Krajnak Kristine, Miller G R, Waugh Stacey
a Engineering and Controls Technology Branch , National Institute for Occupational Safety and Health Morgantown , Morgantown , WV , USA.
J Toxicol Environ Health A. 2018;81(1-3):6-19. doi: 10.1080/15287394.2017.1401022. Epub 2017 Nov 27.
Repetitive exposure to hand-transmitted vibration is associated with development of peripheral vascular and sensorineural dysfunctions. These disorders and symptoms associated with it are referred to as hand-arm vibration syndrome (HAVS). Although the symptoms of the disorder have been well characterized, the etiology and contribution of various exposure factors to development of the dysfunctions are not well understood. Previous studies performed using a rat-tail model of vibration demonstrated that vascular and peripheral nervous system adverse effects of vibration are frequency-dependent, with vibration frequencies at or near the resonant frequency producing the most severe injury. However, in these investigations, the amplitude of the exposed tissue was greater than amplitude typically noted in human fingers. To determine how contact with vibrating source and amplitude of the biodynamic response of the tissue affects the risk of injury occurring, this study compared the influence of frequency using different levels of restraint to assess how maintaining contact of the tail with vibrating source affects the transmission of vibration. Data demonstrated that for the most part, increasing the contact of the tail with the platform by restraining it with additional straps resulted in an enhancement in transmission of vibration signal and elevation in factors associated with vascular and peripheral nerve injury. In addition, there were also frequency-dependent effects, with exposure at 250 Hz generating greater effects than vibration at 62.5 Hz. These observations are consistent with studies in humans demonstrating that greater contact and exposure to frequencies near the resonant frequency pose the highest risk for generating peripheral vascular and sensorineural dysfunction.
反复接触手部传递的振动与外周血管和感觉神经功能障碍的发生有关。这些疾病及其相关症状被称为手臂振动综合征(HAVS)。尽管该疾病的症状已得到充分表征,但各种暴露因素对功能障碍发生的病因和作用尚不清楚。先前使用大鼠尾巴振动模型进行的研究表明,振动对血管和外周神经系统的不良影响与频率有关,共振频率或接近共振频率的振动频率会造成最严重的损伤。然而,在这些研究中,暴露组织的振幅大于人类手指通常记录到的振幅。为了确定与振动源的接触以及组织生物动力学反应的振幅如何影响受伤风险,本研究使用不同程度的约束来比较频率的影响,以评估尾巴与振动源保持接触如何影响振动的传递。数据表明,在很大程度上,通过用额外的带子约束尾巴来增加尾巴与平台的接触,会导致振动信号传递增强以及与血管和外周神经损伤相关的因素升高。此外,还存在频率依赖性效应,250Hz的暴露比62.5Hz的振动产生更大的影响。这些观察结果与人类研究一致,表明更大的接触以及暴露于接近共振频率的频率会产生外周血管和感觉神经功能障碍的风险最高。