Summary
The objective of the present study was to evaluate the reliability of a modified version of the commercially available Biothesiometer, and to examine vibrotactile perception thresholds with respect to age and gender. A standardized protocol for measuring vibrotactile perception threshold was administered to 80 subjects, once a week over 4 weeks. Inter-session variability was stable (analysis of variance for repeated measures; P>0.05) and correlations were high (Pearson's: 0.87≤r≤0.90; P≤0.001). For sites on both hands and feet, there was a significant increase with age (0.19≤r 2≤0.52; P≤0.001). Five factor analysis of variance model showed that vibrotactile perception threshold was significantly different with stimulus site, age category and gender; no differences were observed with alcohol consumption or smoking status. The findings indicate that the measurements from this device are highly reproducible and sensitive to expected threshold differences with age and gender. The authors attribute this to technical improvements of the original apparatus, rigid adherence to test protocol and maintenance of standard conditions. This type of instrument would be useful in assessing vibrotactile perception loss in occupational health studies.
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References
Arezzo JC, Schaumburg HH (1980) The use of the Optacon as a screening device. J Occup Med 22:461–464
Arezzo J, Laudadio C, Schaumburg HH (1984) The optacon tactile tester and the Pfizer thermal tester: new devices for the detection of diabetic neuropathy. Diabetes 33 [Suppl]:185A
Arezzo JC, Schaumburg HH, Laudadio C (1985) The Vibratron: a simple device for quantitative evaluation of tactile-vibratory sense. Neurology 35:169
Axelson O, Hogstedt C (1988) On the health effects of solvents. In: Zenz C (ed) Occupational medicine. Principles and practical applications, 2nd edn. Ryan/Kelly, Chicago, pp 775–784
Bertelsmann FW, Heimans JJ, Van Rooy JCGM, Heine RJ, Van Der Veen EA (1986) Reproducibility of vibratory perception in patients with diabetic neuropathy. Diabetes Res 3:463–466
Blooms S, Till S, Sönksen P, Smith S (1984) Use of a biothesiometer to measure individual vibration thresholds and their variation in 519 non-diabetic subjects. Br Med J 288:1793–1795
Bove F, Litwak MS, Arezzo JC, Baker EL (1986) Quantitative sensory testing in occupational medicine. Semin Occup Med 1:185–189
Brammer AJ, Piercy JE, Auger PL, Nohara S (1987) Tactile perception in hands occupationally exposed to vibration. J Hand Surg [Am] 12:870–875
Dyck PJ, Zimmerman IR, O'Brien PC, Ness A, Caskey PE, Karnes J, Buslek W (1978) Introduction of automated systems to evaluate touch-pressure, vibration, and thermal cutaneous sensation in man. Ann Neurol 4:502–510
Eisen EA, Letz RE, Wegman DH (1988) Measurement precision for 3 effort dependant neurobehavioural tests. In: Hogstedt C, Reuterwall C (eds) Progress in occupational epidemiology. Excerpta Med Int Cong Ser 829:249–252
Eloffson S, Gamberale F, Hindmarsh T (1980) A cross-sectional epidemiologic investigation on occupationally exposed car and industrial spray painters with special reference to the nervous system. Scand J Work Environ Health 6:239–273
Era P, Jokela J, Suominen H, Heikkinen E (1986) Correlates of vibrotactile thresholds in men of different ages. Acta Neurol Scand 74:210–217
Erkelens DW, Spijker AJ (1984) Objective assessment of vibration perception at the thumb for early diagnosis and follow-up of sensory neuropathy. Diabetologia 27:272A-273A
Fengsheng HE (1985) Occupational toxic neuropathies- an update. Scand J Work Environ Health 11:321–330
Freeman B, Rowe M (1981) The effect of sympathetic nerve stimulation on responses of cutaneous Pacinian corpuscles in the cat. Neurosci Lett 22:145–150
Frohring WO, Kohn PM, Bosma JF, Toomey JA (1945) Changes in the vibratory sense of patients with poliomyelitis as measured by the pallethesiometer. Am J Dis Child 69:89–91
Gerr FE, Letz R (1988) Reliability of a widely used test of peripheral cutaneous vibration sensitivity and a comparison of two testing protocols. Br J Ind Med 45:635–639
Goldberg JM, Lindblom U (1979) Standardized method of determining vibratory perception thresholds for diagnosis and screening in neurological investigation. J Neurol Neurosurg Psychiatry 42:793–803
