6 Cases of Hand Arm Vibration Syndrome in Grinding Workers Exposed to Hand-arm Vibration.
- Author:
Shang Hyuk YIM
;
Rokho KIM
;
Gil Seung YANG
;
Jung In YANG
;
Sang Sup KIM
;
Hyoung Joon CHUN
;
Si Bog PARK
- Publication Type:Case Report
- Keywords:
HAVS;
Grinder;
Hand-arm vibration acceleration level;
Cold provocation test;
Nerve conduction velocity
- MeSH:
Acceleration;
Diagnosis;
Electromyography;
Fingers;
Hand*;
Hand-Arm Vibration Syndrome*;
Neural Conduction;
Raynaud Disease;
Skin Temperature;
Urinalysis;
Vibration*
- From:Korean Journal of Occupational and Environmental Medicine
2000;12(3):421-429
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.