Residual Shift of Vibrotactile Perception Thresholds Following Repeated Hand-Arm Vibration Exposure: Screening Parameter for Early Signs of Neurosensory Disorders

Abstract

Background: The purpose of this study was to validate the applicability of a new screening parameter of VPTW defined as the difference between the ascending and descending thresholds of vibrotactile perception to evaluation of the increasing risk of the neurological components of hand-arm vibration syndrome (HAVS) for repeated exposure to hand-arm vibration (HAV). Methods: Thirty subjects—10 old exposed (G1), 10 old non-exposed (G2), and 10 young non-exposed subjects (G3)—were required to carry out three 3 min grip tasks with exposure to two intensities of HAV at 10 min intervals. Vibration perception measurements, each of which lasted 90 s, were performed at 5 min intervals at the right index finger. Results: VPTWs calculated from pairs of the vibrotactile ascending and descending thresholds at the fingertips were not significantly affected by repeated HAV exposure. Moreover, the VPTWs measured for non-exposed subjects were almost invariant regardless of the subjects’ age or the time elapsed after repeated exposure to HAV. Residual TTSs at 125 Hz gradually recovered in all subject groups under both HAV exposure conditions. The residual TTSs of non-exposed subject groups significantly increased as the number of iterations of HAV exposure increased. Conclusions: VPTWs measured after exposure to repeated HAV are invariant and independent of the individual neurosensory characteristics of the fingertips, which supports the hypothesis that VPTWs can be used as a screening parameter to detect potential patients only with neurosensory components observed as early signs of HAVS.