DETERMINATION OF THE FUNCTIONAL STATE OF THE PERIPHERAL NERVOUS SYSTEM IN PATIENTS WITH VIBRATION DISEASE BY ELECTRONEUROMIOGRAPHY INDICES

Introduction. Vibration disease (VD) is a chronic occupational disease caused by the long-term influence of industrial vibration on the body, with prolonged contact with which a polyneuropathic syndrome is formed. Material and methods. 150 males were examined in the clinic. The first group consisted of 50 patients with VD associated with combined exposure to local and General vibration (48.7±3.1 years); the second - 50 patients with VB associated with exposure to local vibration (48.9±2.8 years); the third - 50 relatively healthy individuals without contact with vibration (49.1±2.5 years). Stimulation electroneuromyography (ENMG) was carried out according to the generally accepted method. The results of ENMG show demyelinating lesions of motor and sensory components to be registered in the examined VD patients, changes in the speed indices of axons of nerves of the upper and lower extremities are observed. Analysis of F-wave indices revealed the lesion of both the fastest and the slowest conductive fibers of the tibial and peroneal nerves in patients of both groups. There is an increase in the maximum amplitude of the F-wave and the F/M ratio, more pronounced in patients of the first examined group. In patients of the first and second examined groups, there is an increase in the blocks of the pulse, more pronounced with the combined effect of general and local vibration. Conclusion. Changes in the state of the peripheral nerves of the upper extremities are similar in patients of the first and second groups and consist in the presence of processes of demyelination of motor and sensory axons. In patients of the first group, there are more pronounced disorders in the state of the motor component of the nerves of the upper and lower extremities, while in persons of the second group there are sub-threshold changes in the lower extremities. Changes at the level of roots and in the functional state of the spinal cord neurons are more pronounced in patients of the second group.

Izmerov N.F., Buhtiyarov I.V., Prokopenko L.V. Issues of occupational morbidity: retrospective and modernity. In: Proceedinds of the XI All-Russian Congress “Profession and Health” [Materialy XI Vserossiyskogo kongressa «Professiya i zdorov’e»]. Moscow; 2012: 29-36. (in Russian)

The main provisions of the report of the head of Rospotrebnadzor Anna Y. Popova “On the state of working conditions and occupational morbidity in the Russian Federation”. Meditsina truda i promyshlennaya ekologiya [Russian Journal of Occupational Health and Industrial Ecology]. 2014; 7: 8-11. (in Russian)

Azovskova T.A, Vakurova N.V, Lavrent’ev N.E. On modern aspects of diagnosis and classification of vibration disease. Russkiy medicinskiy zhurnal [Russian Medical Journal]. 2014; 16: 1206-9. (in Russian)

Popova A.Yu. Working conditions and occupational morbidity in the Russian Federation. Meditsina truda i promyshlennaya ekologiya [Russian Journal of Occupational Health and Industrial Ecology]. 2015; 3: 7-13. (in Russian)

Izmerov N.F., ed. Occupational pathology: national leadership [Professional’naya patologiya: nacional’noe rukovodstvo]. Moscow: GEOTAR-Media; 2011. 784 p. (in Russian)

Sauni R., Toivo Р., Paakkonen R. Work disability after diagnosis of hand-arm vibration syndrome. Int Arch Occup Environ Health. 2015; 88: 1061-8. DOI: 10.1007/s00420-015-1034-1.

Heaver C., Goonetilleke K.S., Ferguson H., Shiralkar S. Hand-arm vibration syndrome: a common occupational hazard in industrialized countries. J Hand Surg Eur. 2011; 36 (5): 354-63.

Shen S.C., House R.A. Hand-arm vibration syndrome. Can Fam Physician. 2017; 63 (3): 206-10.

Kuleshova M.V., Pankov V.A., Djakovic P.M., Rukavishnikov V.S., Slivnitsina N.V., Kazakova P.V et al. Vibration disease in workers of aircraft enterprises: formation, clinical manifestations, psychosocial features. Gigiena i sanitariya [Hygiene and Sanitation, Russian journal]. 2018; 97 (10): 915-20. (in Russian)

Buhaug K., Moen B.E., Irgens Å. Upper limb disability in Norwegian workers with hand-arm vibration syndrome. J Occup Med Toxicol. 2014; 9: 5-15.

Handford M., Lepine K., Boccia K., Ruddick F., Alyeksyeyeva D., Thompson A. et al. Hand-arm vibration syndrome: Workers’ experience with functional impairment and disability. J Hand Ther. 2017; 30 (4): 491-9.

