Hand-arm vibration syndrome with use of anti-vibration chain saws : 19-year follow-up study of forestry workers
Hand-arm vibration syndrome (HAVS) consists of vascular and neurological component. Musculoskeletal component has not been delineated yet. In the present follow-up study, we evaluated the prevalence of HAVS and the cumulative exposure to vibration among a cohort of forestry workers. Special interest...
Gespeichert in:
| Veröffentlicht in: | International archives of occupational and environmental health 2006-09, Vol.79 (8), p.665-671 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 671 |
|---|---|
| container_issue | 8 |
| container_start_page | 665 |
| container_title | International archives of occupational and environmental health |
| container_volume | 79 |
| creator | SUTINEN, Päivi TOPPILA, Esko STARCK, Jukka BRAMMER, Anthony JING ZOU PYYKKO, Ilmari |
| description | Hand-arm vibration syndrome (HAVS) consists of vascular and neurological component. Musculoskeletal component has not been delineated yet. In the present follow-up study, we evaluated the prevalence of HAVS and the cumulative exposure to vibration among a cohort of forestry workers. Special interest was given to numbness and musculoskeletal disorders of upper extremity and neck in forestry workers.
A follow-up study starting from 1976 was conducted among forestry workers in Suomussalmi in Finland. Total exposure of hand-arm vibration was recorded during 11 cross-sectional surveys. The last study was carried out in 1995. The lifetime dose of vibration energy was calculated. A cohort of 52 forest workers participated to all 11 cross-sectional surveys 1976-1995. HAVS and musculoskeletal disorders were evaluated.
The prevalence of active vibration white finger (VWF) decreased from 13 to 4% in the cross-sectional study. In the cohort VWF decreased from 17 to 8% and numbness increased from 23 to 40%. Rotator cuff syndrome (P=0.034) and epicondylitis (P=0.004) associated with numbness. Regional neck pain was diagnosed in 38% of workers and associated with low back pain. In modeling VWF, the lifelong vibration energy (OR 1.03, CI 1.01-1.05), and smoking (OR 7.36, CI 1.07-50.76) were significant. Numbness was modeled by pain in upper extremities (OR 12.43, CI 2.42-63.80) and neck pain (5.97, CI 1.25-28.39), not by lifelong vibration energy. Right rotator cuff syndrome was modeled by age (OR 2.58, CI 1.04-6.41) and lifelong vibration energy (OR 1.04, CI 1.00-1.07).
The prevalence of VWF constantly decreased. Numbness did not follow the vibration exposure profile. Numbness also associated with upper extremity musculoskeletal disorders. Hand-arm vibration associated with the right rotator cuff syndrome in forestry workers. |
| doi_str_mv | 10.1007/s00420-006-0099-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_29734229</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>19371223</sourcerecordid><originalsourceid>FETCH-LOGICAL-c418t-36bdb49fa2ff44eca4a77f8fab9e3912f84084aa61b70623c079436ec1c7a5473</originalsourceid><addsrcrecordid>eNqFkcGKFDEURYMoTk_rB7iRIDi7aF6STiruhkEdYcCNrsOrVMLUWFVpkyqb-nvTdEODGxfhLXLu5SWHkDfAPwDn5mPhXAnOONf1WMvEM7IBJQUDofRzsuFS1VuQcEWuS3niHIw28iW5Ar0TUoLekHSPU8cwj_RP32ac-zTRsk5dTmOgh35-pEsJNEWK09yzC-Mfsa8kHgr9RMGyNWCmMQ1DOrBlT8u8dOsxFlMOZc4rPaT8K-TyiryIOJTw-jy35OeXzz_u7tnD96_f7m4fmFfQzEzqtmuVjShiVCp4VGhMbCK2NkgLIjaKNwpRQ2u4FtJzY5XUwYM3uFNGbsnNqXef0--lruDGvvgwDDiFtBQnrJFKCPtfEKw0IOpvbcm7f8CntOSpPsJpkLud1ebYBifI51RKDtHtcz9iXh1wd3TmTs5cdeaOzpyombfn4qUdQ3dJnCVV4P0ZwOJxiBkn35cL13DLAbj8C31annY</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>613559679</pqid></control><display><type>article</type><title>Hand-arm vibration syndrome with use of anti-vibration chain saws : 19-year follow-up study of forestry workers</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>SUTINEN, Päivi ; TOPPILA, Esko ; STARCK, Jukka ; BRAMMER, Anthony ; JING ZOU ; PYYKKO, Ilmari</creator><creatorcontrib>SUTINEN, Päivi ; TOPPILA, Esko ; STARCK, Jukka ; BRAMMER, Anthony ; JING ZOU ; PYYKKO, Ilmari</creatorcontrib><description>Hand-arm vibration syndrome (HAVS) consists of vascular and neurological component. Musculoskeletal component has not been delineated yet. In the present follow-up study, we evaluated the prevalence of HAVS and the cumulative exposure to vibration among a cohort of forestry workers. Special interest was given to numbness and musculoskeletal disorders of upper extremity and neck in forestry workers.
