The complex of vascular, neurologic, and osteoarticular disorders occurring in the upper limbs of vibration-exposed workers is called hand-arm vibration syndrome.
There is epidemiologic evidence for an increased occurrence of peripheral sensorineural disorders in occupational groups working with vibrating tools.
An excess risk for wrist osteoarthrosis and for elbow arthrosis and osteophytosis has been reported in workers exposed to shocks and low-frequency vibration of high magnitude from percussive tools.
However, there are too few epidemiology data to enable reliable conclusions to be drawn about exposure-response relationships for both sensorineural disturbances and bone and joint disorders caused by hand-transmitted vibration.
Cross-sectional and longitudinal epidemiology studies have shown that occupational exposure to hand-transmitted vibration from a great variety of hand-held tools is significantly associated with an increased occurrence of digital vasospastic disorders called vibration-induced white finger (VWF).
The proposal of an exposure-response relationship for VWF has been included in an annex to the international standard ISO 5349.
The findings of several epidemiology studies have shown a poor agreement between the risk for VWF observed in various occupational groups and that predicted by the ISO 5349 model.
Both overestimation and underestimation of the occurrence of VWF have been reported by investigators. (...)
Mots-clés Pascal : Exposition professionnelle, Médecine travail, Article synthèse, Trouble dû aux vibrations, Vibration, Relation dose réponse, Homme, Vaisseau sanguin pathologie, Système nerveux pathologie, Système ostéoarticulaire pathologie
Mots-clés Pascal anglais : Occupational exposure, Occupational medicine, Review, Vibration induced disorder, Vibration, Dose activity relation, Human, Vascular disease, Nervous system diseases, Diseases of the osteoarticular system
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0068179
Code Inist : 002A08E. Création : 31/05/1999.