Babanov S.A., Tatarovskaya N.A. Vibration disease: modern understanding. Vestnik nevrologii, psihiatrii i nejrohirurgii. 2013; 8: 51-63. (in Russian)

Nikolenko V.Yu., Lastkova N.D. From local vibration to vibration sickness. Mezhdunarodnyy nevrologicheskiy zhurnal. 2011; 1: 131-9. (in Russian)

Shpagina L.N., Zaharenkov V.V. Comparative analysis of the clinical manifestations of vibration disease of varying severity. Meditsina truda i promyshlennaya ekologiya [Russian Journal of Occupational Health and Industrial Ecology]. 2016; 6: 37-42. (In Russian)

Nepershina O.P., Lagutina G.N., Kuz’mina L.P., Skrypnik O.V., Ryabinina S.N., Lagutina A.P. A modern approach to the assessment of sensory impairments in the case of vibration genesis neuropathy. Meditsina truda i promyshlennaya ekologiya [Russian Journal of Occupational Health and Industrial Ecology]. 2016; 6: 37-42. (in Russian)

Shpagina L.N., Zaharenkov V.V., Filimonov S.N. Vibration disease in workers of Kuzbass coal enterprises: clinic features and nature of the course. Fundamental’nye issledovaniya. 2012; 10: 153-6. (in Russian)

Suvorov G.A., Starozhuk I.A., Tarasova L.A. General vibration and vibration disease [Obshchaya vibraciya i vibracionnaya bolezn’]. DIS JSC “Avtovaz”; 2003. 152 p. (in Russian)

Rukavishnikov V.S., ed. Vibration disease from the effects of local vibration in miners in Siberia and the North [Vibracionnaya bolezn’ ot vozdejstviya lokal’noj vibracii u gornorabochih v usloviyah Sibiri i Severa]. Irkutsk: NTs RVKh VSNTs SO RAMS; 2008. 208 p. (in Russian)

Tkachishin V.S. Vibration disease. General provisions of pathogenesis and developmental mechanisms. Meditsina transporta Ukrainy. 2015; 4 (16): 94-9. (in Russian)

Weber G.A., Cardile M.A. The pathologic implications of vibration disease. Clin Podiatr Med Surg. 2009; 4 (3): 713-27.

Azhary H. Peripheral neuropathy: differential diagnosis and management. Am Fam Physician. 2010; 81: 887-92.

Rachin A.P., Anisimova S.Yu. Polyneuropathy in the practice of a family medicine doctor: diagnosis and treatment. Russkiy medicinskiy zhurnal [Russian Medical Journal]. 2012; 29: 1470-3. (in Russian)

Bovenzi M., Giannini F., Rossi S. Vibration-induced multifocal neuropathy in forestry workers: electrophysiological findings in relation to vibration exposure and finger circulation. Int Arch Occup Environ Health. 2000; 73 (8): 519-27.

Hughes R.A.C. Peripheral neuropathy. BMJ. 2002; 324 (7335): 466-9. DOI: 10.1136/bmj.324.7335.466.

Bojko I.V., Skorodumova T.S., Babanova O.V. The possibilities of modern electrophysiological diagnosis of polyneuritic syndrome in vibration disease. Meditsina truda i promyshlennaya ekologiya [Russian Journal of Occupational Health and Industrial Ecology]. 2007; 11: 39-41. (in Russian)

Lagutina G.N., Nepershina O.P., Kuz’mina L.P., Rudakova I.E. Modern approaches to the diagnosis of vibration disorders. In: Current Issues of Health and Safety in the Workplace. Proceedinds of the I International Scientific Forum [Materialy I Mezhdunarodnogo nauchnogo foruma]. Minsk; 2017: 180-4. (in Russian)

Pankov V.A., Bodienkova G.M., Kuleshova M.V., Kurchevenko S.I., Rusanova D.V., Katamanova E.V. et al. The state of the functional systems of the body of patients with vibration disease in the postexposure period. Meditsina truda i promyshlennaya ekologiya [Occupational medicine and industrial ecology]. 2015; 9: 110. (in Russian)

Penkovich A.A., Troshin V.V., Bershova I.I., Suetina E.N. Clinical electroneuromyographic comparisons with vibration disease from local vibration. Meditsina truda i promyshlennaya ekologiya [Russian Journal of Occupational Health and Industrial Ecology]. 2006; 9: 27-30. (in Russian)

Nikolaev S.G. Workshop on Clinical Electroneuromyography. 2nd edit. [Praktikum po klinicheskoj elektronejromiografii. 2-е izd.]. Ivanovo: Ivanovo State Medical Academy; 2003. 264 p. (in Russian)

Babanov S.A., Tatarovskaya N.A. Vibration disease: modern understanding and differential diagnosis. Russkiy medicinskiy zhurnal. Meditsinskoe obozrenie. 2013; 35: 1777-84. (in Russian)

Troshin V.V., Morozova P.N. Pain and electroneuromyography parameters in vibration disease. Meditsina truda i promyshlennaya ekologiya [Russian Journal of Occupational Health and Industrial Ecology]. 2013; 2: 24-8. (in Russian)

Shajhlislamova E.R., Valeeva E.T., Volgareva A.D., Kondrova N.S., Galimova R.R., Masyagutova L.M. Occupational diseases from the effects of physical factors in the Republic of Bashkortostan. Meditsina truda i promyshlennaya ekologiya [Russian Journal of Occupational Health and Industrial Ecology]. 2018; 4: 63-70. (in Russian)

Ivanova T.N., Kulakova N.G. The diagnostic value of the analysis of the parameters of the F-wave in inflammatory diseases of the spine. Khirurgiya pozvonochnika. 2010; 10: 86-9. (in Russian)

Bublik L.A., Liholetov A.N., Dzherelej O.B. Experience of using stimulation myography (F-wave analysis) in the diagnosis of traumatic injuries of the thoracolumbar spinal cord. Travma. 2012; 12 (3): 35-9. (in Russian)