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CLINICAL ASSESSMENT OF HAND-ARM VIBRATION SYNDROME
https://doi.org/10.18999/nagjms.57.suppl.27
https://doi.org/10.18999/nagjms.57.suppl.27ebba1036-278a-4d97-b158-f1d8c80b6b01
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
v57supp27_41.pdf (1.4 MB)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2012-03-05 | |||||
| タイトル | ||||||
| タイトル | CLINICAL ASSESSMENT OF HAND-ARM VIBRATION SYNDROME | |||||
| 言語 | en | |||||
| 著者 |
PELMEAR, PETER L.
× PELMEAR, PETER L.× KUSIAK, ROBERT |
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| アクセス権 | ||||||
| アクセス権 | open access | |||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Hand-arm vibration syndrome | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Stockholm classification | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Clinical assessment | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Clinical tests | |||||
| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | The clinical assessment of patients thought to be suffering from hand-arm vibration syndrome (HAVS) requires the use of multiple vascular and sensory tests. In a family physician's office, Adson's, Allen's and cold water immersion of the hands are the only feasible vascular tests, while the sensory tests have to be limited to assessing impairment of skin sensitivity and manipulative dexterity. This paper reviews the laboratory tests deemed to be useful in a hospital or clinic facility, and reports on the investigation of 364 patients exposed to hand-arm vibration who were examined in Toronto, Canada during the period 1989-92. A statistical clustering algorithm was used to categorise 138 male subjects according to the results of their diagnostic tests. From the cluster analysis, four vascular and four sensorineural categories of impairment were recognised in patients suffering from HAVS. The Stockholm vascular classification stages and the four vascular clusters were found to correspond. The Stockholm sensorineural classification (Stages 1, 2, and 3) correlated with clusters formed from the sensory tests evaluating the sensitivity of the nerve endings and the distal digital branches of the median and ulnar nerves. When the myelinated nerve fibres were affected, as detected by abnormal Tinel's, Phalen's, and nerve conduction tests, an additional cluster group emerged. The subjects with abnormal nerve conduction test results constituted a distinct group with increased impairment, so there is a need for them to be categorised separately i.e. as a Stage 4. It is suggested that a Stage 4 be included in the Stockholm sensorineural classification. | |||||
| 言語 | en | |||||
| 出版者 | ||||||
| 出版者 | Nagoya University School of Medicine | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| 資源タイプ | ||||||
| 資源 | http://purl.org/coar/resource_type/c_6501 | |||||
| タイプ | departmental bulletin paper | |||||
| 出版タイプ | ||||||
| 出版タイプ | VoR | |||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
| ID登録 | ||||||
| ID登録 | 10.18999/nagjms.57.suppl.27 | |||||
| ID登録タイプ | JaLC | |||||
| 関連情報 | ||||||
| 関連タイプ | isVersionOf | |||||
| 識別子タイプ | URI | |||||
| 関連識別子 | http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/57suppl/57suppl.html | |||||
| ISSN（print） | ||||||
| 収録物識別子タイプ | PISSN | |||||
| 収録物識別子 | 0027-7622 | |||||
| ISSN（Online） | ||||||
| 収録物識別子タイプ | EISSN | |||||
| 収録物識別子 | 2186-3326 | |||||
| 書誌情報 |
en : Nagoya Journal of Medical Science 巻 57, 号 suppl, p. 27-41, 発行日 1994-05 |
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| 著者版フラグ | ||||||
| 値 | publisher | |||||
