{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T21:15:26Z","timestamp":1793394926309,"version":"4.5.0"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2020,2,20]],"date-time":"2020-02-20T00:00:00Z","timestamp":1582156800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,2,20]],"date-time":"2020-02-20T00:00:00Z","timestamp":1582156800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100000869","name":"Health and Safety Executive","doi-asserted-by":"crossref","award":["001"],"award-info":[{"award-number":["001"]}],"id":[{"id":"10.13039\/501100000869","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Arch Occup Environ Health"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Objective<\/jats:title>\n<jats:p>To determine if heavy manual work affects sensory perception in the digits and whether Semmes\u2013Weinstein monofilaments (SWM) can be used as a screening tool to detect sensory neuropathy in the digits of workers exposed to hand-transmitted vibration (HTV).<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>A cross-sectional study of office workers, heavy manual workers not exposed to HTV and workers with hand-arm vibration syndrome (HAVS). Sensory perception was measured in the digits by SWM using a forced-choice method to determine variability by sex, age, hand and digit. Frequency distributions were used to determine limit values and linear weighted kappa for intra-digit variability. Poisson regression was used to explore the relationship between sensory perception by SWM and abnormalities of thermal and vibration perception in the hands of workers with HAVS.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>The sensory perception threshold of office workers did not vary by hand or digit. It was significantly lower in women\u2009&lt;\u200930 than women aged\u2009\u2265\u200930\u00a0years. The 95th percentile for heavy manual workers was 1.00 (95% CI 0.60\u20131.00) and significantly higher than for office workers at 0.16 (95% CI 0.16\u20130.16). Heavy manual workers\u2009&gt;\u200950\u00a0years had the highest threshold at 1.40 (95% CI 1.00\u20132.00). Weighted kappa for reliability was 0.63 (95% CI 0.53\u20130.70). A mean SWM threshold of\u2009\u2265\u20091.0\u00a0gram-force had a 79% sensitivity and 64% specificity for detecting abnormalities of thermal and vibration perception in the ipsilateral index and little fingers of workers with HAVS.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>SWM are a useful screening tool for detecting sensory loss in the digits of workers exposed to HTV.<\/jats:p>\n<\/jats:sec>","DOI":"10.1007\/s00420-020-01523-8","type":"journal-article","created":{"date-parts":[[2020,2,20]],"date-time":"2020-02-20T14:03:06Z","timestamp":1582207386000},"page":"723-731","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Sensory perception testing by monofilaments in the digits of controls and workers with HAVS"],"prefix":"10.1007","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3263-1320","authenticated-orcid":false,"given":"C. J. 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Quantitative sensory tests of thermal and vibration perception are undertaken at HSE\u2019s Science and Research Centre in Buxton for which a fee is charged.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}},{"value":"This work was reviewed and approved by the HSE research ethics committee operating under delegated authority from The University of Sheffield Medical School Research Ethics Committee (HSL_ERAC_10022016). Informed consent was obtained from all subjects included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}