Clinical assessment of suspected damage from hand-held vibrating tools.

Ekenvall, Lena

doi:10.5271/sjweh.2051

Cited by 9 publications

(1 citation statement)

References 28 publications

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“…This is because of the 1-3% prevalence of this idiopathic condition among the normal population (85). Although it is sometimes argued that cold provocation tests cannot discriminate between primary Raynaud's phenomenon and VWF (86), the pattern of vascular dysfunction may be useful; a symmetrical distribution of dysfunction is likely to be indicative of primary Raynaud's phenomenon, whereas in VWF asymmetrical injury is observed (72).…”

Section: Disease and Injurymentioning

confidence: 99%

Test battery for assessing vascular disturbances of fingers

Lindsell

2005

Environ Health Prev Med

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The diagnosis of vibration-induced white finger (VWF) is difficult, often relying on medical interview and history. The condition is characterized by an exaggerated vasoconstriction of digital arteries in response to cold. The complete closure of digital arteries is episodic and results in a characteristic blanching that is rarely observed by a clinician. Objective measurements of the response of the digital circulation to cold can assist in evaluating a patient for VWF. Finger systolic blood pressure (FSBP) following local cooling is a measure of cold-induced vasoconstriction in digital arteries and is an assessment of vasomotor tone. Low FSBPs following cooling are indicative of dysfunction. Finger skin temperature (FST) following hand cooling is a measure of cutaneous blood flow. The mechanism underlying the recovery of cutaneous blood flow following cooling is as yet not fully understood, but a delayed recovery is believed to arise from persistent vascular disturbances of the fingers or from a resulting in conflicting opinions concerning the utility of the measurements, a scarcity of comparable data from epidemiological investigations, and limited normative data to aid clinicians in decision-making. This review of evidence on which the tests are based is aimed at providing clinicians and researchers with an understanding of the factors that must be considered when conducting the tests, interpreting the results, and comparing results between different studies.

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Section: Disease and Injurymentioning

confidence: 99%