A follow-up study starting from 1976 was conducted among forestry workers in Suomussalmi in Finland. Total exposure of hand-arm vibration was recorded during 11 cross-sectional surveys. The last study was carried out in 1995. The lifetime dose of vibration energy was calculated. A cohort of 52 forest workers participated to all 11 cross-sectional surveys 1976-1995. HAVS and musculoskeletal disorders were evaluated.
The prevalence of active vibration white finger (VWF) decreased from 13 to 4% in the cross-sectional study. In the cohort VWF decreased from 17 to 8% and numbness increased from 23 to 40%. Rotator cuff syndrome (P=0.034) and epicondylitis (P=0.004) associated with numbness. Regional neck pain was diagnosed in 38% of workers and associated with low back pain. In modeling VWF, the lifelong vibration energy (OR 1.03, CI 1.01-1.05), and smoking (OR 7.36, CI 1.07-50.76) were significant. Numbness was modeled by pain in upper extremities (OR 12.43, CI 2.42-63.80) and neck pain (5.97, CI 1.25-28.39), not by lifelong vibration energy. Right rotator cuff syndrome was modeled by age (OR 2.58, CI 1.04-6.41) and lifelong vibration energy (OR 1.04, CI 1.00-1.07).
The prevalence of VWF constantly decreased. Numbness did not follow the vibration exposure profile. Numbness also associated with upper extremity musculoskeletal disorders. Hand-arm vibration associated with the right rotator cuff syndrome in forestry workers.</description><identifier>ISSN: 0340-0131</identifier><identifier>EISSN: 1432-1246</identifier><identifier>DOI: 10.1007/s00420-006-0099-2</identifier><identifier>PMID: 16523316</identifier><identifier>CODEN: IAEHDW</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Cohort Studies ; Cross-Sectional Studies ; Dermatology ; Diseases of the osteoarticular system ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Energy ; Ergonomics ; Extremities ; Follow-Up Studies ; Forestry ; Hand-arm vibration syndrome ; Hand-Arm Vibration Syndrome - epidemiology ; Hand-Arm Vibration Syndrome - etiology ; Humans ; Hypesthesia - epidemiology ; Juxtaarticular diseases. Extraarticular rhumatism ; Low back pain ; Medical sciences ; Musculoskeletal Diseases - epidemiology ; Musculoskeletal Diseases - etiology ; Neck Pain - epidemiology ; Occupational Diseases - epidemiology ; Occupational Exposure ; Occupational hazards ; Pain - epidemiology ; Vascular disorders of the skin</subject><ispartof>International archives of occupational and environmental health, 2006-09, Vol.79 (8), p.665-671</ispartof><rights>2006 INIST-CNRS</rights><rights>Springer-Verlag 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-36bdb49fa2ff44eca4a77f8fab9e3912f84084aa61b70623c079436ec1c7a5473</citedby><cites>FETCH-LOGICAL-c418t-36bdb49fa2ff44eca4a77f8fab9e3912f84084aa61b70623c079436ec1c7a5473</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18090110$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16523316$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SUTINEN, Päivi</creatorcontrib><creatorcontrib>TOPPILA, Esko</creatorcontrib><creatorcontrib>STARCK, Jukka</creatorcontrib><creatorcontrib>BRAMMER, Anthony</creatorcontrib><creatorcontrib>JING ZOU</creatorcontrib><creatorcontrib>PYYKKO, Ilmari</creatorcontrib><title>Hand-arm vibration syndrome with use of anti-vibration chain saws : 19-year follow-up study of forestry workers</title><title>International archives of occupational and environmental health</title><addtitle>Int Arch Occup Environ Health</addtitle><description>Hand-arm vibration syndrome (HAVS) consists of vascular and neurological component. Musculoskeletal component has not been delineated yet. In the present follow-up study, we evaluated the prevalence of HAVS and the cumulative exposure to vibration among a cohort of forestry workers. Special interest was given to numbness and musculoskeletal disorders of upper extremity and neck in forestry workers.
