[Current aspects of the etiology, pathogenesis, clinical picture and prevention of vibration disease from local vibration].

Abstract

Vibratory pathology goes on occupying the leading position in the pattern of occupational diseases. As to the industrial sources of local vibration, a hand power tool is most dangerous. The authors review differences in approaches to the estimation of vibratory disorders in the USSR and abroad, provide the main classifications of the vibratory syndrome and vibratory disease. Show that the pathogenesis of vibratory disease rests on a complex mechanism of neuroreflex and neurohumoral disorders leading to the development of congestive excitation followed by stable changes both in the receptor apparatus and different parts of the nervous system. The clinical symptomatology may include neurovascular disorders, lesions of the neuromuscular system, impairment of the bones and joints, alterations in metabolism, and so forth. In elaborating current measures aimed at vibratory disease prevention, use was made of the data of the prognosis of vibratory pathology risk. Measures for primary and secondary medical prophylaxis, new methods of early diagnosis, pathogenetic therapy with the use of stimulants of non-specific body resistance are described in detail.