The relationship between hand-arm vibration and lower extremity clinical manifestations: a review of the literature
The relationship between hand-arm vibration and lower extremity clinical manifestations: a review of the literature
复制标题
手臂振动与下肢临床表现的关系：文献综述
DOI：
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发表时间：
2002
影响因子：
3
通讯作者：
M. Schweigert
中科院分区：
文献类型：
--
作者：
M. Schweigert
目的：评估支持手臂振动（HAV）与下肢临床效应之间关系的现有文献。方法：对文献进行初步审查，确定了与HAV相关的下肢血管和神经系统影响。采用明确的检索和评价策略进行了第二次文献综述。它侧重于分析研究，并寻找支持甲型肝炎病毒和下肢影响之间关系的流行病学证据。结果：确定了8项符合所有初始纳入/排除标准的分析研究。所有这些研究在选择偏倚、应答率和缺乏混杂因素检查方面都存在严重的效度缺陷。结论：被诊断为手臂振动综合征（HAVS）的暴露者与下肢血管症状之间的相关性是一致的。没有证据表明独立于HAVS诊断的手持振动暴露与下肢血管症状相关。没有证据表明HAV与临床显著的下肢神经症状相关。
Objective: To assess the current literature supporting a relationship between hand-arm vibration (HAV) and lower extremity clinical effects. Methods: An initial review of the literature identified lower extremity vascular and neurological effects reported in association with HAV. A second literature review was performed with explicit search and evaluation strategies. It focused on analytical studies and looked for epidemiological evidence supporting the relationship between HAV and lower extremity effects. Results: Eight analytical studies which met all of the initial inclusion/exclusion criteria were identified. All of these had serious validity deficiencies with respect to selection bias, response rates and lack of examination of confounders. Conclusions: There was consistency with respect to an association between those exposed who were diagnosed with hand-arm vibration syndrome (HAVS) and vascular symptoms in the lower extremities. There was no evidence that hand-held vibration exposure independent of the diagnosis of HAVS was associated with lower extremity vascular symptoms. There was no evidence to suggest that HAV was associated with clinically significant lower extremity neurological symptoms.