A follow-up study starting from 1976 was conducted among forestry workers in Suomussalmi in Finland. Total exposure of hand-arm vibration was recorded during 11 cross-sectional surveys. The last study was carried out in 1995. The lifetime dose of vibration energy was calculated. A cohort of 52 forest workers participated to all 11 cross-sectional surveys 1976-1995. HAVS and musculoskeletal disorders were evaluated.
The prevalence of active vibration white finger (VWF) decreased from 13 to 4% in the cross-sectional study. In the cohort VWF decreased from 17 to 8% and numbness increased from 23 to 40%. Rotator cuff syndrome (P=0.034) and epicondylitis (P=0.004) associated with numbness. Regional neck pain was diagnosed in 38% of workers and associated with low back pain. In modeling VWF, the lifelong vibration energy (OR 1.03, CI 1.01-1.05), and smoking (OR 7.36, CI 1.07-50.76) were significant. Numbness was modeled by pain in upper extremities (OR 12.43, CI 2.42-63.80) and neck pain (5.97, CI 1.25-28.39), not by lifelong vibration energy. Right rotator cuff syndrome was modeled by age (OR 2.58, CI 1.04-6.41) and lifelong vibration energy (OR 1.04, CI 1.00-1.07).
The prevalence of VWF constantly decreased. Numbness did not follow the vibration exposure profile. Numbness also associated with upper extremity musculoskeletal disorders. Hand-arm vibration associated with the right rotator cuff syndrome in forestry workers.</description><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Cohort Studies</subject><subject>Cross-Sectional Studies</subject><subject>Dermatology</subject><subject>Diseases of the osteoarticular system</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Energy</subject><subject>Ergonomics</subject><subject>Extremities</subject><subject>Follow-Up Studies</subject><subject>Forestry</subject><subject>Hand-arm vibration syndrome</subject><subject>Hand-Arm Vibration Syndrome - epidemiology</subject><subject>Hand-Arm Vibration Syndrome - etiology</subject><subject>Humans</subject><subject>Hypesthesia - epidemiology</subject><subject>Juxtaarticular diseases. Extraarticular rhumatism</subject><subject>Low back pain</subject><subject>Medical sciences</subject><subject>Musculoskeletal Diseases - epidemiology</subject><subject>Musculoskeletal Diseases - etiology</subject><subject>Neck Pain - epidemiology</subject><subject>Occupational Diseases - epidemiology</subject><subject>Occupational Exposure</subject><subject>Occupational hazards</subject><subject>Pain - epidemiology</subject><subject>Vascular disorders of the skin</subject><issn>0340-0131</issn><issn>1432-1246</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkcGKFDEURYMoTk_rB7iRIDi7aF6STiruhkEdYcCNrsOrVMLUWFVpkyqb-nvTdEODGxfhLXLu5SWHkDfAPwDn5mPhXAnOONf1WMvEM7IBJQUDofRzsuFS1VuQcEWuS3niHIw28iW5Ar0TUoLekHSPU8cwj_RP32ac-zTRsk5dTmOgh35-pEsJNEWK09yzC-Mfsa8kHgr9RMGyNWCmMQ1DOrBlT8u8dOsxFlMOZc4rPaT8K-TyiryIOJTw-jy35OeXzz_u7tnD96_f7m4fmFfQzEzqtmuVjShiVCp4VGhMbCK2NkgLIjaKNwpRQ2u4FtJzY5XUwYM3uFNGbsnNqXef0--lruDGvvgwDDiFtBQnrJFKCPtfEKw0IOpvbcm7f8CntOSpPsJpkLud1ebYBifI51RKDtHtcz9iXh1wd3TmTs5cdeaOzpyombfn4qUdQ3dJnCVV4P0ZwOJxiBkn35cL13DLAbj8C31annY</recordid><startdate>20060901</startdate><enddate>20060901</enddate><creator>SUTINEN, Päivi</creator><creator>TOPPILA, Esko</creator><creator>STARCK, Jukka</creator><creator>BRAMMER, Anthony</creator><creator>JING