PMID: 11898875Mar 20, 2002Paper

Use of questionnaire screening for vibration white finger in a high risk industrial population

International Archives of Occupational and Environmental Health
J A AllenK M McKenna

Abstract

To compare the results of questionnaire screening with those of objective testing in the identification of vibration white finger (VWF) in a high risk population. Three groups of men (79 riveters, 52 healthy controls and 79 compensation claimants) were assessed for VWF by a detailed questionnaire covering occupational and general medical history and incorporating specific questions related to the presence or absence of relevant symptoms in their hands. Each then underwent provocative cold testing under controlled conditions using established protocols. The presence or absence of digital vasospasm following cooling was determined by finger systolic pressure measurements using laser Doppler flowmetry. The test protocols used have been evaluated in patients with a clear clinical diagnosis of non-occupational Raynaud's syndrome. 6.3% of the riveters and 83.5% of the claimants reported specific Raynaud's syndrome symptoms but 30.4% of the riveters and only 19% of the claimants tested positive for vasospasm after middle phalangeal cooling to 10 degrees C for 5 min. Using a more severe cooling protocol provoked vasospasm in 46.8% of the claimants. Lack of sensitivity or specificity of the objective testing could not explain the large ...Continue Reading

Citations

Sep 11, 2008·International Archives of Occupational and Environmental Health·Riitta SauniJukka Uitti
Nov 14, 2019·Revista da Associação Médica Brasileira·Rafael Alves Cordeiro, Rogério Muniz de Andrade
Nov 1, 2005·Environmental Health and Preventive Medicine·Christopher J Lindsell
Jun 24, 2008·Occupational Medicine·Sami Youakim
Aug 15, 2015·Occupational Medicine·C M HouseE H N Oakley

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