Vibrotactile Perception Thresholds following Short-Term Exposure to Hand–Arm Vibration: Application for Identifying Potential Workers at Risk of Neurosensory Disorders

Abstract

Background: The aim of this study was to propose and validate a novel indicator that characterizes the potential effects of exposure to hand–arm vibration (HAV) and evaluates the increasing risk of neurosensory components of hand–arm vibration syndrome (HAVS). The author focused on a quantity calculated from ascending and descending thresholds and residual shifts in vibrotactile perception thresholds (VPTs) observed at the fingertips in the recovery process after exposure to HAV. Methods: Thirty subjects—10 old exposed (G1), 10 old non-exposed (G2), and 10 young non-exposed subjects (G3)—were required to perform a series of grip tasks with exposure to two intensities of HAV, which was followed by 90 s of vibration perception measurements at the tip of each subject’s right index finger. Vibrotactile perception was measured every 5 min for 30 min. Results: Mean differences between ascending and descending thresholds (VPTWs) for G2 and G3 remained nearly unchanged over time after exposure to HAV. In contrast, the mean VPTWs for G1 gradually increased over time after exposure to HAV. The mean VPTWs for G1 were always larger than those for G2 and G3. TTS recovery was observed at 125 Hz under both of the HAV exposure conditions in each group. TTSs of nearly zero were observed for the low-HAV condition in G3. TTS recovery after exposure to HAV was not observed at 31.5 Hz in any of the subject groups. Regardless of elapsed time, the mean TTSs for G2 and G3 were smaller than those for G1. Negative TTS values showing a lower TTS than the baseline were sometimes observed for the low-HAV condition in G3. Conclusions: VPTWs can be a screening parameter that detects potential patients with only neurosensory components observed as an early sign of HAVS.