ZOU</creator><creator>PYYKKO, Ilmari</creator><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T2</scope><scope>7T5</scope><scope>7TM</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>7U2</scope><scope>7TB</scope><scope>8FD</scope><scope>FR3</scope><scope>KR7</scope></search><sort><creationdate>20060901</creationdate><title>Hand-arm vibration syndrome with use of anti-vibration chain saws : 19-year follow-up study of forestry workers</title><author>SUTINEN, Päivi ; TOPPILA, Esko ; STARCK, Jukka ; BRAMMER, Anthony ; JING ZOU ; PYYKKO, Ilmari</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-36bdb49fa2ff44eca4a77f8fab9e3912f84084aa61b70623c079436ec1c7a5473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Cohort Studies</topic><topic>Cross-Sectional Studies</topic><topic>Dermatology</topic><topic>Diseases of the osteoarticular system</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Energy</topic><topic>Ergonomics</topic><topic>Extremities</topic><topic>Follow-Up Studies</topic><topic>Forestry</topic><topic>Hand-arm vibration syndrome</topic><topic>Hand-Arm Vibration Syndrome - epidemiology</topic><topic>Hand-Arm Vibration Syndrome - etiology</topic><topic>Humans</topic><topic>Hypesthesia - epidemiology</topic><topic>Juxtaarticular diseases. Extraarticular rhumatism</topic><topic>Low back pain</topic><topic>Medical sciences</topic><topic>Musculoskeletal Diseases - epidemiology</topic><topic>Musculoskeletal Diseases - etiology</topic><topic>Neck Pain - epidemiology</topic><topic>Occupational Diseases - epidemiology</topic><topic>Occupational Exposure</topic><topic>Occupational hazards</topic><topic>Pain - epidemiology</topic><topic>Vascular disorders of the skin</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SUTINEN, Päivi</creatorcontrib><creatorcontrib>TOPPILA, Esko</creatorcontrib><creatorcontrib>STARCK, Jukka</creatorcontrib><creatorcontrib>BRAMMER, Anthony</creatorcontrib><creatorcontrib>JING ZOU</creatorcontrib><creatorcontrib>PYYKKO, Ilmari</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Environmental Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Environmental Science Collection</collection><collection>ProQuest Central Basic</collection><collection>Safety Science and Risk</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Civil Engineering Abstracts</collection><jtitle>International archives of occupational and environmental health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SUTINEN, Päivi</au><au>TOPPILA, Esko</au><au>STARCK, Jukka</au><au>BRAMMER, Anthony</au><au>JING ZOU</au><au>PYYKKO, Ilmari</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hand-arm vibration syndrome with use of anti-vibration chain saws : 19-year follow-up study of forestry workers</atitle><jtitle>International archives of occupational and environmental health</jtitle><addtitle>Int Arch Occup Environ Health</addtitle><date>2006-09-01</date><risdate>2006</risdate><volume>79</volume><issue>8</issue><spage>665</spage><epage>671</epage><pages>665-671</pages><issn>0340-0131</issn><eissn>1432-1246</eissn><coden>IAEHDW</coden><abstract>Hand-arm vibration syndrome (HAVS) consists of vascular and neurological component. Musculoskeletal component has not been delineated yet. In the present follow-up study, we evaluated the prevalence of HAVS and the cumulative exposure to vibration among a cohort of forestry workers. Special interest was given to numbness and musculoskeletal disorders of upper extremity and neck in forestry workers.
