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Occup Environ Med. 1994 June; 51(6): 366–370.
PMCID: PMC1127991

Vascular responses in chain saw operators.


The intensive use of chain saws is associated with development of the hand-arm vibration syndrome (vibration white finger). Objective testing for cold induced vasospasm was carried out on the fingers of 12 chain saw operators and 12 matched control men from a similar working environment. Two of the chain saw operators tested positive for vasospasm in the laboratory and another three had an abnormal result. All of the control subjects tested negative. Measurements of finger blood flow at different temperatures and during vibration of the hand were similar in the chain saw operators and controls. Use of the chain saw did not cause significant alterations in the plasma concentrations of von Willebrand factor antigen in either the long or the short term.

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Selected References

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  • Brubaker RL, Mackenzie CJ, Hertzman C, Hutton SG, Slakov J. Longitudinal study of vibration-induced white finger among coastal fallers in British Columbia. Scand J Work Environ Health. 1987 Aug;13(4):305–308. [PubMed]
  • Allen JA, Devlin MA, McGrann S, Doherty CC. An objective test for the diagnosis and grading of vasospasm in patients with Raynaud's syndrome. Clin Sci (Lond) 1992 May;82(5):529–534. [PubMed]
  • Allen JA, Doherty CC, McGrann S. Objective testing for vasospasm in the hand-arm vibration syndrome. Br J Ind Med. 1992 Oct;49(10):688–693. [PMC free article] [PubMed]
  • Welsh CL. The effect of vibration on digital blood flow. Br J Surg. 1980 Oct;67(10):708–710. [PubMed]
  • Hyvärinen J, Pyykkö I, Sundberg S. Vibration frequencies and amplitudes in the aetiology of traumatic vasospastic disease. Lancet. 1973 Apr 14;1(7807):791–794. [PubMed]
  • Olsen N, Petring OU. Vibration elicited vasoconstrictor reflex in Raynaud's phenomena. Br J Ind Med. 1988 Jun;45(6):415–419. [PMC free article] [PubMed]
  • Ikehata K, Kawauchi S, Kohno F, Nishiyama M, Ide N. Increased platelet function and von Willebrand factor in vibration syndrome. Tokushima J Exp Med. 1980 Jun;27(1-2):23–28. [PubMed]
  • McGrann S, Irwin ST, Allen JA. A plethysmograph for the measurement of digital blood flow. J Med Eng Technol. 1986 Nov-Dec;10(6):329–331. [PubMed]
  • Blann AD, Hopkins J, Winkles J, Wainwright AC. Plasma and serum von Willebrand factor antigen concentrations in connective tissue disorders. Ann Clin Biochem. 1992 Jan;29(Pt 1):67–71. [PubMed]
  • Hellstrom B, Andersen KL. Vibration injuries in Norwegian forest workers. Br J Ind Med. 1972 Jul;29(3):255–263. [PMC free article] [PubMed]
  • Härkönen H, Riihimäki H, Tola S, Mattsson T, Pekkarinen M, Zitting A, Husman K. Symptoms of vibration syndrome and radiographic findings in the wrists of lumberjacks. Br J Ind Med. 1984 Feb;41(1):133–136. [PMC free article] [PubMed]
  • Matikainen E, Leinonen H, Juntunen J, Seppäläinen AM. The effect of exposure to high and low frequency hand-arm vibration on finger systolic pressure. Eur J Appl Physiol Occup Physiol. 1987;56(4):440–443. [PubMed]
  • Färkkilä M, Pyykkö I. Blood flow in the contralateral hand during vibration and hand grip contractions of lumberjacks. Scand J Work Environ Health. 1979 Dec;5(4):368–374. [PubMed]
  • Blann A. von Willebrand factor and the endothelium in vascular disease. Br J Biomed Sci. 1993 Jun;50(2):125–134. [PubMed]
  • McKenna KM, McGrann S, Blann AD, Allen JA. An investigation into the acute vascular effects of riveting. Br J Ind Med. 1993 Feb;50(2):160–166. [PMC free article] [PubMed]

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