scholarly journals Hemodynamics disorders in vertebra-basilar region in patients with vibration disease, caused by local vibration (data of rheography and transcranial dopplerography)

2021 ◽  
Vol XXX (3-4) ◽  
pp. 11-14
Author(s):  
M. I. Ilyina ◽  
R. G. Obraztsova ◽  
М. V. Nesterova ◽  
R. I. Filatova ◽  
G. N. Samokhvalova ◽  
...  
Keyword(s):  
Cerebral Circulation ◽  
Vertebral Column ◽  
Local Vibration ◽  
Vibration Data ◽  
Vibration Disease ◽  
Vertebral Arteries ◽  
Brain Hemodynamics ◽  
Incidence Increase

Brain hemodynamics was studied in vertebra-basilar region in patients with vibration disease, resulting from local vibration. High percentage of clinical and roentgenologic manifestations of cervical octeochondrosis was revealed, as well as incidence increase of cephalgia syndrome while vibration disease progressing. Analysis of rheographic curves (deviation by E.Enin) and transcranial dopplerosonograms showed cerebral circulation dificiency in vertebrabasilar region. The highest level of hemodynamic disorders was marked in vertebral arteries. It is not excluded, that one of the factors, enfluencing hemodynamics disorders, is pathology of the vertebral column.

scholarly journals DETERMINATION OF THE FUNCTIONAL STATE OF THE PERIPHERAL NERVOUS SYSTEM IN PATIENTS WITH VIBRATION DISEASE BY ELECTRONEUROMIOGRAPHY INDICES

2019 ◽  
Vol 98 (10) ◽  
pp. 1119-1123
Author(s):  
D. V. Rusanova ◽  
Larisa S. Vasileva ◽  
N. V. Slivnitsyna ◽  
O. L. Lakhman
Keyword(s):  
Functional State ◽  
Lower Extremities ◽  
The State ◽  
The Body ◽  
Local Vibration ◽  
Spinal Cord Neurons ◽  
Vibration Disease ◽  
Prolonged Contact ◽  
Upper And Lower Extremities ◽  
F Wave

Introduction. Vibration disease (VD) is a chronic occupational disease caused by the long-term influence of industrial vibration on the body, with prolonged contact with which a polyneuropathic syndrome is formed. Material and methods. 150 males were examined in the clinic. The first group consisted of 50 patients with VD associated with combined exposure to local and General vibration (48.7±3.1 years); the second - 50 patients with VB associated with exposure to local vibration (48.9±2.8 years); the third - 50 relatively healthy individuals without contact with vibration (49.1±2.5 years). Stimulation electroneuromyography (ENMG) was carried out according to the generally accepted method. The results of ENMG show demyelinating lesions of motor and sensory components to be registered in the examined VD patients, changes in the speed indices of axons of nerves of the upper and lower extremities are observed. Analysis of F-wave indices revealed the lesion of both the fastest and the slowest conductive fibers of the tibial and peroneal nerves in patients of both groups. There is an increase in the maximum amplitude of the F-wave and the F/M ratio, more pronounced in patients of the first examined group. In patients of the first and second examined groups, there is an increase in the blocks of the pulse, more pronounced with the combined effect of general and local vibration. Conclusion. Changes in the state of the peripheral nerves of the upper extremities are similar in patients of the first and second groups and consist in the presence of processes of demyelination of motor and sensory axons. In patients of the first group, there are more pronounced disorders in the state of the motor component of the nerves of the upper and lower extremities, while in persons of the second group there are sub-threshold changes in the lower extremities. Changes at the level of roots and in the functional state of the spinal cord neurons are more pronounced in patients of the second group.

scholarly journals Prevalence of comorbid pathology in patients with vibration disease caused by exposure to local vibration

