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A roadmap for assessing the diagnostic usefulness of neurosensory testing and an updated method for exposure assessment among vibration-exposed workers in northern Sweden
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Section of Sustainable Health.ORCID iD: 0000-0001-7077-2389
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Section of Sustainable Health.ORCID iD: 0000-0002-5936-1172
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Section of Sustainable Health.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Section of Sustainable Health.ORCID iD: 0000-0001-6082-8465
2024 (English)In: International Journal of Circumpolar Health, ISSN 1239-9736, E-ISSN 2242-3982, Vol. 83, no 1, article id 2403793Article in journal (Refereed) Published
Abstract [en]

Workers who use handheld vibrating machines such as grinders, hammers and chainsaws expose themselves to hand-arm vibration (HAV). Exposure to HAV may cause injuries to both the neurological and the vascular system. The occupational health services (OHS) in Sweden use a formal guideline for secondary prevention focusing on early detection of vibration-related injuries. The guide includes several screening tools, such as a screening questionnaire, clinical examinations, and laboratory tests. There are no studies, to our knowledge, on the diagnostic value of the separate items on symptoms in the screening questionnaire in relation to the laboratory tests or the clinical examinations performed during a medical examination among patients exposed to HAV. Furthermore, the recently presented ISO standard for HAV measurements (ISO/TR 18,750) has only been tested for vascular injuries and not neurological injuries. This research roadmap aims to evaluate separate items in a screening questionnaire on neurological symptoms in relation to laboratory and clinical tests among HAV exposed workers in the Arctic region of Northern Sweden. It also covers a comparison of the dose-response of the current ISO 5349-1 measurement standard and the new suggested standard ISO/TR 18,750 with the neurosensory outcomes. This manuscript describes the study rationale, design, methods, and significance.

Place, publisher, year, edition, pages
Taylor & Francis, 2024. Vol. 83, no 1, article id 2403793
Keywords [en]
hand-arm vibration syndrome, Health surveillance, measurements, neurological symptoms, occupational health, screening, Sweden
National Category
Public Health, Global Health and Social Medicine Occupational Health and Environmental Health
Identifiers
URN: urn:nbn:se:umu:diva-229902DOI: 10.1080/22423982.2024.2403793ISI: 001312468800001PubMedID: 39265044Scopus ID: 2-s2.0-85204082753OAI: oai:DiVA.org:umu-229902DiVA, id: diva2:1900811
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2020-0053Region Västerbotten, RV-941208Region Västerbotten, RV-969332Region Västerbotten, RV-982313Available from: 2024-09-25 Created: 2024-09-25 Last updated: 2025-02-20Bibliographically approved

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Pettersson, HansLiljelind, IngridNilsson, TohrStjernbrandt, Albin

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