Harazin Barbara, Kuprowski Jarosław, Stolorz Grazyna
Occupational Health Protection Unit, Faculty of Public Health, Medical University of Silesia, Katowice, Poland.
Int J Occup Med Environ Health. 2003;16(4):311-9.
The measurement of vibrotactile perception thresholds (VPTs) on the workers' fingertips is one of the diagnostic methods of the occupational peripheral neuropathies. The aim of the study was to compare the repeatability of VPT measurements in two groups of healthy women with different finger skin temperature, using two different types of measuring systems.
One measuring system employed a pallesthesiometer, and the measurement procedure complied with the new ISO 13091-1 standard; the other used vibrotactile meter according to the Polish procedure. Ten healthy women, mean age, 38.5 years, took part in 10 sessions, twice a day for over a five-day period. VPTs were measured on 3 fingers of both hands at eight discrete frequencies from 4 to 500 Hz with a pallesthesiometer, and adequately at five frequencies from 63 to 500 Hz with a vibrotactile meter.
It was observed that the succession of repeated vibration perception measurements, determined according to the ISO method, did not significantly influence the mean values of vibrotactile thresholds in subjects with the finger skin temperature not lower than 29degrees C. The repeatability of vibrotactile threshold measurements was similar in both groups only when the ISO method was used. The mean VPT values, obtained with the ISO 13091-1 method, were significantly higher in healthy subjects with lower finger skin temperature, which did not exceed 28 degrees C.
The results of vibrotactile threshold measurements, obtained according to the ISO 13091-1 method, are repeatable. Repeatability of vibrotactile threshold results obtained with the ISO 13091-1 method, within the range of low frequencies up to 125 Hz does not depend on the finger skin temperature.
测量工人指尖的振动触觉感知阈值(VPT)是职业性周围神经病变的诊断方法之一。本研究的目的是使用两种不同类型的测量系统,比较两组手指皮肤温度不同的健康女性中VPT测量的重复性。
一种测量系统采用触觉计,测量程序符合新的ISO 13091-1标准;另一种根据波兰程序使用振动触觉计。10名健康女性,平均年龄38.5岁,参加了10次测量,在五天内每天进行两次。使用触觉计在双手的3根手指上以4至500Hz的8个离散频率测量VPT,并使用振动触觉计在63至500Hz的5个频率上进行适当测量。
观察到,根据ISO方法确定的重复振动感知测量的顺序,对手指皮肤温度不低于29摄氏度的受试者的振动触觉阈值平均值没有显著影响。仅当使用ISO方法时,两组振动触觉阈值测量的重复性相似。使用ISO 13091-1方法获得的平均VPT值,在手指皮肤温度较低(不超过28摄氏度)的健康受试者中显著更高。
根据ISO 13091-1方法获得的振动触觉阈值测量结果是可重复的。在高达125Hz的低频范围内,使用ISO 13091-1方法获得的振动触觉阈值结果的重复性不取决于手指皮肤温度。