2020 ◽  
Vol 99 (10) ◽  
pp. 1079-1085
Author(s):  
Marina V. Kuleshova ◽  
Vladimir A. Pankov ◽  
Natalya V. Slivnitsyna
Keyword(s):  
Mastoid Process ◽  
Local Vibration ◽  
Work Related ◽  
Vibration Disease ◽  
Clinical Syndromes ◽  
Number Of Patients ◽  
Health Disorders ◽  
Relationship Of ◽  
The Relationship ◽  
Sensory Polyneuropathy

Introduction. Vibration as a factor of production is one of the leading that influences negatively on workers in various sectors of the economy. In available literature there no adequate information on the comorbid pathology in hand-arm vibration disease (HAVD) patients. The purpose of the study is to analyze the prevalence of somatic pathology in HAVD patients. Material and methods. The analysis of comorbidity of HAVD patients according in-depth medical data is carried out. The degree of relationship between work-related health disorders is assessed. The results are presented by average values, intensive and extensive indices, the relationship of work-related health disorders is confirmed by the calculation of the relative risk. Results. The main syndrome in the clinical picture of HAVD is autonomous-sensory polyneuropathy of the upper extremities, which is recorded in all patients, while some patients have a combination of two or more clinical syndromes of HAVD. A significant prevalence of diseases of the musculoskeletal and circulatory systems, eyes and its adnexa, ear and mastoid process, digestive, genitourinary system, and respiratory systems was revealed. Number of patients who have diseases of endocrine (up to 25.0%, p <0.01), digestive (up to 43.8%, p <0.01), urogenital (up to 37.5%, p <0.01), respiratory (up to 37.5%, p <0.05) and the circulatory (up to 52.9%, p <0.05) systems grows up with an increase of the experience dose of local vibration. Conclusion. The results of the study can serve as the basis for the implementation of measures for primary and secondary prevention of occupational diseases caused by local vibration, aimed at preventing the development of health disorders.

scholarly journals THE VIBRATION DISEASE IN WORKERS OF THE AIRCRAFT ENTERPRISE: FACTORS OF THE FORMATION, CLINICAL MANIFESTATIONS, SOCIAL-PSYCHOLOGICAL FEATURES (DYNAMIC FOLLOWING-UP)

2018 ◽  
Vol 97 (10) ◽  
pp. 915-920 ◽  
Author(s):  
Marina V. Kuleshova ◽  
V. A. Pankov ◽  
M. P. Dyakovich ◽  
V. S. Rukavishnikov ◽  
N. V. Slivnitsyna ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Emotional State ◽  
Clinical Manifestations ◽  
Health Related Quality ◽  
Local Vibration ◽  
Vibration Disease ◽  
Study Results ◽  
Related Quality ◽  
Health Related

Introduction. The vibration disease takes one of the leading places in the structure of the occupational morbidity in the Irkutsk region, its specific weight accounted of 21.1-35.9% of all newly revealed cases of occupational diseases in different years. The purpose of the study is to investigate the socio-psychological features and manifestations of the vibration disease clinical syndromes in local vibration-exposed employees in the dynamic of observation. Material and methods. The assessment of working conditions of employees in the aircraft enterprise, a coherent dynamic clinical and sociopsychological examination in employees with the occupational disease which continuing their work was carried out. Results. Working conditions have not been changed; the levels of the occupational and labor process factors have remained the same in the dynamic. Clinical manifestations of vibration disease and neurosensory hearing loss, which is the second (accompanying) occupational disease, were shown to be aggravated in patients continuing to work in contact with local vibration. A significant prevalence of diseases of the musculoskeletal system and the circulatory system has been revealed. High levels of the personal and situational anxiety, hypochondriacal traits, instability of emotional state, the rigid stereotype of behavior-oriented to caring about physical well-being are registered in patients. A reduction of health-related quality of life scores characterizing the role of physical and emotional functioning has been established, that indicates the limitations in the performance of daily work due to the deterioration of the emotional state. Discussion. The significant prevalence of diseases of the musculoskeletal and circulatory systems in vibration disease patients is associated with both the irritating effect of the actual vibration and the severity of the work process and significant physical overloads. The study results of the psycho-emotional status, the health-related quality of life in vibration disease patients allow assuming a significant effect of the pain syndrome on the emotional state, decrease of the health-related quality of life, which is consistent with the other authors’ studies. Conclusion. The study results show that it is necessary to remove workers from contact with vibration if the initial manifestations of vibration disease appear. Also, it is necessary to revise approaches to the secondary prevention of vibration disease, which should be aimed at preserving residual work capacity and medical and psychological adaptation of patients.

