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Motor and perceptual responses to horizontal and vertical eye vibration in humans.

Previous studies have shown that low amplitude/high frequency mechanical vibration applied to the human eye muscles results in the illusory movement of a luminous spot fixated in total darkness. The aim of the present study was to investigate whether a vibration-induced motor response also occurs in eye muscles, and to check whether the visual illusions actually result from the proprioceptors being activated by the vibration, or whether they are simply due to the retinal slip induced by the reflex eye movement. The effects of the vibratory stimuli on the inferior rectus (IR) and lateral rectus (LR) muscles were evaluated by recording subjects' eye position changes. When applied to the IR muscle, vibration effectively elicited an upward visual illusion accompanied by a small downward ocular rotation, whereas when applied to the LR muscle, it also induced horizontal visual illusion, which was less frequent and weaker than the vertical one, but no ocular rotation. We concluded that visual illusions of this kind cannot be attributable to the retinal motion of the image of the fixated point. The difference between the vertical and horizontal vibratory motor responses is discussed as regards the particular role that oculo-muscular proprioception may play in the vertical muscles.

Eye Movements↗

Further evidence of a relation between noise-induced permanent threshold shift and vibration-induced digital vasospasms.

The relation between noise-induced permanent threshold shift (NIPTS) and vibration-induced dysfunction in the digital circulation was examined in a longitudinal survey among forest workers. The survey was based on annual examinations done between 1972 and 1983. Thirty-two forest workers with digital vasospasms were compared with referents matched for age, exposure, and use of ear protectors. No significant differences between the groups were observed at 1,000 or 2,000 Hz. The forest workers with digital vasospasms had significantly greater NIPTS at 4,000 and 8,000 Hz than the symptom-free referents. During the follow-up period, the gap in NIPTS between the two groups did not increase. Vibration measurements from chain saws manufactured in different years indicated that chain saws manufactured after 1970 had a tenfold reduction in vibration, whereas the reduction in noise levels was only slight. The results suggest that vibration-induced activation of the autonomic nervous system, which is thought to elicit digital vasospasms, may also contribute to the development of NIPTS.

Adult↗

Hand problems in 100 vibration-exposed symptomatic male workers.

Long-term use of hand-held vibrating tools may induce various types of hand problems. One hundred symptomatic men exposed to vibration from such tools were interviewed and examined with special reference to neurosensory and vasospastic problems. Three distinct symptomatic groups were identified: isolated neurosensory symptoms (48%), isolated vasospastic problems (20%), and combined neurosensory and vasospastic problems (32%). Abnormal cold intolerance (pain and coldness without blanching of the fingers on exposure to cold) occurred in 27% of the patients. Neurosensory problems were more predominant than vasospastic ones, especially during the first 20 years of vibration exposure. Of 80 patients with neurosensory symptoms, only 22 had signs of a carpal tunnel syndrome (CTS). It is concluded that vibration-induced neurosensory and vasospastic symptoms can occur separately or together, and that the neurosensory symptoms are often not due to a CTS.

Adult↗

Modelling the response of the spinal system to whole-body vibration and repeated shock.

Back problems are very common and contribute to discomfort and days off work. Some back disorders are attributed to inappropriate loading of the spine that can be combined with other influential factors such a body posture, whole-body vibration and shock. Many models have been developed to predict the forces in the spine associated with vibration and shock. However, the problem is complex due to the incompletely understood dynamic responses of the body, the influence of many variables and the effect of muscle forces. This paper summarises the current state of knowledge relevant to the prediction of forces in the spine associated with whole-body vibration and shock. The paper also introduces presentations at a workshop on the modelling of spinal loads associated with vibration and shock held in Berlin in October 1999. RelevanceBiodynamic models may be used to estimate risks of injury or disease and optimise environments so as to minimise risks. However, the development of useful models requires an understanding of the complex interaction between mechanical forces and the living body. The application of models requires knowledge of their accuracy and limitations.

Humans↗

How much can a vibrational diagnostic tool reveal in total hip arthroplasty loosening?

OBJECTIVE: To investigate how much information a vibrational technique can reveal regarding the loosening of the femoral component of a total hip arthroplasty. DESIGN: Numerical modal analysis using finite element method and computer simulation. BACKGROUND: Existing work suggested that this technique is capable of revealing total hip arthroplasty loosening. However, the potentials of this technique are not fully studied yet. There is a need to establish the limitation of this technique. METHODS: Numerical modal analysis was conducted to obtain the natural frequencies and mode shapes of femoral models under free vibration. An absent interface portion was hypothesized at specified locations the data from modal analysis were then used in a computer simulation to visualize the vibration diagnosis. RESULTS: The effects of interface failure on the femoral component stiffness vary with the locations and sizes of failure. Nominal critical, reliable, and nondetectable levels of interface failure are found. CONCLUSION: When the size of failure is more than one-third of the stem length, this tool is able to provide a reliable diagnosis. The critical detectable interface failure size is one-fifth of the stem length. It was found that the motion at higher harmonics is the most sensitive to the interface failure. This tool is unlikely to differentiate the slight differences in natural frequencies that occur when the interface failure length is less than one-sixth of the stem length. It is likely to fail in detecting failures located at the stem central portion regardless of their length. RELEVANCE: A numerical study of the vibration tool is important prior to pursuing clinical trials of the tool and may guide the characterizations involved in the trials.

