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A Review of Professional Diseases from Vibrations Reported in the Hradec Králové Region in 1997–2006 and the Role of the Occupational Health Care


Authors: J. Bubeníčková
Authors‘ workplace: Klinika nemocí z povolání, Fakultní nemocnice Hradec Králové přednosta kliniky Doc. MUDr. Jiří Chaloupka, CSc.
Published in: Pracov. Lék., 60, 2008, No. 3, s. 99-105.
Category: Original Papers

Overview

2835 cases of hand-arm vibration syndrome were reported in the Czech Republic in 1997–2006. They formed 42% of diseases caused by physical agents. The sample of 134 persons is presented in which overall 135 professional diseases of upper extremities caused by vibrations were reported by the Clinic of Occupational Diseases of the Faculty Hospital in Hradec Králové in 1997–2006. The sample is divided into 3 groups: 1. vascular diseases, 2. diseases of peripheral nerves, 3. diseases of bones and joints. Diseases of peripheral nerves (96/135), i. e. the carpal tunnel syndrome (83%), the cubital tunnel syndrome (12%) and the combination of a carpal and cubital tunnel (5%), form the most important group. The diseases are predominantly present in males. The most frequently affected professions are: grinders, foundry workers, forrest workers and locksmiths. Maximum of occupational diseases were reported in relation to the exposure until 5 (resp. 10) years and then over 25 (resp. 30) years. Adequate occupational health care based on a recommended content of health examinations enables only the objective assessment of affections of hands vessels. The standard objective method for assessing the most frequent affections of peripheral nerves is not available (electromyography).

Key words:
professional hand-arm vibration syndrome, occupational disease, vibration, Raynaud’ syndrome, carpal tunnel syndrome, cubital tunnel syndrome, prevention of hand-arm vibration syndrome


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Hygiene and epidemiology Hyperbaric medicine Occupational medicine
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