Neurosensory Response of the Hand and Foot to Vibration Exposure

Main Article Content

Flavia Marrone https://orcid.org/0000-0003-3854-759X
Nicole Sanna https://orcid.org/0009-0004-4663-0283
Julio Sánchez García
Federico Ronchese
Enrico Marchetti
Angelo Tirabasso
Massimo Bovenzi
Marco Tarabini

Keywords

Vibrotactile Perception Threshold, Temporary Threshold Shift, Foot-Transmitted Vibration, Hand-Transmitted Vibration, Aging

Abstract


Background: This study investigated the vibrotactile perception threshold (VPT) changes in the fingers and toes of twenty-eight healthy subjects (15 males and 13 females aged 20 to 62 years) exposed to hand- and foot-transmitted vibration. Methods: The VPT was measured before and after the exposure of the hands and feet to 5 minutes of triaxial white noise pseudorandom vibration. The post-vibration VPT was measured immediately after and 15 minutes after the end of the exposure to assess the temporary threshold shift (TTS) of vibration perception. The effects of the anatomical district (index finger and big toe), measurement time (before and after vibration exposure), test frequency (8, 31.5, and 125 Hz), age group (Under30s and Over 40s), and gender (male and female) on the changes in VPT were investigated. Results: The findings revealed that the index finger and the big toe exhibited comparable profiles in the vibrotactile sensitivity at the low-middle vibration frequencies and in the recovery of the perception threshold after vibration exposure. The big toe showed a higher perception threshold than the index finger, and the difference increased with the test frequency. In addition to vibration frequency, age and skin temperature influenced the results of VPT and TTS measurements. Conclusions: The findings of this study can contribute to outlining alternative frequency weighting functions for the neurosensory response of the hand and foot to vibration exposure, and to update the current guidelines for evaluating human vibration exposure.


