title: Hand-arm vibration exposure influences performance of daily activities.
abstract: OBJECTIVE
  Although much research has been performed on the effects of vibration on nerves, muscles and vascular structures, little is known of the effects that vibration exposure to handheld tools can give on the ability to perform activities of daily living. The objective of the present study was to analyse the consequences of vibration exposure on performance of daily activities.
  
  
  METHODS
  In a total group of 105 exposed male workers, a standardized self-administered ADL questionnaire, the EDAQ including 102 activity items plus 22 diagnosis-specific activity items, was filled out.
  
  
  RESULTS
  Forty-four workers (42%) expressed one or more difficulties in performing daily activities in the total study group. The data demonstrated that pain and reduced grip force showed a strong correlation with difficulties in performing daily activities.
  
  
  CONCLUSIONS
  Working in a cold environment, using vibrating machines. handwriting, picking up small objects, opening lids, lifting and carrying were activities perceived as most difficult to accomplish.
authors.affiliation: Department of Hand Surgery, Malmö University Hospital, Sweden. handgruppen.cederlund@swipnet.se
authors.forename: R
authors.initials: R
authors.lastname: Cederlund
authors.forename: U
authors.initials: U
authors.lastname: Nordenskiöld
authors.forename: G
authors.initials: G
authors.lastname: Lundborg
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D001132:Arm / Q000503:physiopathology*; D012090:Cumulative Trauma Disorders / Q000209:etiology* / Q000503:physiopathology; D006225:Hand / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D016273:Occupational Exposure / Q000009:adverse effects*; D011597:Psychomotor Performance; D012647:Self-Assessment; D011795:Surveys and Questionnaires; D014732:Vibration / Q000009:adverse effects*