Computer Simulation↗

Response of the rabbit diaphragm to tendon vibration.

To evaluate the potential role of diaphragmatic muscle spindles in the act of breathing, we have recorded the electromyograms of the diaphragm and the external intercostal muscle in the third interspace during high-frequency mechanical vibration (50 Hz) of the central tendon in eight anesthetized, spontaneously breathing rabbits. Vibration induced a consistent, clear-cut increase in the inspiratory activity recorded from the external intercostal, thus indicating that the mechanical stimulus applied to the diaphragm was strong enough to trigger muscle spindles at distant sites. However, vibration did not elicit any alteration in costal or crural diaphragmatic activity in any animal. Similarly, when vibration was applied during hyperventilation-induced apnea, activity was recorded in the external intercostal but not in the diaphragm. These observations support the traditional view that the diaphragm is poorly endowed with muscle spindles and that these play little or no significant role in the act of breathing.

Animals↗

Testing for pre-synaptic and post-synaptic changes in the soleus H reflex pathway following selective muscle vibration in humans.

Muscle vibration does not affect post-synaptic excitability of the corresponding motoneuronal pool, the concurrent depression of the monosynaptic reflex resulting from a pre-motoneuronal block of Ia spindle afferents. Indeed (1) both homonymous and heteronymous soleus responses (to electrical stimulation of the posterior tibial nerve (TN) and femoral nerve (FN), respectively) are clearly depressed during selective vibration of the homologous muscle (namely soleus (S) or quadriceps (Q)), but remain completely unchanged during vibration of the heterologous muscle (i.e. Q or S); (2) the effectiveness of facilitatory conditioning of FN and TN Ia afferents, respectively on the S motoneuronal pool is definitely reduced during vibration of the homologous muscle (namely Q and S).

Adult↗

Vibration reduces thermal pain in adjacent dermatomes.

Spatial summation of thermal pain crosses dermatomal boundaries. In this study we examined whether a vibrational stimulus applied to adjacent or remote dermatomes affects thermal pain perception to the volar forearm. Contact heat at 2 degrees C above thermal pain threshold was applied, and a Visual Analog Scale (VAS) was used for pain assessment. We found a significant decrease in mean VAS rating when simultaneous vibratory stimuli were given to the dermatome adjacent to that receiving thermal stimulation, or to the same dermatome on the contralateral side. There was no change in VAS rating when vibration was given two or more dermatomes away. Vibration within the same dermatome also did not yield a significant change in VAS rating, possibly due to difficulty in magnitude assessment of stimuli given simultaneously within a single dermatome. The finding that vibration can reduce pain across dermatomes may allow for more flexible design of stimulation therapy for pain.

Adolescent↗

Evaluation of cutaneous vibration thresholds in medical transcriptionists.

This study was designed to determine whether vibration thresholds of transcriptionists varied significantly from the thresholds of individuals not exposed to keyboard activities. Using a multifrequency vibrometer, we obtained vibration threshold values from 31 medical transcriptionists who perform work on computer keyboards and compared them to values obtained from 40 control subjects. Thresholds tended to become more abnormal at higher frequencies, although this difference was statistically significant only at frequencies of 125 Hz, 250 Hz, and 500 Hz in the index and small fingers. Vibration thresholds were not found to increase significantly with age or years of occupation. Vibration thresholds were significantly increased in medical transcriptionists at the higher frequencies, suggesting subtle neural dysfunction.

Adult↗

Effects of middle ear pressure changes on umbo vibration.

Effects of middle ear pressure changes on umbo vibration were studied in 5 fresh human temporal bones taken from cadavers. Umbo vibration to a constant sound pressure of 120 dB SPL at the tympanic membrane was measured with an MTI 1000 Fotonic Sensor. The results showed that there was a loss of umbo vibration at lower frequencies below 2 kHz; 5.0 +/- 1.0 dB loss at -100 mmH2O, 9.2 +/- 1.3 dB loss at -200 mmH2O, and 13.1 +/- 1.8 dB loss at -300 mmH2O. In contrast, there was a slight increase in umbo vibration at around 2-3 kHz. The effect was considered to be mainly due to increased stiffness of the tympanic membrane and decreased air volume in the middle ear cavity.

