Masashi Furuta

Effect of vibration frequency on finger blood flow

SummaryA total of 18 healthy subjects (9 men and 9 women) 20–35 years of age were used to study the effect of vibration frequency on finger blood flow. Seven vibration frequencies of 16, 31.5, 63, 125, 250, 500 and 1,000 Hz, at vibrational accelerations of 10 m/s2 (rms: root mean square) or 50 m/s2 (rms), with the exception of 16 Hz, which was measured at only 10 m/s2 (rms), were randomly applied to the palm of the right hand for 1 min at intervals of about 3 min. Finger blood flow was measured simultaneously in both the right and the left middle fingers with a blood flowmeter using a thermal diffusion method and in the left middle finger with a laser Doppler flowmeter. The experiments were performed in an artificial climate chamber set at 23°C air temperature and 50% humidity. Relatively great responses were observed at frequencies of 31.5–63 and 250–500 Hz on the exposed and unexposed sides, respectively, as measured with a blood flowmeter using a thermal diffusion method and at 31.5–63 as well as 500 Hz on the unexposed side with a laser Doppler flowmeter. These results may be related to Meissners and pacinian corpuscles.

Skin sympathetic activity in the tibial nerve triggered by vibration applied to the hand

SummaryThe effect of vibration applied to the hand on skin sympathetic activity (SSA) in the lower limbs was studied in five healthy subjects. SSA from the right tibial nerve at the popliteal fossa, plethysmogram from the right index toe and perspiration from the sole of the rigth foot were measured when vibration of 100m/s2 at 60 Hz was applied to the left palm for 1 min. The SSA response to vibration exposure differed among subjects, but every subject showed an increase in SSA from the tibial nerve when vibration was applied to the hand. Decrease in amplitude of plethysmogram from the toe was also found in all subjects. One subject displayed a remarkable increase in perspiration on the sole of the foot together with a great increase in SSA. The present findings indicated that even vibration exposure of the hand triggers sympathetic activity in the tibial nerve innervating the foot, and causes vasoconstriction of the toe and perspiration on the sole of the foot.

Correlation between vibration-induced white finger and symptoms of upper and lower extremities in vibration syndrome

SummaryThe correlation was investigated between the frequency of attacks of vibration-induced white finger (VWF) and numbness or coldness of the fingers and legs in patients with vibration syndrome. Some 1687 patients with vibration syndrome were examined and of these 342 chain-saw operators and 277 rock-drill operators had no disease other than vibration snydrome. Then subjects were matched by age and period of treatment within three years. In the last analysis, 20 in the VWF “almost everyday” group or in the “never” group, and 40 in the “occasionally” group were selected from the chain-saw operators, and from the rock-drill operators 32 in the VWF “everyday” or the “never” group and 64 in the “occasionally” group. The present study showed that, with the frequency of VWF attacks, patients had a higher prevalence of coldness not only in the fingers but also in the legs. These findings suggest a correlation between the severity of circulatory disturbances of the upper extremities and that of the lower ones in patients with vibration syndrome. Further studies on circulatory disturbances in the leg are required.

Circulatory disturbances of the foot in vibration syndrome

SummaryCirculatory disturbances of the foot in patients with vibration syndrome were studied by measuring the skin temperature of both index fingers and great toes through a 3-min immersion of the right foot in cold water at 10°C. Subjects included 11 patients with vibration-induced white finger (VWF) [VWF(+) group], 12 patients without VWF [VWF(−) group], and 20 healthy referents not exposed to vibration. Patients were all male chain saw operators who had scarcely been exposed to vibration of the foot. The prevalence of coldness felt in the upper and lower extremities was > 90% in the VWF(+) group, about 60% in the VWF(−) group, and < 10% in the referents. The extent of the coldness was greatest in the VWF (+) group. The skin temperature of both fingers and toes was lowest in the VWF(+) group, somewhat higher in the VWF(−) group, and highest in the referents both before and after immersion. These findings indicate that patients with vibration syndrome, especially those with VWF, have circulatory disturbances in the foot as well as in the hand. The disturbances in the foot may be related to long-term repeated vasoconstriction in the foot induced by hand-arm vibration through the sympathetic nervous system.

Combined effects of vibration and noise on palmar sweating in healthy subjects

SummaryThe combined effects of vibration and noise on palmar sweating were studied experimentally in healthy subjects. Ten subjects were exposed to vibration at an acceleration of 100 m·sec−2 root mean square at a frequency of 125 Hz, a noise level of 105 dB(A) at a frequency of 1000 Hz and both stimuli together. Vibration was applied to the right hand and noise to both ears from headphones. Palmar sweating was measured by the ventilated capsule method. Vibration caused a marked increase in palmar sweating of the right hand directly exposed to vibration and also of the left hand not exposed to vibration. Simultaneous vibration and noise caused a greater increase in palmar sweating than by each of the factors separately. The combined effects tended to be greater in subjects who were more susceptible to vibration or noise.

Knee Pain and its Associations with Age, Sex, Obesity, Occupation and Living Conditions in Rural Inhabitants of Japan

Factors associated with knee pain were investigated using 871 self-administered questionnaires (405 men and 466 women) from residents aged over 30 years in a rural area of Japan. The prevalence of knee pain increased with age, particularly in women over 50. It was significantly higher in women than in men. Body mass index (BMI) was significantly related to knee pain in women, though not in men. With reference to occupational factors, frequent heavy lifting on the job was significantly associated with knee pain in both men and women, whereas job-related standing and walking showed no such relationship. As for living conditions, residence on rather steep mountain slopes and the habit of sitting on Japanese tatami mats were significant factors related to knee pain in men, but not in women. There was no association of knee pain with the style of toilet (Japanese or Western). After controlling for all significant factors by multiple logistic regression analysis, age, heavy lifting, and residence on steep slopes were found to be independent factors related to knee pain in men; and age, BMI, and heavy lifting were the factors in women.