Lodi V, Delbianco M, Mandes A, Naldi M, Missere M, Violante F S, Gennari P, Raffi G B, Stambazzi M, Campana A
Scuola di specializzazione in Medicina del Lavoro, Università di Bologna.
G Ital Med Lav. 1989 Sep;11(5):243-8.
Electrophysiological findings in the median and ulnar nerves of a group of ten workers who operate hand-held vibrating power tools are described. Motor conduction velocities, motor latencies and amplitude of evoked compound muscle action potentials were measured. We have observed statistically significant changes in the distal latencies and in the amplitude of evoked compound muscle action potentials of median nerves in all the subjects examined, whereas the motor conduction velocities were normal in both median and ulnar nerve. These findings are compatible with functional changes without a clinically manifest neuropathy and they are suggestive of a compression damage such as carpal tunnel syndrome: the possible pathogenic mechanism of these damages are discussed. It's necessary to emphasize the importance of further studies in order to estimate the type and entity of the exposure to vibrations to show a cause-effect relationship.
描述了一组十名操作手持式振动电动工具的工人正中神经和尺神经的电生理检查结果。测量了运动传导速度、运动潜伏期和诱发复合肌肉动作电位的幅度。在所有接受检查的受试者中,我们观察到正中神经的远端潜伏期和诱发复合肌肉动作电位的幅度有统计学上的显著变化,而正中神经和尺神经的运动传导速度均正常。这些发现与无临床表现的神经病变的功能变化相符,提示存在如腕管综合征之类的压迫性损伤:讨论了这些损伤可能的致病机制。有必要强调进一步研究的重要性,以便评估振动暴露的类型和程度,以显示因果关系。