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- Title
Assessment of the hand arm vibration syndrome: thermometry, plethysmography and the Stockholm Workshop Scale.
- Authors
Aaron Thompson; Ron House; Michael Manno
- Abstract
Background The Stockholm Workshop Scale (SWS) provides a staging scheme for hand–arm vibration syndrome (HAVS) based on subjective history. Cold provocation finger thermometry and plethysmography are commonly used objective tests for the vascular component of HAVS. Aim To examine the correlation between the cold provocation tests and SWS vascular stage. A secondary goal was to evaluate the correlation between cold provocation finger plethysmography and thermometry testing. Methods Patients investigated for HAVS at St Michaels Hospital, Toronto, Ontario, were subjected to the same protocol including a questionnaire, clinical assessment and objective testing. Spearman correlation coefficients were calculated for the vascular tests with the SWS and for the vascular tests themselves. Logistic regression models controlled for age, smoking, use of vasoactive medications and time since last vibration exposure. Results One hundred and thirty-nine patients investigated for HAVS consented to participate in the study. The correlation coefficients for plethysmography (ρ = 0.14) and thermometry (ρ = 0.18) with the SWS were not statistically significant. Plethysmography and thermometry results were significantly correlated (ρ = 0.47, P < 0.001). Logistic regression showed plethysmography and thermometry to weakly predict SWS vascular stage (OR 1.5 and 1.3, respectively). None of the potential confounders had a significant effect in the models. Conclusion The results of plethysmography and thermometry did not significantly correlate with SWS vascular stage in this study. The objective tests did correlate with each other, suggesting that they are reliable measures of similar phenomena likely related to underlying vascular pathology.
- Subjects
VIBRATION syndrome; WORKSHOPS (Facilities); PREVENTIVE medicine; OCCUPATIONAL diseases
- Publication
Occupational Medicine, 2007, Vol 57, Issue 7, p512
- ISSN
0962-7480
- Publication type
Article
- DOI
10.1093/occmed/kqm076