A follow-up study starting from 1976 was conducted among forestry workers in Suomussalmi in Finland. Total exposure of hand-arm vibration was recorded during 11 cross-sectional surveys. The last study was carried out in 1995. The lifetime dose of vibration energy was calculated. A cohort of 52 forest workers participated to all 11 cross-sectional surveys 1976-1995. HAVS and musculoskeletal disorders were evaluated.
The prevalence of active vibration white finger (VWF) decreased from 13 to 4% in the cross-sectional study. In the cohort VWF decreased from 17 to 8% and numbness increased from 23 to 40%. Rotator cuff syndrome (P=0.034) and epicondylitis (P=0.004) associated with numbness. Regional neck pain was diagnosed in 38% of workers and associated with low back pain. In modeling VWF, the lifelong vibration energy (OR 1.03, CI 1.01-1.05), and smoking (OR 7.36, CI 1.07-50.76) were significant. Numbness was modeled by pain in upper extremities (OR 12.43, CI 2.42-63.80) and neck pain (5.97, CI 1.25-28.39), not by lifelong vibration energy. Right rotator cuff syndrome was modeled by age (OR 2.58, CI 1.04-6.41) and lifelong vibration energy (OR 1.04, CI 1.00-1.07).
The prevalence of VWF constantly decreased. Numbness did not follow the vibration exposure profile. Numbness also associated with upper extremity musculoskeletal disorders. Hand-arm vibration associated with the right rotator cuff syndrome in forestry workers.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>16523316</pmid><doi>10.1007/s00420-006-0099-2</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0340-0131 |
| ispartof | International archives of occupational and environmental health, 2006-09, Vol.79 (8), p.665-671 |
| issn | 0340-0131 1432-1246 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_29734229 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Cohort Studies Cross-Sectional Studies Dermatology Diseases of the osteoarticular system Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Energy Ergonomics Extremities Follow-Up Studies Forestry Hand-arm vibration syndrome Hand-Arm Vibration Syndrome - epidemiology Hand-Arm Vibration Syndrome - etiology Humans Hypesthesia - epidemiology Juxtaarticular diseases. Extraarticular rhumatism Low back pain Medical sciences Musculoskeletal Diseases - epidemiology Musculoskeletal Diseases - etiology Neck Pain - epidemiology Occupational Diseases - epidemiology Occupational Exposure Occupational hazards Pain - epidemiology Vascular disorders of the skin |
| title | Hand-arm vibration syndrome with use of anti-vibration chain saws : 19-year follow-up study of forestry workers |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-28T23%3A20%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Hand-arm%20vibration%20syndrome%20with%20use%20of%20anti-vibration%20chain%20saws%20:%2019-year%20follow-up%20study%20of%20forestry%20workers&rft.jtitle=International%20archives%20of%20occupational%20and%20environmental%20health&rft.au=SUTINEN,%20P%C3%A4ivi&rft.date=2006-09-01&rft.volume=79&rft.issue=8&rft.spage=665&rft.epage=671&rft.pages=665-671&rft.issn=0340-0131&rft.eissn=1432-1246&rft.coden=IAEHDW&rft_id=info:doi/10.1007/s00420-006-0099-2&rft_dat=%3Cproquest_cross%3E19371223%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=613559679&rft_id=info:pmid/16523316&rfr_iscdi=true |