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References

1. Goggins K, Godwin A, Lariviere C, Eger T. Study of the Biodynamic Response of the Foot to Vibration Exposure. OER. 2016;13:53-66. Doi: 10.3233/OER-160236
2. Bovenzi M. Medical Aspects of the Hand-Arm Vibration Syndrome. Int J Ind Ergon. 1990;6:61:73. Doi: 10.1016/0169-8141(90)90051-3
3. Krajnak, K. Health Effects Associated with Occupational Exposure to Hand-Arm or Whole Body Vibra-tion. J Toxicol Environ Health. Part B. 2018;21:320-334. Doi: 10.1080/10937404.2018.1557576
4. ISO 5349-1 International Organization for Standardization. ISO 5349-1 Mechanical Vibration and Shock – Part 1: Guidelines for the Measurement and the Assessment of Human Exposure to Hand-Transmitted Vibration. Geneva, Switzerland: 2004; 2004.
5. Nilsson T, Wahlström J, Burström L. Hand-Arm Vibration and the Risk of Vascular and Neurological Diseases—A Systematic Review and Meta-Analysis. PLoS ONE. 2017;12:e0180795. Doi: 10.1371/journal.pone.0180795.
6. Bovenzi, M. Epidemiological Evidence for New Frequency Weightings of Hand-Transmitted Vibration. Ind Health. 2012:50:377–387. Doi: 10.2486/indhealth.MS1382
7. Bovenzi M, Prodi A, Mauro M. Relationships of Neurosensory Disorders and Reduced Work Ability to Alternative Frequency Weightings of Hand-Transmitted Vibration. Scand J Work Environ Health. 2015;41:247-258. Doi: 10.5271/sjweh.3490
8. Dong RG, Welcome DE, Wu JZ. Frequency Weightings Based on Biodynamics of Fingers-Hand-Arm Sys-tem. Ind Health. 2005:43:516–526. Doi: 10.2486/indhealth.43.516
9. Tominaga Y. New Frequency Weighting of Hand-Arm Vibration. Ind Health. 2005;43:509-515. Doi: 10.2486/indhealth.43.509
10. ISO 2631-1. International Organization for Standardization. ISO 2631-1 Mechanical Vibration and Shock Evaluation of Human Exposure to Whole-Body Vibration – Part 1: General Requirements. Gene-va, Switzerland: 1997. Reference Number ISO 2631-1: 1997; 1997.
11. Marrone F, Massotti C, Goggins KA, et al. Comparison between the Biomechanical Responses of the Hand and Foot When Exposed to Vertical Vibration. In Proceedings of the ICHAV 2023; MDPI, April 18 2023; p. 34.
12. Goggins KA, Tarabini M, Lievers WB, Eger TR. Biomechanical Response of the Human Foot When Standing in a Natural Position While Exposed to Vertical Vibration from 10–200 Hz. Ergonomics. 2019;62:644–656. Doi: 10.1080/00140139.2018.1559362.
13. Leduc M, Eger T, Godwin A, Dickey JP, House R. Examination of Vibration Characteristics, and Reported Musculoskeletal Discomfort for Workers Exposed to Vibration via the Feet. J Low Freq Noise Vib Act Control. 2011;30:197–206. Doi: 10.1260/0263-0923.30.3.197.
14. Marrone F, Marelli S, Bertozzi F, et al. Alterations in Step Width and Reaction Times in Walking Subjects Exposed to Mediolateral Foot-Transmitted Vibration. Vibration. 2024;7:374–387. Doi: 10.3390/vibration7020019
15. Tingsgård I, Rasmussen, K. [Vibration-induced white toes]. Ugeskr Laeger. 1994;156:4836-4838.
16. Thompson A, House R, Eger T, Krajnak, K. Vibration-White Foot: A Case Report. In Proceedings of the Third American Conference on Human Vibration, June 1-4, 2010; University of Iowa: Iowa City, IA, 2010; pp. 113–114.
17. Hedlund U. Raynaud’s Phenomenon of Fingers and Toes of Miners Exposed to Local and Whole-Body Vibration and Cold. Int Arch Occup Environ Health. 1989;61:457-461. Doi: 10.1007/BF00386479
18. House R, Jiang D, Thompson A, et al. Vasospasm in the Feet in Workers Assessed for HAVS. Occup Med. 2011:61;115–120. Doi: 10.1093/occmed/kqq191
19. ISO 13091 ISO 13091 Mechanical Vibration — Vibrotactile Perception Thresholds for the Assessment of Nerve Dysfunction.; 2021.
20. Ye Y, Griffin MJ. Assessment of Thermotactile and Vibrotactile Thresholds for Detecting Sensorineural Components of the Hand–Arm Vibration Syndrome (HAVS). Int Arch Occup Environ Health. 2018;91: 35-45. Doi: 10.1007/s00420-017-1259-2
21. Shibata, N. Vibrotactile Perception Thresholds Following Short-Term Exposure to Hand–Arm Vibra-tion: Application for Identifying Potential Workers at Risk of Neurosensory Disorders. Vibration. 2022;5:803–816. Doi: 10.3390/vibration5040047
