Factors influencing autonomic nervous function during cold-water immersion test in patients with hand–arm vibration syndrome

Takahashi, Shunsaku; Iwamoto, Mieko; Yoshimura, Mitsu; M, Laskar; Shirono, Setsuko; Fujimura, Takae; Harada, Noriaki

doi:10.1007/s00420-002-0409-2

Int Arch Occup Environ Health

2003

DOI: 10.1007/s00420-002-0409-2

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Factors influencing autonomic nervous function during cold-water immersion test in patients with hand–arm vibration syndrome

Shunsaku Takahashi

Mieko Iwamoto

Mitsu Yoshimura

et al.

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Cited by 5 publications

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“…In search of the aid for visualization of vasomotor disorders, different provocation methods were used for activation of the sympathetic nerves, responsible for the peripheral vascular reactions . Tests with the stimulation of the sympathetics have been utilized with good results in CRPS patients to distinguish the clinical cases .…”

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Are the infrared thermography findings skin temperature‐dependent? a study on neck pain patients

Zaproudina

Airaksinen

Närhi

2012

Skin Research and Technology

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confidence: 99%

Are the infrared thermography findings skin temperature‐dependent? a study on neck pain patients

Zaproudina

Airaksinen

Närhi

2012

Skin Research and Technology

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The Challenge of Hand Arm Vibration Syndrome (HAVS)

Katz

2007

AMA Guides® Newsletter

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Hand arm vibration syndrome (HAVS) has been defined as a constellation of vascular, neurological, and musculoskeletal signs and symptoms in workers who use hand-held vibrating tools (eg, drills, grinders, saws, or jackhammers); pathological features affect primarily vascular, neurological, and muscle tissues. Researchers have hypothesized changes in central nervous system processing, but no significant somatotopic cortical changes have been found using functional magnetic resonance imaging. Differential diagnosis of HAVS includes a variety of anatomical, circulatory, and vasospastic disorders and was standardized in the Stockholm Workshop classification scale (1987). Available laboratory tests generally are incapable of grading the severity of individual cases, and no protocol reliably distinguishes between psychogenic and organic abnormalities. Some proposed tests are impractical, and multimodality testing is confounded by statistical fallacies. Vascular tests, including the cold provocation tests, correlate poorly with disease staging according to the Stockholm Scale, and plethysmography before and after cold provocation, were found to be unsatisfactory. Job tasks that involve vibrating machines are associated with musculoskeletal symptoms but sorting out the roles and latency periods of vibration, repetitive movements, grip and push factors, and worker postures is imprecise. The AMA Guides to the Evaluation of Permanent Impairment, does not provide directions about rating impairment associated with HAVS, but evaluators can use Chapter 16 The Upper Extremities, basing the rating on motion, neurological, and/or vascular deficits.

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Different conditions of cold water immersion test for diagnosing hand-arm vibration syndrome

Laskar

Harada

2005

Environ Health Prev Med

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The cold water immersion test with finger skin temperature (FST) measurement is used to assess vascular disorders in hand-arm vibration syndrome (HAVS). The test method is currently being standardized within the International Organization for Standardization (ISO) in which a water temperature of 12°C for 5 min of hand immersion and an option of using a waterproof hand covering during immersion are proposed. It is necessary to evaluate the diagnostic significance of the test with FST measurement under different conditions to provide a proper management of HAVS patients. The aim of this article is to review research findings of this test with FST measurement and discuss test conditions influencing the results and diagnostic significance.Different conditions were employed, and the test results were shown to be influenced by water temperature, immersion time and other conditions such as room temperature, season, ischemia during immersion, and evaluation parameters. These factors need to be considered in the standardization of the cold water immersion test with FST measurement. It has been mentioned that a high water temperature, a short immersion time and other conditions should be chosen to expose a subject to minimal suffering during the test. A water temperature between 10°C and 15°C and a 5 min immersion might be suitable for the cold water immersion test. The reported sensitivity and specificity evaluating rewarming to the initial temperature for the test using a water temperature of 12°C and a 3 min immersion are 58% and 100%, respectively; these are low but similar to those for tlie water immersion test at 10°C. Therefore, the proposed cold water immersion test at 12°C for 5 min by the ISO (Draft International Standard) is the focus of much interest, and further studies are needed to obtain sufficient data for evaluating the diagnostic significance of the test. At present, the test needs to be used together with a test battery.

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Factors influencing autonomic nervous function during cold-water immersion test in patients with hand–arm vibration syndrome

Cited by 5 publications

References 13 publications

Are the infrared thermography findings skin temperature‐dependent? a study on neck pain patients

Are the infrared thermography findings skin temperature‐dependent? a study on neck pain patients

The Challenge of Hand Arm Vibration Syndrome (HAVS)

Different conditions of cold water immersion test for diagnosing hand-arm vibration syndrome

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