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International Archives of Occupational and Environmental Health

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01.02.2010 | Original Article

Quality of life (EQ-5D) and hand-arm vibration syndrome

verfasst von: Riitta Sauni, Pauliina Virtema, Rauno Pääkkönen, Esko Toppila, Ilmari Pyykkö, Jukka Uitti

Erschienen in: International Archives of Occupational and Environmental Health | Ausgabe 2/2010

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Abstract

Background

The aim of this study was to investigate the quality of life of a population of Finnish metalworkers who were exposed to hand-arm vibration (HAV) and who suffered from white fingers, tingling, or numbness of the fingers, musculoskeletal disorders of the upper extremities, or symptoms of carpal tunnel syndrome (CTS).

Methods

A questionnaire on vibration exposure in the workplace and symptoms relating to the upper extremities was sent to a sample (n = 530) of members of the local Metalworkers Union. Of those who reported vibration-induced white fingers (VWF), numbness or tingling of the fingers, or symptoms of CTS, 131 men participated in clinical examinations. Their cumulative lifelong exposure to HAV was evaluated, and the health-related quality of life was assessed using EuroQoL(EQ)-5D.

Results

There was an inverse relationship between the EQ-5D index score and cumulative exposure to HAV: as exposure to HAV increased, the quality of life became more impaired (P < 0.001). Vascular, sensorineural, and musculoskeletal symptoms and symptoms of CTS decreased significantly with the EQ-5D index score, sensorineural symptoms causing the most significant impairment in EQ-5D dimensions of mobility, usual activities, pain/discomfort, and anxiety/depression). The mean EQ-5D index and the visual analogic scale (VAS)-score were lower for those patients who complained of difficulties at work or during leisure time due to HAVS symptoms.

Conclusion

The findings of the present study suggest that symptoms related to HAV exposure significantly diminish the quality of life. This impairment can be seen in the different dimensions of well-being that are measured by EQ-5D. EQ-5D seems to correlate with both the severity of symptoms and the cumulative exposure index, and can thus be recommended as part of the health examination of workers exposed to HAV.

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Titel: Quality of life (EQ-5D) and hand-arm vibration syndrome
verfasst von: Riitta Sauni
Pauliina Virtema
Rauno Pääkkönen
Esko Toppila
Ilmari Pyykkö
Jukka Uitti
Publikationsdatum: 01.02.2010
Verlag: Springer-Verlag
Erschienen in: International Archives of Occupational and Environmental Health / Ausgabe 2/2010
Print ISSN: 0340-0131
Elektronische ISSN: 1432-1246
DOI: https://doi.org/10.1007/s00420-009-0441-6

Springer Medizin

Abstract

Background

Methods

Results

Conclusion

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