Hand-arm vibration injury is a well-known occupational disorder that affects many workers globally. The diagnosis is based mainly on quantitative psychophysical tests and medical history. Typical manifestations of hand-arm vibration injury entail episodes of finger blanching, Raynaud's phenomenon (RP) and sensorineural symptoms from affected nerve fibres and mechanoreceptors in the skin. Differences in serum levels of 17 different biomarkers between 92 patients with hand-arm vibration injury and 51 controls were analysed. Patients with hand-arm vibration injury entailing RP and sensorineural manifestations showed elevated levels of biomarkers associated with endothelial injury or dysfunction, inflammation, vaso- or neuroprotective compensatory, or apoptotic mechanisms: intercellular adhesion molecule-1 (ICAM-1), monocyte chemoattractant protein-1 (MCP-1); thrombomodulin (TM), heat shock protein 27 (HSP27); von Willebrand factor, calcitonin gene-related peptide (CGRP) and caspase-3. This study adds important knowledge on pathophysiological mechanisms that can contribute to the implementation of a more objective method for diagnosis of hand-arm vibration injury.
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http://dx.doi.org/10.1038/s41598-024-52782-1 | DOI Listing |
J Hand Ther
January 2025
Neuroscience Center, King Fahad Specialist Hospital, Dammam, Saudi Arabia; King Salman Center for Disability Research, Riyadh, Saudi Arabia.
Background: Hand-arm Vibration Syndrome (HAVS) is a disorder caused by prolonged exposure to hand-held vibrating instruments, commonly observed in industrial contexts such as mining, construction, and manufacturing. It involves symptoms affecting the musculoskeletal, neurological, and vascular systems of the arm and hand.
Purpose: The main aim of this study is to determine the prevalence of HAVS among laborers working in the Khewra salt mines.
Heliyon
November 2024
DIIEM, Department of Industrial, Electronical and Mechanical Engineering, University of Roma Tre, via Vito Volterra, 62, 00146, Rome, Italy.
Protection provided by vibration-reducing gloves (VR) when used with impact tools can be considerably different from that measured following the ISO 10819 Standard. This paper investigates the transmissibility, at the palm level, of three different types of vibration-reducing gloves (air bubbles; gel; neoprene) and a working leather glove, while using 8 different models of electro-pneumatic hammers for chiseling rock in a limestone quarry plant. The capability to reduce the triaxial vibration as the average of all the tested hammers results limited: 12 % for both the gloves in gel and neoprene, and 7 % for the glove in air.
View Article and Find Full Text PDFJ Toxicol Environ Health A
March 2025
Physical Effects Research Branch, National Institute for Occupational Safety and Health, Morgantown, WV, USA.
Workers regularly using vibrating hand tools may develop a disorder referred to as hand-arm vibration syndrome (HAVS). HAVS is characterized by cold-induced vasospasms in the hands and fingers that result in blanching of the skin, loss of sensory function, pain, and reductions in manual dexterity. Exposure to vibration induces some of these symptoms.
View Article and Find Full Text PDFAnn Work Expo Health
January 2025
Department of Environmental Health Sciences, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35294-0022, United States.
Objective: The objectives of this study were to evaluate daily hand-arm vibration (HAV) exposure among groundskeepers, characterize power tools used, and estimate lifetime cumulative HAV exposure dose.
Methods: Seventeen groundskeepers and ten office workers employed at two US southeasterrn institutions were recruited as a target exposure group and a reference group, respectively. A 6-d exposure assessment of HAV was scheduled, and vibration dosimeters were used to obtain daily vibration exposure value, A(8).
Front Public Health
October 2024
Department of Occupational and Environmental Medicine, Singapore General Hospital, Singapore, Singapore.
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