Annals of Occupational and Environmental Medicine

Original Article

Evaluation of Finger Skin Temperature by Cold Provocation Test for Diagnosis of Hand-Arm Vibration Syndrome: Cheol In Yoo, Ji Ho Lee, Choong Ryeol Lee, Hun Lee, Young Hee Choi, Yang Ho Kim; Korean Journal of Occupational and Environmental Medicine 2002;14(2):124-133. Published online June 30, 2002; DOI: https://doi.org/10.35371/kjoem.2002.14.2.124

OBJECTIVES
Various objective tests have been widely used worldwide for diagnosing the hand-arm vibration syndrome. Among these, the cold provocation test has been frequently used to confirm the presence of Raynaud's phenomenon. This study was carried out in order to evaluate finger skin temperature by cold provocation test(10 degrees C for 10 minute) for the diagnosis of hand-arm vibration syndrome METHODS: Fifty-eight workers who had been exposed to local vibration were examined. Information concerning age, occupation, types of vibration tools used, presence of subjective symptoms such as vibration induced white finger(VWF), and numbness and tingling were collected. The subjects were classified into three groups according to their symptoms(Vascular, Neural, and No symptom group). In order to examine the applicability of the cold provocation test using water at 10 degrees C for 10 minute, we compared finger skin temperature between the groups.
RESULTS
The mean value of the finger skin temperature at 5 minutes and 10 minutes after cold provocation as well as the recovery rate in the vascular group were significantly lower than that seen in the other groups.
CONCLUSIONS
The evaluation of finger skin temperature by cold provocation test is very useful method for the diagnosis of hand-arm vibration syndrome. The test results will assist in confirming the diagnosis of the hand-arm vibration syndrome.

Citations

Citations to this article as recorded by

The Health Effects of Whole Body Vibration
Soo-Jin Lee, Soo-Yong Roh
Journal of the Ergonomics Society of Korea.2013; 32(4): 297. CrossRef

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Case Report

6 Cases of Hand Arm Vibration Syndrome in Grinding Workers Exposed to Hand-arm Vibration: Shang Hyuk Yim, Rokho Kim, Gil Seung Yang, Jung In Yang, Sang Sup Kim, Hyoung Joon Chun, Si Bog Park; Korean Journal of Occupational and Environmental Medicine 2000;12(3):421-429. Published online September 30, 2000; DOI: https://doi.org/10.35371/kjoem.2000.12.3.421

Abstract PDF

OBJECTIVES
To confirm the HAVS in workers exposed to hand-arm vibration with using the objective diagnostic methods METHODS: Several tests were used to help substantiate a clinical diagnosis of HAVS. Some other diseases were excluded by a medical interview, hematologic assessment, urinalysis, X-rays. The hand-arm vibration acceleration level of the grinder was evaluated for considering HAVS. Peripheral vascular changes were examined by a cold provocation test. An electromyography was implemented to ascertain the peripheral neural changes.
RESULTS
8 workers with symptoms in hands & fingers, exposed to hand-arm vibration were examined. Some other diseases(primary Raynauds disease, secondary Raynauds disease in not occupational origin) were excluded by a medical interview, hematologic assessment, urinalysis, X-rays. The hand-arm vibration acceleration level of the grinder was 7. 9 m/sec2. The recovery time of a skin temperature followed finger cooling was significantly prolonged in 6 workers with HAVS. The nerve conduction velocity was reduced in 6 workers with HAVS.
CONCLUSIONS
So we report 6 cases of HAVS in grinding workers exposed to hand-arm vibration diagnosed objectively by an exclusion of some other disease, handarm vibration acceleration level, cold provocation test, electromyography.

Citations

Citations to this article as recorded by

Severity of grinder injuries and related factors compared with other high-rotation cutting tool injuries: a multicenter retrospective study from 2011 to 2018
Juni Song, Yang Bin Jeon, Jae Ho Jang, Jin Seong Cho, Jae Yeon Choi, Woo Sung Choi
Journal of Trauma and Injury.2023; 36(1): 32. CrossRef
The Health Effect of Hand Arm Transmitted Vibration
Jung-Wan Koo
Journal of the Ergonomics Society of Korea.2013; 32(4): 303. CrossRef
Occupational Diseases in Korea
Seong-Kyu Kang, Eun A Kim
Journal of Korean Medical Science.2010; 25(Suppl): S4. CrossRef

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