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Medial plantar nerve conduction velocities among patients with vibration syndrome due to chain-saw work
Authors:M Hirata  H Sakakibara  S Yamada  T Hashiguchi  N Toibana  H Koshiyama  H Hirano
Institution:(1) Department of Occupational Health, Osaka Prefectural Institute of Public Health, Nakamichi 1-3-69, Higashinari-ku, 537-0025, Osaka, Japan e-mail: hirata@iph.pref.osaka.jp Tel.: +81-6-69721321; Fax: +81-6-69722393, JP;(2) Department of Public Health, Nagoya University School of Medicine, Nagoya, Japan, JP;(3) Formerly of the Department of Public Health, Nagoya University School of Medicine, Nagoya, Japan, JP;(4) Kyushu Research Institute for Social Medicine, Ohmuta, Japan, JP;(5) Tokushima Kensei Hospital, Tokushima, Japan, JP;(6) Kochi Seikyo Hospital, Kochi, Japan, JP;(7) Koyo Seikyo Hospital, Fukui, Japan, JP
Abstract:Objective: The present study examined the effect of the vibration syndrome (VS) on the peripheral nervous system in the lower extremities. Methods: Thirty-eight patients with VS due to previous exposure to vibration from chain-saw work and 55 age-matched controls were examined for sensory nerve conduction velocities in the medial plantar nerve (SCV-P). The patient group was divided into two subgroups, one with (n=19) and the other without vibration-induced white finger (VWF; n=19). Results: Analysis of variance of SCV-P for the three groups showed significant difference (F 2,89=10.65, P < 0.0001). A significant difference was found between the controls and the VWF+ group (P < 0.0001) but not between the controls and the VWF group (P=0.0508) by multiple comparison using Scheffe's method. Conclusion: These findings suggest that VS affects the peripheral nervous system function in the lower extremities via mediation of circulatory disturbance manifested as VWF. Received: 7 May 1998 / Accepted: 15 June 1999
Keywords:Vibration syndrome  Chain-saw operator  Vibration-induced white finger  Sensory nerve conduction velocity  Medial plantar nerve
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