Gregerson P, Angelso B, Nielson TE, Norgaard B, Uldal C (1984) Neurotoxic effects of organic solvents in exposed workers: an occupational, neuropsychological and neurological investigation. Am J Ind Med 5:201–225
Häkkinen VK, Saarnio I, Ignatius J (1983) A microprocessorbased vibrometer for clinical research. Electroencephalogr Clin Neurophysiol 56:95
Halar EM, Hammond MC, LaCava EC, Camann C, Ward J (1987) Sensory perception threshold measurement: an evaluation of semi-objective testing devices. Arch Phys Med Rehabil 68:499–507
Halonen P (1986) Quantitative vibration perception threshold in healthy subjects of working age. Eur J Appl Physiol 54:647–655
Halonen P, Halonen JP, Lang HA, Karskela V (1986) Vibratory perception thresholds in shipyard workers exposed to solvents. Acta Neurol Scand 73:561–565
Hockaday TDR, Holman RR, Hillson RM, Pim B, Smith B (1981) Comparison of vibration sense by biothesiometer and fasting glucose values during 3 years of diabetes. Diabetologia 20:670
Husman K, Karli P (1980) Clinical neurological findings among car painters exposed to a mixture of organic solvents. Scand J Work Environ Health 6:33–39
Johnson B (1987) Prevention of neurotoxic illness in working population. Wiley, Chichester
Katims JJ, Naviasky EH, Ng LKY, Rendell M, Bleecker ML (1986) New screening device for assessment of peripheral neuropathy. J Occup Med 28:1219–1221
Knave B, Persson H, Goldberg M (1976) Long-term exposure to jet fuel. An investigation on occupationally exposed workers with special reference to the nervous system. Scand J Work Environ Health 2:152–164
Lowenthal LM, Hockaday TD (1987) Vibration sensory thresholds depend on pressure of applied stimulus. Diabetes Care 10:100–102
Lundborg G, Sollerman C, Stromberg T, Pyykkö I, Rosén B (1987) A new principle for assessing vibrotactile sense in vibration-induced neuropathy. Scand J Work Environ Health 13:375–379
Lundström R (1984) Vibrotactile sensitivity of the human hand's glabrous skin. J Low Freq Noise Vib 3:88–94
Maizlish NA, Fine LJ, Albers JW, Whitehead L, Langolf GD (1987) A neurological evaluation of workers exposed to mixtures of organic solvents. Br J Ind Med 44:14–25
Mergler D, Blain L, Lemaire J, Lalande F (1988) Colour vision impairment and alcohol consumption. Neurotoxicol Teratol 10:255–260
Muijser H, Hooisma J, Hoogendijk EMG, Twisk DAM (1986) Vibration sensitivity as a parameter for detecting peripheral neuropathy I. Results in healthy workers. Int Arch Occup Environ Health 58:287–299
Najemnik C, Kritz H, Irsigler K (1984) Biothesiometry: a diagnostic tool for diabetic neuropathy. Diabetologia 27:314A
Pearson GHI (1928) Effect of age on vibratory sensitivity. Arch Neurol Psychiatry 20:482–496
Perret E, Regli F (1970) Age and the perceptual threshold for vibratory stimuli. Eur Neurol 4:65–76
Roland E, Nielson VK (1980) Vibratory thresholds in the hands. Comparison of patients with suprathalamic lesions with normal subjects. Arch Neurol 37:775–779
Sallé HJ, Verberk MM (1984) Comparison of five methods for measurement of vibratory perception. Int Arch Occup Environ Health 53:303–309
Seppalainen AM (1986) Solvents and peripheral neuropathy. Prog Clin Biol Res 220:247–253
Spencer PS, Schaumburg HH, Raleigh RL, Terhaar CJ (1975) Nervous system degeneration produced by the industrial solvent methyl-n-butyl ketone. Arch Neurol 32:219–222
Spencer PS, Path MRC, Schaumburg H (1985) Organic solvent neurotoxicity. Facts and research needs. Scand J Work Environ Health 11 [Suppl 1]:53–60
Steiness IB (1958) Biothesiometry in the diagnosis of lumbar disk protrusion. Neurology 8:793–795
Szabo RM, Gelberman RH, Williamson RV, Dellon AL, Yaru NC, Dimick MP (1984) Vibratory sensory testing in acute peripheral nerve compression. J Hand Surg [Am] 9:104–109
Verberk MM, Sallé HJA, Kempers O (1985) Vibratory and tactile sense of the fingers after working with sanders. Int Arch Occup Environ Health 56:217–223
Verrillo RT (1979) Change in vibrotactile thresholds as a function of age. Sensory Processes 3:49–59
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Frenette, B., Mergler, D. & Ferraris, J. Measurement precision of a portable instrument to assess vibrotactile perception threshold. Europ. J. Appl. Physiol. 61, 386–391 (1990). https://doi.org/10.1007/BF00236057
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DOI: https://doi.org/10.1007/BF00236057