scholarly journals ASSESSMENT OF THE STATUS OF BONE TISSUE IN THE WORKING VIBRATION THREATENING OCCUPATIONS

2018 ◽  
Vol 97 (6) ◽  
pp. 542-546 ◽  
Author(s):  
Anna V. Sukhova ◽  
E. N. Kryuchkova
Keyword(s):  
Bone Resorption ◽  
Bone Formation ◽  
Bone Tissue ◽  
Biochemical Markers ◽  
Clinical Laboratory ◽  
Mineral Metabolism ◽  
Epidemiological Studies ◽  
Mineral Density ◽  
Local Vibration ◽  
Vibration Disease

Introduction. Vibration in conjunction with an unfavorable microclimate and physical stress, acting on mining workers, can lead to the development of pathology of the musculoskeletal system with the violation of bone metabolism and the formation of the osteopenic syndrome. The results of epidemiological studies indicate a high prevalence of osteoporosis among persons of working age. The purpose of the study was to study the effect of the general and local vibration on the state of bone remodeling processes in workers of vibration-hazardous occupations. Material and methods. Two groups of patients with vibration disease were examined. The first group consisted of 53 cases working in the contact with local vibration. The second group included 52 workers exposed to combined effects of the general and local vibration. The condition of the osteoarticular apparatus was determined by means of by X-ray examination and ultrasonic osteodensitometry. Laboratory studies included the evaluation of indices of mineral metabolism and bone tissue metabolism. Results. Osteochondrosis of the spine was revealed in 54.7% and 69.2%, osteopenia of the spine - 17.0% and 21.2%, arthrosis of the joints of the hands - 64.2% and 57.7% in the patients of the first and second groups, respectively. The prevalence rate of bone-dystrophic changes depends on the stage of the vibration disease and increases as the disease progresses. There were established interrelations of clinical functional and clinical laboratory indices with the trainee exposure of industrial vibration in terms of bone mineral density (T and Z criteria) (r = 0.56), biochemical markers of bone formation (r = -0.62-0.70) and bone resorption (r = 0.72-0.85). Biochemical markers of the osteopenic syndrome in the vibration disease are bone formation (osteocalcin, alkaline phosphatase) and bone resorption (ionized calcium, calcium/creatinine). Discussion. The obtained results served as a basis for developing a system of preventive measures of bone-dystrophic disorders in persons with vibration dangerous occupations.

Formation of pathology of internal organs in miners with vibration disease

2020 ◽  
pp. 399-403
Author(s):  
O. Yu. Korotenko ◽  
N. I. Panev ◽  
Yu. S. Korchagina ◽  
R. N. Panev ◽  
I. P. Danilov
Keyword(s):  
Cardiovascular System ◽  
Kidney Diseases ◽  
Coal Industry ◽  
Control Group ◽  
Internal Organs ◽  
Local Vibration ◽  
Vibration Disease ◽  
Long Time ◽  
Somatic Diseases ◽  
Medical Examinations

