire hand-arm system is likely to be correlated with psychophysical response or subjective sensation. However, if the ISO weighting method cannot yield good predictions of the vibration-induced disorders in the fingers and hand, the hand and palm energy methods are unlikely to yield significantly better predictions. The finger VPA is a vibration measure between unweighted and ISO weighted accelerations. The palm VPA method may have some value for studying the disorders in the wrist-arm system.

Estimation of Vibration Power Absorption Density in Human Fingers

The absorption of hand-transmitted vibration energy may be an etiological factor in vibration-induced disorders. The vibration power absorption density (VPAD) may be a better measure of energy than the total power absorption of the hand-arm system. The objectives of the present study are to develop a method to estimate the average absorption density in the fingers and to investigate its basic characteristics. Ten healthy male subjects were used in this study. The biodynamic response of the fingers in a power grip subjected to a broad-band random excitation was measured under three grip forces (15, 30, 50N) and three push forces (35, 45, 50N). The response was used to estimate the total finger energy absorption. The response, together with the finger volume, was also used to estimate the amount of tissue effectively involved in the absorption. Then, the average VPAD under constant-acceleration, constant-power density, constant-velocity vibration spectra, and 20 tool vibration spectra were calculated. The correlations between the VPAD and the unweighted and weighted accelerations (ISO 5349-1, 2001) were also examined. The VPAD depends on both the characteristics of the vibration spectrum and the biodynamic response of the finger-hand-arm system. The biodynamic response generally plays a more important role in determining the VPAD in the middle frequency range (31.5-400Hz) than those at the low and high ends. The applied force significantly affected the VPAD. The finger VPAD was highly correlated to the unweighted acceleration. The average VPAD can be determined using the proposed experimental method. It can serve as an alternative tool to quantify the severity of the vibration exposure for studying vibration-induced finger disorders.

Hand muscle pathology after long-term vibration exposure

The morphology of the abductor pollicis brevis muscle was studied in 20 patients suffering from hand-arm vibration syndrome. The main morphological changes observed were centrally located myonuclei and fibre type grouping (found in all 20 muscle biopsies), angulated muscle fibres (found in 19 biopsies), ring fibres and regenerating fibres (found in 18 biopsies) and fibrosis (found in 17 biopsies). The observed abnormalities are believed to reflect damage to both the muscle fibres and the motor nerve. The changes were related to different vibration exposure parameters. The number of fibres demonstrating centrally located nuclei correlated significantly with the cumulative vibration exposure, while the number of angulated fibres correlated significantly with the total vibration exposure time. This indicates that the vibrating tools may cause direct damage to muscle fibres as well as nerves.

A new method for the experimental assessment of finger haemodynamic effects induced by a hydraulic breaker in operative conditions

The haemodynamic effects, in terms of grip force and hand-transmitted accelerations, produced on the fingers of 10 healthy subjects by operation of a hydraulic breaker held with a low or a high grip were investigated with a new experimental set-up. A novel apparatus consisting of a capacitive sensor matrix and a laser Doppler vibrometer was used to measure the two parameters during breaker operation. Finger blood flow in basal conditions and after each test was evaluated in the four long fingers of both hands with a photoplethysmograph and superficial skin thermometry. The amplitude of the accelerations transmitted to the hand surface was greater during the test with the low grip. Photoplethysmographic and thermometric values were significantly lower than basal values after either test. The amplitude of photoplethysmographic values during the tests was significantly lower with the low than with the high grip in 6 subjects, in both index fingers, and in the right middle finger. The authors show that the level of grip force used for holding the breaker causes transmission of vibrations of wider amplitude, resulting in greater reduction in finger blood flow. In line with the literature, stimulus magnitude, frequency and duration affected finger blood flow, especially in the index finger.