22. Zippenfennig C, Wynands B, Milani TL. Vibration Perception Thresholds of Skin Mechanoreceptors Are Influenced by Different Contact Forces. JCM. 2021;10:3083. Doi: 10.3390/jcm10143083
23. Gu C, Griffin MJ. Vibrotactile Thresholds at the Sole of the Foot: Effect of Vibration Frequency and Con-tact Location. Somatosens Mot Res. 2011;28:86-93. Doi: 10.3109/08990220.2011.622493
24. Strzalkowski NDJ, Triano JJ, Lam CK, Templeton CA, Bent LR. Thresholds of Skin Sensitivity Are Par-tially Influenced by Mechanical Properties of the Skin on the Foot Sole. Physiol Rep. 2015;3:e12425. Doi: 10.14814/phy2.12425
25. Morioka M, Whitehouse DJ, Griffin MJ. Vibrotactile Thresholds at the Fingertip, Volar Forearm, Large Toe, and Heel. Somatosens Mot Res. 2008, 25, 101–112. Doi: 10.1080/08990220802045574
26. Ekman L, Lindholm E, Brogren E, Dahlin LB. Normative Values of the Vibration Perception Thresholds at Finger Pulps and Metatarsal Heads in Healthy Adults. PLoS ONE. 2021;16:e0249461. Doi: 10.1371/journal.pone.0249461
27. Marzaroli P, Albanetti A, Negri E, Giberti H, Tarabini M. Design and Testing of a 3-DOF Robot for Stud-ying the Human Response to Vibration. Machines. 2019;7:67. Doi: 10.3390/machines7040067
28. Harada N, Griffin MJ. Factors Influencing Vibration Sense Thresholds Used to Assess Occupational Ex-posures to Hand Transmitted Vibration. OEM. 1991;48:185–192. Doi: 10.1136/oem.48.3.185
29. Kennedy PM, Inglis JT. Distribution and Behaviour of Glabrous Cutaneous Receptors in the Human Foot Sole. J Physiol. 2002;538:995–1002. Doi: 10.1113/jphysiol.2001.013087
30. Johansson RS, Landström U, Lundström R. Sensitivity to Edges of Mechanoreceptive Afferent Units In-nervating the Glabrous Skin of the Human Hand. Brain Res. 1982;244:27–32. Doi: 10.1016/0006-8993(82)90900-3
31. Johansson RS, Vallbo AB. Tactile Sensibility in the Human Hand: Relative and Absolute Densities of Four Types of Mechanoreceptive Units in Glabrous Skin. J Physiol. 1979;286:283-300. Doi: 10.1113/jphysiol.1979.sp012619
32. Strzalkowski NDJ, Peters RM, Inglis JT, Bent LR. Cutaneous Afferent Innervation of the Human Foot Sole: What Can We Learn from Single-Unit Recordings? J Neurophysiol. 2018;120:1233-1246. Doi: 10.1152/jn.00848.2017
33. Lin Y, Hsieh S, Chao C, Chang Y, Hsieh S. Influence of Aging on Thermal and Vibratory Thresholds of Quantitative Sensory Testing. J Peripheral Nervous Sys. 2005;10:269–281. Doi: 10.1111/j.1085-9489.2005.10305.x
34. Deshpande N, Metter EJ, Ling S, Conwit R, Ferrucci L. Physiological Correlates of Age-Related Decline in Vibrotactile Sensitivity. Neurobiol Aging. 2008;29:765–773. Doi: 10.1016/j.neurobiolaging.2006.12.002
35. Era P, Jokela J, Suominen H, Heikkinen E. Correlates of Vibrotactile Thresholds in Men of Different Ages. Acta Neurol Scand. 1986;74:210-217. Doi: 10.1111/j.1600-0404.1986.tb07857.x
36. Goble AK, Collins AA, Cholewiak RW. Vibrotactile Threshold in Young and Old Observers: The Effects of Spatial Summation and the Presence of a Rigid Surround. J Acoust Soc Am. 1996;99:2256-2269. Doi: 10.1121/1.415413
37. Wild P, Massin N, Lasfargues Gé, Baudin V, Unlu D, Donati P. Vibrotactile Perception Thresholds in Four Non-Exposed Populations of Working Age. Ergonomics. 2001;44:649–657. Doi: 10.1080/00140130116704
38. Pra YD, Papetti S, Järveläinen H, Bianchi M, Fontana F. Effects of Vibration Direction and Pressing Force on Finger Vibrotactile Perception and Force Control. IEEE Trans Haptics. 2023;16:23–32. Doi: 10.1109/TOH.2022.3225714
39. Oh S, Choi S. Effects of Contact Force and Vibration Frequency on Vibrotactile Sensitivity During Active Touch. IEEE Trans Haptics. 2019;12:645–651. Doi: 10.1109/TOH.2019.2929521
40. Ye Y, Griffin MJ. Relation between Vibrotactile Perception Thresholds and Reductions in Finger Blood Flow Induced by Vibration of the Hand at Frequencies in the Range 8–250 Hz. Eur J Appl Physiol. 2014; 114:1591-1603. Doi: 10.1007/s00421-014-2885-y