Introduction. Adverse working conditions can contribute to the development of not only occupational pathology, but also diseases with complex multifactorial etiology, such as hypertension, coronary heart disease, disorders of the musculoskeletal system, chronic non-specifi c respiratory diseases, as well as the formation of combined pathology, which worsens the course of these diseases and leads to the development of complications.The aim of the study is to study the manifestations of somatic pathology in coal industry workers with vibration disease.Materials and methods. We examined 144 coal mine workers with vibration disease caused by local vibration, and 161 control group miners who have been working in contact with local vibration for a long time (15 years or more) and do not have professional pathology.It was found that employees of coal mines with vibration disease more often (70,8%) than workers of the control group (27,3%) (p<0,001), there is a pathology of internal organs: diseases of the cardiovascular system (mainly arterial hypertension), diseases of the digestive system (functional disorders of the biliary tract and non-alcoholic fatt y liver disease), kidney diseases (mainly chronic pyelonephritis), as well as a combination of these diseases. With a more severe course of vibration disease (II degree), pathology of internal organs is more common (81.2%) than in patients with vibration disease of I degree (46.5%) (p<0.001). Conclusions. In miners with vibration disease, more oft en than in the control group, there is a pathology of internal organs: the cardiovascular system, digestive organs, kidneys, as well as a combination of several somatic diseases. In individuals with grade II vibration disease, internal organ pathology is more common than in patients with grade I vibration disease. Th e results obtained should be considered when developing treatment and rehabilitation measures for medical examinations and conducting preventive medical examinations of coal industry workers. 

Postural disorders in patients with vibration disease

2019 ◽  
pp. 314-318
Author(s):  
Larisa S. Vasileva ◽  
Natalya V. Slivnitsyna ◽  
Oleg L. Lakhman
Keyword(s):  
Center Of Pressure ◽  
Statistical Significance ◽  
Statistical Processing ◽  
Control Group ◽  
Combined Effects ◽  
Local Vibration ◽  
Vibration Disease ◽  
Eyes Closed ◽  
Significant Difference ◽  
Postural Disorders

Introduction. Vibration disease (VD) is one of the leading occupational diseases. One of the manifestations of this disease when exposed to general vibration may be a violation of balance.The aim of the study is to identify the imbalance and the causes of their occurrence in patients with vibration disease.Materials and methods. 3 groups of patients were examined. The first group consisted of 50 patients diagnosed with VD associated with combined exposure to local and general vibration (age 48.7±3.1 years); the second group consisted of 50 patients diagnosed with VD associated with exposure to local vibration (age 48.9+2.8 years); the control group consisted of 50 relatively healthy men not in contact with vibration (age 49.1+2.5 years). Survey on electronic stabilometer ST–150 (Biomera, Russia). Patients performed the Romberg test standing barefoot vertically on a stabilometric platform with a “European” stop position. Statistical processing of the results was carried out using the software package “Statistica 10.0” (StatSof, USA, 2011). Methods of descriptive statistics included estimation of median, lower and upper quartiles. The statistical significance of the differences was determined using the nonparametric Wilkinson method. Differences were considered statistically significant at p<0.05.Results. In the analysis of the obtained stabilometric parameters found that in the first group of patients marked imbalance.Moreover, in comparison with the second group and the control group in the phase with eyes closed, patients are more difficult to maintain a given posture, which increases the length of statokinesigram (p=0.02 and p=0.005), increasing the speed of movement of the center of pressure (p=0.03 and p=0.004) and the square of the deviation of the center of pressure (p=0.03 and p=0.004). When closing the eyes, patients put more effort to maintain balance, which affects the rate of mechanical work (p=0.001 and p=0.001). When comparing the second group with the control group, no statistically significant difference was found in the main stabilometric indicators.Conclusions: In the group of patients with VD associated with the combined effects of local and general vibration, marked (64%) and moderate (36%) postural disorders, especially in the phase of closed eyes. In the group of patients with VS associated with local vibration exposure and in the control group, imbalance was detected in 10% and 6%, respectively. The leading role in the occurrence of postural disorders in patients with VD, associated with the combined effects of local and general vibration, plays the formation of a focus of stagnant excitation in the centers of vibration sensitivity. In the future, the pulse can spread to nearby centers of pain, temperature sensitivity and proprioception, which contributes to the emergence of lower limb polyneuropathy and impaired stability in patients with vibration disease.