Cadaver↗

Raynaud's syndrome in workers who use vibrating pneumatic air knives.

PURPOSE: The use of vibrating tools has been shown to cause Raynaud's syndrome (RS) in a variety of workers, including those who use chain saws, chippers, and grinders. The diagnosis of RS in workers who use vibrating tools is difficult to document objectively. We studied a patient cohort with RS caused by the use of a vibrating pneumatic air knife (PAK) for removal of automobile windshields and determined our ability to document RS in these workers by means of digital hypothermic challenge testing (DHCT), a vascular laboratory study that evaluates digital blood pressure response to cooling. METHODS: Sixteen male autoglass workers (mean age, 36 years) with RS were examined by means of history, physical examination, arm blood pressures, digital photoplethysmography, screening serologic studies for underlying connective tissue disorder, and DHCT. RESULTS: No patient had RS before they used a PAK. The mean onset of RS (color changes, 100%; pain, 93%; parathesias, 75%) with cold exposure was 3 years (range, 1.5 to 5 years) after initial PAK use (mean estimated PAK use, 2450 hours). Fifty-six percent of workers smoked cigarettes. The findings of the physical examination, arm blood pressures, digital photoplethysmography, and serologic testing were normal in all patients. At 10 degrees C cooling with digital cuff and patient cooling blanket, a significant decrease in digital blood pressure was shown by means of DHCT in 100% of test fingers versus normothermic control fingers (mean decrease, 75%; range, 25% to 100%; normal response, less than 17%; P <.001). The mean follow-up period was 18 months (range, 1 to 47 months). No patient continued to use the PAK, but symptoms of RS were unchanged in 69% and worse in 31%. CONCLUSION: PAK use is a possible cause of vibration-induced RS. The presence of RS in workers who use the PAK was objectively confirmed by means of DHCT. Cessation of PAK use in the short term did not result in symptomatic improvement.

Adult↗

Deviant vocal fold vibration as observed during videokymography: the effect on voice quality.

Videokymographic images of deviant or irregular vocal fold vibration, including diplophonia, the transition from falsetto to modal voice, irregular vibration onset and offset, and phonation following partial laryngectomy were compared with the synchronously recorded acoustic speech signals. A clear relation was shown between videokymographic image sequences and acoustic speech signals, and the effect of irregular or incomplete vocal fold vibration patterns was recognized in the amount of perceived breathiness and roughness and by the harmonics-to-noise ratio in the speech signal. Mechanisms causing roughness are the presence of mucus, phase differences between the left and right vocal fold, and short-term frequency and amplitude modulation. It can be concluded that the use of simultaneously recorded videokymographic image sequences and speech signals contributes to the understanding of the effect of irregular vocal fold vibration on voice quality.

Aged↗

Hand function in workers with hand-arm vibration syndrome.

Hand-arm vibration syndrome has been specially addressed in the Scandinavian countries in recent years, but the syndrome is still not sufficiently recognized in many countries. The object of this preliminary study was to describe the nature and character of vibration-induced impairment in the hands of exposed workers. Twenty symptomatic male workers (aged 28 to 65 years) subjected to vibration by hand-held tools were interviewed about subjective symptoms and activities of daily living and were assessed with a battery of objective tests for sensibility, dexterity, grip function, and grip strength. The test results were compared with normative data. The majority of patients complained of cold intolerance, numbness, pain, sensory impairment, and difficulties in handling manual tools and in handwriting. The various objective tests showed considerable variation in indications of pathologic outcome, revealing differences in sensitivity to detect impaired hand function. Semmes-Weinstein monofilament testing for perception of light touch-deep pressure sensation, the small-object shape identification test, and moving two-point discrimination testing for functional sensibility provided the most indications of pathologic outcomes. The authors conclude that vibration-exposed patients present considerable impairment in hand function.

Activities of Daily Living↗

Adaptation of vibration-induced postural sway in individuals with Parkinson's disease.

Postural control requires accurate integration of visual, vestibular, cutaneous, and proprioceptive sensory information. Previous research suggests that patients with Parkinson's disease (PD) may have difficulty with this integration process, particularly involving incongruent visual information. The purpose of this study was to determine whether PD patients also show difficulty in adaptation to erroneous proprioceptive information. Postural reactions to soleus muscle vibration were explored in 8 PD patients, 8 healthy elderly, and 8 young adults. Postural sway was recorded using an electromagnetic motion analysis system in four conditions (2 vision x 2 vibration) with four trials in each condition to test subjects' adaptation to the vibrator stimulus. The results showed that PD patients did adapt to the vibration across trials, similar to those of both control groups. It was concluded that PD patients in the early stages of the disease could override inaccurate proprioceptive inputs, relying more on true vestibular and/or visual information. These results suggest that the basal ganglia are not critical for this adaptation process in postural control.

