Loffredo Michael A, Yan Ji-Geng, Kao Dennis, Zhang Lin Ling, Matloub Hani S, Riley Danny A
Department of Plastic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA.
Muscle Nerve. 2009 Jun;39(6):770-5. doi: 10.1002/mus.21235.
Prolonged hand-transmitted vibration exposure in the workplace has been recognized for almost a century to cause neurodegenerative and vasospastic disease. Persistence of the diseased state for years after cessation of tool use is of grave concern. To understand persistence of vibration injury, the present study examined recovery of nerve conduction velocity and structural damage of myelinated axons in a rat tail vibration model. Both 7 and 14 days of vibration (4 h/day) decreased conduction velocity. The decrease correlated directly with the increased percentage of disrupted myelinated axons. The total number of myelinated axons was unchanged. During 2 months of recovery, conduction velocity returned to control level after 7-day vibration but remained decreased after 14-day vibration. The rat tail model provides insight into understanding the persistence of neural deficits in hand-arm vibration syndrome.
在工作场所长时间通过手部接触振动导致神经退行性和血管痉挛性疾病,这一现象已被认识近一个世纪。停止使用工具多年后疾病状态仍持续存在,这令人严重担忧。为了解振动损伤的持续性,本研究在大鼠尾部振动模型中检测了神经传导速度的恢复情况以及有髓轴突的结构损伤。振动7天和14天(每天4小时)均降低了传导速度。这种降低与有髓轴突中断百分比的增加直接相关。有髓轴突的总数未变。在2个月的恢复期间,振动7天后传导速度恢复到对照水平,但振动14天后仍保持降低。大鼠尾部模型为理解手臂振动综合征中神经功能缺损的持续性提供了见解。