Vibration disease: erectile dysfunction as a comorbidity problem

2020 ◽  
pp. 36-43
Author(s):  
S. Babanov ◽  
N. Tatarovskay
Keyword(s):  
Erectile Dysfunction ◽  
Questionnaire Survey ◽  
Erectile Function ◽  
Control Group ◽  
Local Vibration ◽  
Vibration Disease ◽  
Male Patients ◽  
And Control ◽  
The Impact ◽  
Second Degree

The article presents data (based on a questionnaire survey) on the impact of vibration disease from the action of local and General vibration on the erectile function of men. The main changes in the parameters of erectile function (frequency, need, etc.) are described in the case of first and second-degree vibrational disease caused by local vibration, and in the case of first-and second-degree vibrational disease caused by General vibration based on data from a questionnaire survey of male patients and control group.

Vibration disease: quality of life

2020 ◽  
pp. 24-31
Author(s):  
Sergey Babanov ◽  
Nataliya Tatarovskaya
Keyword(s):  
Quality Of Life ◽  
Physical Functioning ◽  
The Body ◽  
Systemic Effects ◽  
Local Vibration ◽  
Vibration Disease ◽  
Sf 36 ◽  
The Impact

The article presents data on the impact of vibration disease on the quality of life of patients. The main changes in the quality of life parameters of patients based on the results of the study using the SF-36 questionnaire are described. The quality of life of patients with various types of vibration disease is compared. It is established that industrial vibration (both General and local) in addition to the classical changes characteristic of vibration disease from exposure to local vibration (WBL), vibration disease from exposure to vibration (VBOW) first and second degrees (vascular, neurological) substantially violates the quality of life of patients, with the most pronounced changes are characteristic for WBOW, which confirms the systemic effects of vibration and its effects on the body working. The quality of life of sick WIDOWS is significantly reduced, although significant differences are observed only on the scales of «physical functioning» and «physical component of health».

Vibration Disease: Exposure Level and Duration-Dependent Characteristics and Features of the Clinical Picture Following Local and Combined Local and Whole Body Vibration

2021 ◽  
pp. 30-35
Author(s):  
NP Chistova ◽  
LB Masnavieva ◽  
IV Kudaeva
Keyword(s):  
Clinical Picture ◽  
Work Experience ◽  
Whole Body Vibration ◽  
Occupational Exposures ◽  
Whole Body ◽  
Exposure Level ◽  
Combined Exposure ◽  
Local Vibration ◽  
Body Vibration ◽  
Vibration Disease

Introduction: Vibration disease is induced by a long-term occupational exposure to vibration above the maximum permissible level and is manifested by damage to the peripheral vascular and nervous systems and disorders of the musculoskeletal system. Objective: To study the exposure level and duration dependency and features of the clinical picture of vibration disease in workers exposed to local and combined local and whole body vibration. Materials and methods: The study included 136 male workers. Cohort I consisted of 60 patients (mean age: 49.5 ± 7.4 years) with vibration disease related to the local vibration exposure; cohort II included 76 patients (mean age: 55.7 ± 4.8 years) with vibration disease induced by the combined exposure to hand-arm and whole body vibration. Results: The examined subjects worked in harmful working conditions of classes 3.1–3.4. Measured vibration exceeded maximum permissible values at most workplaces. Levels of local vibration did not differ significantly between the cohorts and amounted to 115.0 and 118.0 dB; the level of whole body vibration in cohort II was 116.0 dB. Shorter work experience and younger age at the time of diagnosing the occupational disease were registered in people exposed to local vibration only compared to those with a combined exposure. The angiodystonic syndrome was twice as frequent in cohort I, while cohort II had a larger proportion of patients with concomitant diseases (low back pain, periarthrosis, etc.). Conclusion: Our findings indicate the necessity to reduce occupational exposures to vibration and take appropriate therapeutic and preventive measures in order to maintain health and work ability of employees.

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