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Exposure to hand-arm vibrations in the workplace and the occurrence of hand-arm vibration syndrome, Dupuytren’s disease, and hypothenar hammer syndrome. A systematic review and meta-analysis
University Medical Center, Rotterdam, Netherlands.
University of Southern Denmark, Odense, Denmark.
University Medical Center, Rotterdam, Netherlands.
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational Health Science and Psychology, Occupational Health Science. University of Gävle, Centre for Musculoskeletal Research.ORCID iD: 0000-0003-2939-0236
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2023 (English)In: Journal of Occupational and Environmental Hygiene, ISSN 1545-9624, E-ISSN 1545-9632, Vol. 20, no 7, p. 257-267Article, review/survey (Refereed) Published
Abstract [en]

This study provides an overview on the relationships between exposure to work-related, hand-arm vibration and the occurrence of pre-defined disorders of the hands. We searched Medline, Embase, Web of Science, Cochrane Central, and PsycINFO for cross-sectional and longitudinal studies on the association between work-related vibration exposure and the occurrence of hand-arm vibration syndrome (including vibration-induced white finger), Dupuytren’s contracture, or hypothenar hammer syndrome. We used a 16-item checklist for assessing risk of bias. We present results narratively, and we conducted random effects meta-analyses if possible. We included 10 studies with more than 24,381 participants. Our results showed statistically significant associations between the exposure to hand-arm vibrations and the occurrence of the selected disorders, with pooled odds ratios ranging between 1.35 (95% CI: 1.28 to 2.80) and 3.43 (95% CI: 2.10 to 5.59). Considerable between-study hetereogeneity was observed. Our analyses show that exposure to vibrating tools at work is associated with an increased risk for the occurrence of selected disorders of the hands. Due to the majority of studies being cross-sectional, no firm conclusion is possible regarding causal relationships between vibration exposure and disorder occurrence. Future research should specifically address whether reducing the exposure to hand-held vibrating tools at work reduces the incidence of the disorders of the hands investigated in this systematic review.

Place, publisher, year, edition, pages
Taylor & Francis , 2023. Vol. 20, no 7, p. 257-267
Keywords [en]
Hand-arm vibration, Meta-analysis, Musculoskeletal disorders, Systematic medicine
National Category
Occupational Health and Environmental Health
Research subject
Health-Promoting Work
Identifiers
URN: urn:nbn:se:hig:diva-38432DOI: 10.1080/15459624.2023.2197634ISI: 000985320300001PubMedID: 37000463Scopus ID: 2-s2.0-85159055442OAI: oai:DiVA.org:hig-38432DiVA, id: diva2:1652778
Available from: 2022-04-20 Created: 2022-04-20 Last updated: 2025-05-06Bibliographically approved

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Jackson, Jennie

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