Comparison of diagnostic method of evaluating vibration induced sensorineural impairment among shipyard's grinders

The objectives of this study are to investigate diagnostic value of two different tests amongst tests highly recommended and used for diagnosis of HAVS of the sensorineural component; Semmes Weinstein Monofilament (SWM) and Purdue Pegboard (PP) tests using vibrotactile perception threshold (VPT) tes...

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Main Authors: Ng, Yee Guan, Mohd Tamrin, Shamsul Bahri, Jamalohdin, Mohd Nazri
Format: Article
Language:English
Published: Malaysian Public Health Physicians' Association 2016
Online Access:http://psasir.upm.edu.my/id/eprint/55337/
http://psasir.upm.edu.my/id/eprint/55337/1/Comparison%20of%20diagnostic%20method%20of%20evaluating%20vibration%20induced%20sensorineural%20.pdf
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author Ng, Yee Guan
Mohd Tamrin, Shamsul Bahri
Jamalohdin, Mohd Nazri
author_facet Ng, Yee Guan
Mohd Tamrin, Shamsul Bahri
Jamalohdin, Mohd Nazri
author_sort Ng, Yee Guan
building UPM Institutional Repository
collection Online Access
description The objectives of this study are to investigate diagnostic value of two different tests amongst tests highly recommended and used for diagnosis of HAVS of the sensorineural component; Semmes Weinstein Monofilament (SWM) and Purdue Pegboard (PP) tests using vibrotactile perception threshold (VPT) test as standard objective quantitative test. For the method, a total of 176 grinders as vibration exposed respondent of a shipyard's fabrication participated in this study. Questionnaire and vibration exposures data were collected for all respondents where 67 respondents further performed the three quantitative sensorineural testing. The result showed that mean acceleration magnitude of grinding tools used were 4.9 ms-2, exceeding recommendation by European Commission. Both cut-off point methods of mean plus two times standard deviation (mean + 2sd) and z-score (at 75th percentile) show significant difference among healthy and HAVS (p < 0.001). Correlation between SWM with VPT and PP with VPT was weak. However, results suggests progressive pathological damage to sensorineural component of the digits starts with fast-adapting II (FA II) mechanoreceptors indicated with significant correlation primarily at 125 Hz. Analyses of sensitivity and specificity found that monofilament at 0.16g force best discriminate HAVS from healthy. In the other hand, Purdue Pegboard test shows best diagnostic value of indicating HAVS at minimum insert of 16 pin and 14 pin respectively for dominant and non-dominant hand. Both Semmes Weinstein Monofilament and Purdue Pegboard tests has limited diagnostic value to be used as screening tools for early detection of HAVS.
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spelling upm-553372020-07-14T06:34:26Z http://psasir.upm.edu.my/id/eprint/55337/ Comparison of diagnostic method of evaluating vibration induced sensorineural impairment among shipyard's grinders Ng, Yee Guan Mohd Tamrin, Shamsul Bahri Jamalohdin, Mohd Nazri The objectives of this study are to investigate diagnostic value of two different tests amongst tests highly recommended and used for diagnosis of HAVS of the sensorineural component; Semmes Weinstein Monofilament (SWM) and Purdue Pegboard (PP) tests using vibrotactile perception threshold (VPT) test as standard objective quantitative test. For the method, a total of 176 grinders as vibration exposed respondent of a shipyard's fabrication participated in this study. Questionnaire and vibration exposures data were collected for all respondents where 67 respondents further performed the three quantitative sensorineural testing. The result showed that mean acceleration magnitude of grinding tools used were 4.9 ms-2, exceeding recommendation by European Commission. Both cut-off point methods of mean plus two times standard deviation (mean + 2sd) and z-score (at 75th percentile) show significant difference among healthy and HAVS (p < 0.001). Correlation between SWM with VPT and PP with VPT was weak. However, results suggests progressive pathological damage to sensorineural component of the digits starts with fast-adapting II (FA II) mechanoreceptors indicated with significant correlation primarily at 125 Hz. Analyses of sensitivity and specificity found that monofilament at 0.16g force best discriminate HAVS from healthy. In the other hand, Purdue Pegboard test shows best diagnostic value of indicating HAVS at minimum insert of 16 pin and 14 pin respectively for dominant and non-dominant hand. Both Semmes Weinstein Monofilament and Purdue Pegboard tests has limited diagnostic value to be used as screening tools for early detection of HAVS. Malaysian Public Health Physicians' Association 2016 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/55337/1/Comparison%20of%20diagnostic%20method%20of%20evaluating%20vibration%20induced%20sensorineural%20.pdf Ng, Yee Guan and Mohd Tamrin, Shamsul Bahri and Jamalohdin, Mohd Nazri (2016) Comparison of diagnostic method of evaluating vibration induced sensorineural impairment among shipyard's grinders. Malaysian Journal of Public Health Medicine, spec.1. pp. 26-35. ISSN 1675-0306 https://www.mjphm.org.my/mjphm/index.php?option=com_content&view=article&id=760:2016-special-volume-1&catid=112:2016-special-volume-1&Itemid=127
spellingShingle Ng, Yee Guan
Mohd Tamrin, Shamsul Bahri
Jamalohdin, Mohd Nazri
Comparison of diagnostic method of evaluating vibration induced sensorineural impairment among shipyard's grinders
title Comparison of diagnostic method of evaluating vibration induced sensorineural impairment among shipyard's grinders
title_full Comparison of diagnostic method of evaluating vibration induced sensorineural impairment among shipyard's grinders
title_fullStr Comparison of diagnostic method of evaluating vibration induced sensorineural impairment among shipyard's grinders
title_full_unstemmed Comparison of diagnostic method of evaluating vibration induced sensorineural impairment among shipyard's grinders
title_short Comparison of diagnostic method of evaluating vibration induced sensorineural impairment among shipyard's grinders
title_sort comparison of diagnostic method of evaluating vibration induced sensorineural impairment among shipyard's grinders
url http://psasir.upm.edu.my/id/eprint/55337/
http://psasir.upm.edu.my/id/eprint/55337/
http://psasir.upm.edu.my/id/eprint/55337/1/Comparison%20of%20diagnostic%20method%20of%20evaluating%20vibration%20induced%20sensorineural%20.pdf