Adaptation, Physiological↗

Vibrational assignment of aluminum(III) tris-acetylacetone.

The geometry, frequency and intensity of the vibrational bands of aluminum(III) Tris-acetylacetone Al(AA)3 and its 1,3,5-(13)C derivative were obtained by the Hartree-Fock (HF) and Density Functional Theory (DFT) with the B3LYP, B1LYP, and G96LYP functionals and using the 6-31G* basis set. The calculated frequencies are compared with the solid IR and Raman spectra. All of the measured IR and Raman bands were interpreted in terms of the calculated vibrational modes. Most computed bands are predicted to be at higher wavenumbers than the experimental bands. The calculated bond lengths and bond angles are in good agreement with the experimental results. Analysis of the vibrational spectra indicates a strong coupling between the chelated ring modes. Four bands in the 500-390 cm(-1) frequency range are assigned to the vibrations of metal-ligand bonds.

Molecular Structure↗

Vibration-induced inhibition of the early components of the tibial nerve somatosensory evoked potential is mediated at a spinal synapse.

OBJECTIVES: To investigate whether afferent-induced suppression of cortical somatosensory evoked potentials (SEPs) occurs at a spinal site along the transmission route of afferent signals from the tibial nerve to the primary somatosensory cortex. METHODS: Evoked potentials were recorded at 4 points (sciatic nerve, L5, C1, and cortex) along the path of transmission following electrical stimulation of the tibial nerve in halothane-anesthetized cats. The amplitudes of evoked potentials sampled during vibration of quadriceps were compared to evoked potentials sampled without the vibration. RESULTS: The spinal SEP recorded at C1 and the cortical SEP were both substantially reduced by patellar tendon vibration. The L5 spinal SEP and the sciatic nerve potential were unaffected. Vibration of quadriceps did not influence the latency of the evoked potentials. CONCLUSIONS: These results indicate that afferent-induced suppression of the initial complex of the SEP can be mediated at a spinal synapse.

Animals↗

Crossed effects of muscle vibration on motor-evoked potentials.

OBJECTIVES: Muscle vibration (MV) to a forearm muscle augments motor-evoked potentials (MEPs) following transcranial magnetic stimulation (TMS) and the underlying mechanism involves cortical structures. Although MV-induced cortical activation is bilateral, the effects of MV on MEPs in contralateral muscles have not been investigated. METHODS: Low-amplitude MV (80 Hz, amplitude 0.5 mm, duration 4 s), subthreshold for the tonic vibration reflex, was applied to the right extensor carpi radialis muscle (ECR). MEPs were elicited (0.5, 3 and 5 s after MV onset) in the left and right ECR and flexor carpi radialis muscle (FCR) by TMS (120% of threshold at rest) to the left and right hemisphere, respectively. RESULTS: During MV of right ECR the left ECR revealed a slight non-significant augmentation of MEPs. In contrast, the left FCR showed a gradual depression of MEPs with ongoing MV and at 3 s the reduction of MEPs was significant. The time course of MEP changes in left FCR correlated with the facilitation of the vibrated right ECR. Post-vibration MEPs at 1 s after the offset of MV were still significantly decreased. CONCLUSIONS: The study demonstrates crossed effects of MV on motor cortex excitability, suggesting transcallosal MEP modulation.

Adult↗

Dissociated loss of vibration, joint position and discriminatory tactile senses in disease of spinal cord and brain.

The clinical functions of the posterior columns of the spinal cord and the signs of disease of these structures have been debated for years. Todd in 1847 and Schiff in 1858 knew the functions of the posterior columns and 10 years later Brown-Séquard knew as well. Reynolds, Romberg, and Duchenne, each described a posterior column syndrome based on a disease in which the primary lesion was not in the posterior columns. In the last 150 years almost every white matter structure of the cord has been credited with serving the sensations that we now know are a function of the posterior columns. Vibration, joint position and movement as well as discriminatory touch each seem to be served by separate fibres of the posterior columns and medial lemniscus. There is evidence of this in cat and man. These sensations may be lost individually, totally, or in certain stereotyped combinations. Vibration or joint sense is commonly lost alone. When a discriminatory touch sensation is lost with one other sense, it is almost inevitably joint position sense. Absent discriminatory touch and vibration sense with normal joint position sense appears to be unknown. This functional separation continues into the thalamus. At the highest level there is no evidence that vibration sense has any conscious somatosensory cortical affiliation, while joint position and discriminatory touch senses definitely do.

Brain↗