Document Detail


The relationship between hand-arm vibration and lower extremity clinical manifestations: a review of the literature.
MedLine Citation:
PMID:  11954985     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess the current literature supporting a relationship between hand-arm vibration (HAV) and lower extremity clinical effects. METHODS: An initial review of the literature identified lower extremity vascular and neurological effects reported in association with HAV. A second literature review was performed with explicit search and evaluation strategies. It focused on analytical studies and looked for epidemiological evidence supporting the relationship between HAV and lower extremity effects. RESULTS: Eight analytical studies which met all of the initial inclusion/exclusion criteria were identified. All of these had serious validity deficiencies with respect to selection bias, response rates and lack of examination of confounders. CONCLUSIONS: There was consistency with respect to an association between those exposed who were diagnosed with hand-arm vibration syndrome (HAVS) and vascular symptoms in the lower extremities. There was no evidence that hand-held vibration exposure independent of the diagnosis of HAVS was associated with lower extremity vascular symptoms. There was no evidence to suggest that HAV was associated with clinically significant lower extremity neurological symptoms.
Authors:
Michael Schweigert
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  International archives of occupational and environmental health     Volume:  75     ISSN:  0340-0131     ISO Abbreviation:  Int Arch Occup Environ Health     Publication Date:  2002 Mar 
Date Detail:
Created Date:  2002-04-16     Completed Date:  2002-09-27     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7512134     Medline TA:  Int Arch Occup Environ Health     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  179-85     Citation Subset:  IM    
Affiliation:
Occupational Health Services Program, St Michael's Hospital, University of Toronto, Canada. m.schweigert@utoronto.ca
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MeSH Terms
Descriptor/Qualifier:
Arm / blood supply*
Hand / blood supply*
Humans
Leg / physiopathology*
Occupational Diseases / diagnosis,  etiology*,  physiopathology
Peripheral Nervous System Diseases / diagnosis,  etiology*,  physiopathology
Raynaud Disease / diagnosis,  etiology*,  physiopathology
Vasoconstriction / physiology
Vibration / adverse effects*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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