Tar-Ching Aw

in Oxford Textbook of Medicine

Published on behalf of Oxford University Press

Published in print May 2010 | ISBN: 9780199204854
Published online May 2010 | e-ISBN: 9780199570973 | DOI:

Series: Oxford Textbooks


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Various occupations can lead to exposure to vibration, which can be transmitted to the whole body or localized to the hands. The main clinical effect of whole body vibration exposure is low back pain. Effects from hand-transmitted vibration can be (1) vascular, with manifestations of secondary Raynaud’s phenomenon; (2) neurological, often presenting as paraesthesia and reduced sensory perception; and (3) musculoskeletal, including reduced grip strength and loss of manual dexterity. Management requires exclusion of differential diagnoses, and the identification and reduction of exposure to vibration at source. Diagnosis of an index case should prompt further investigation and (if possible) modification of the workplace to prevent other cases....

Chapter.  1377 words.  Illustrated.

Subjects: Occupational Medicine

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