Sensory perception testing by monofilaments in the digits of controls and workers with HAVS
| Autor: | E W Robinson, C J M Poole, G Frost |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty media_common.quotation_subject Audiology Sensory perception HAVS Vibration Fingers Monofilaments 03 medical and health sciences Vibration perception symbols.namesake Young Adult 0302 clinical medicine Perception Vibration syndrome Medicine Humans 030212 general & internal medicine Poisson regression media_common Aged business.industry Hand-arm vibration syndrome Public Health Environmental and Occupational Health Sensory loss Middle Aged Numerical digit Neuropathy Occupational Diseases Sensory Thresholds Sensation Disorders Sensory neuropathy symbols Female Original Article business 030217 neurology & neurosurgery Kappa |
| Zdroj: | International Archives of Occupational and Environmental Health |
| ISSN: | 1432-1246 |
| Popis: | Objective To determine if heavy manual work affects sensory perception in the digits and whether Semmes–Weinstein monofilaments (SWM) can be used as a screening tool to detect sensory neuropathy in the digits of workers exposed to hand-transmitted vibration (HTV). Methods A cross-sectional study of office workers, heavy manual workers not exposed to HTV and workers with hand-arm vibration syndrome (HAVS). Sensory perception was measured in the digits by SWM using a forced-choice method to determine variability by sex, age, hand and digit. Frequency distributions were used to determine limit values and linear weighted kappa for intra-digit variability. Poisson regression was used to explore the relationship between sensory perception by SWM and abnormalities of thermal and vibration perception in the hands of workers with HAVS. Results The sensory perception threshold of office workers did not vary by hand or digit. It was significantly lower in women 50 years had the highest threshold at 1.40 (95% CI 1.00–2.00). Weighted kappa for reliability was 0.63 (95% CI 0.53–0.70). A mean SWM threshold of ≥ 1.0 gram-force had a 79% sensitivity and 64% specificity for detecting abnormalities of thermal and vibration perception in the ipsilateral index and little fingers of workers with HAVS. Conclusions SWM are a useful screening tool for detecting sensory loss in the digits of workers exposed to HTV. |
| Databáze: | OpenAIRE |
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