{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T22:35:12Z","timestamp":1790375712562,"version":"4.1.0"},"reference-count":62,"publisher":"SAGE Publications","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["WOR"],"published-print":{"date-parts":[[2024,2,7]]},"abstract":"<jats:p>BACKGROUND: Construction workers are exposed to hand-transmitted vibration (HTV) and\/or noise caused by vibrating hand tools in the work environment. OBJECTIVE: The present study aims to investigate the effects of exposure to HTV and\/or noise on workers\u2019 hearing loss and body balance. METHODS: Forty construction workers were exposed to HTV (10\u200am\/s2 rms, 31.5\u200aHz) and\/or typical construction noise (90 dBA) in three simulated experiment scenarios with the vibrating hand-held tool for 30 minutes over three days. The hearing loss from 1000 to 6000\u200aHz and the body balance were determined before and after each exposure scenario. RESULTS: Separate noise exposure at all frequencies except for 1000\u200aHz could significantly affect hearing threshold levels (p-value&lt;0.05). Separate exposure to HTV cannot lead to a remarkable effect on hearing loss (p-value&gt;0.05); however, it can synergistically increase the effect of noise on hearing loss. Also, the affected frequency range in concurrent exposure has been greater than in separate noise exposure. The separate effects of exposure to HTV and noise on the subjects\u2019 body balance were not statistically significant (p-value&gt;0.05); however, these effects became significant in concurrent exposure (p-value&lt;0.05). Based on the estimated effect sizes, noise could synergistically increase the observed effect of HTV on body balance. CONCLUSION: There is a synergistic interaction between HTV and noise on hearing loss and body balance. It seems necessary to pay attention to the risk evaluation of simultaneous exposure to noise and HTV when setting the occupational action limit values.<\/jats:p>","DOI":"10.3233\/wor-220662","type":"journal-article","created":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T11:24:05Z","timestamp":1694777045000},"page":"615-628","source":"Crossref","is-referenced-by-count":3,"title":["Effect of noise and hand-transmitted vibration exposure on hearing and equilibrium under a simulated work environment with building tools"],"prefix":"10.1177","volume":"77","author":[{"given":"Seyed Hojat Mousavi","family":"Kordmiri","sequence":"first","affiliation":[{"name":"Center of Excellence for Occupational Health, School of Public Health, Occupational Health and Safety Research Center, Hamadan University of Medical Sciences, Hamadan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7896-1379","authenticated-orcid":false,"given":"Mohsen","family":"Aliabadi","sequence":"additional","affiliation":[{"name":"Center of Excellence for Occupational Health, School of Public Health, Occupational Health and Safety Research Center, Hamadan University of Medical Sciences, Hamadan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rostam","family":"Golmohammadi","sequence":"additional","affiliation":[{"name":"Center of Excellence for Occupational Health, School of Public Health, Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"Bovenzi","sequence":"additional","affiliation":[{"name":"Clinical Unit of Occupational Medicine, Department of Medical Sciences, University of Trieste, Trieste, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Farhadian","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, School of Public Health, Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","reference":[{"key":"10.3233\/WOR-220662_ref1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12199-020-00906-0","article-title":"An overview of occupational noise-induced hearing loss among workers: epidemiology, pathogenesis, and preventive measures","volume":"25","author":"Chen","year":"2020","journal-title":"Environmental Health and Preventive Medicine"},{"issue":"59","key":"10.3233\/WOR-220662_ref2","doi-asserted-by":"crossref","first-page":"159","DOI":"10.4103\/1463-1741.99887","article-title":"Noise and hand-arm vibration exposure in relation to the risk of hearing loss","volume":"14","author":"Pettersson","year":"2012","journal-title":"Noise and Health"},{"issue":"3","key":"10.3233\/WOR-220662_ref3","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/j.shaw.2020.04.003","article-title":"The Association Between Occupational Exposure to Hand\u2013Arm Vibration and Hearing Loss: A Systematic Literature Review","volume":"11","author":"Weier","year":"2020","journal-title":"Safety and Health at Work"},{"issue":"8","key":"10.3233\/WOR-220662_ref4","doi-asserted-by":"crossref","first-page":"e271","DOI":"10.1097\/MAO.0000000000001071","article-title":"Temporary and permanent noise-induced threshold shifts: a review of basic and clinical observations","volume":"37","author":"Ryan","year":"2016","journal-title":"Otology & Neurotology: Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology"},{"key":"10.3233\/WOR-220662_ref5","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1007\/BF03404378","article-title":"Noise-induced hearing loss in construction workers being assessed for hand-arm vibration syndrome","volume":"101","author":"House","year":"2010","journal-title":"Canadian Journal of Public Health"},{"key":"10.3233\/WOR-220662_ref6","doi-asserted-by":"crossref","unstructured":"Tak S , Davis RR , Calvert GM . 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