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Effective Intervention With Ergonomics, Antivibration Gloves, and Medical Surveillance to Minimize Hand–Arm Vibration Hazards in the Workplace

Jetzer, Thomas MD, MPH; Haydon, Phillippa RGN; Reynolds, Douglas PhD

Journal of Occupational and Environmental Medicine: December 2003 - Volume 45 - Issue 12 - p 1312-1317
doi: 10.1097/01.jom.0000099981.80004.c9

Medical surveillance was used in the workplace to determine and monitor the level of hand–arm vibration syndrome (HAVS) and carpal tunnel syndrome (CTS) present in workers exposed to upper extremity vibration. Ergonomic intervention in the form of new tools with lower vibration levels and the use of International Standards Organizaiton (ISO) 10819 antivibration gloves were associated with a decrease in the pathologic findings and symptoms in these workers. Workers without such intervention were more likely to show progression of symptoms and findings. These findings suggest that ergonomic intervention can be effective in controlling the workplace hazard of tool vibration.

From Occupational Medicine Consultants, Minneapolis, Minnesota (Dr Jetzer); Company Health, London, England (Dr Haydon); and the Center for Mechanical & Environmental Systems Technology, University of Las Vegas Nevada, Las Vegas, Nevada (Dr Reynolds).

Address correspondence to: Thomas Jetzer, MD, MPH, Occupational Medicine Consultants, 6515 Barrie Road, Minneapolis, MN; E-mail address:

©2003The American College of Occupational and Environmental Medicine