This case-control study aims to investigate the effects of occupational hand-arm vibration exposure on median and ulnar nerve functions in tattoo artists. Chronic exposure to vibration generated by tattoo machines may lead to neurosensory impairment, reduced tactile sensitivity, and decreased hand strength. Objective assessments including nerve provocation tests, sensory threshold evaluation, two-point discrimination, vibration perception, grip and pinch strength measurements, and validated patient-reported outcome questionnaires will be used. Findings will be compared with age- and sex-matched healthy controls.
This observational cross-sectional case-control study evaluates neurosensory and motor function differences between professional tattoo artists exposed to long-term occupational vibration and healthy controls. Chronic exposure to hand-arm vibration (HAV) has been associated with peripheral neuropathy, entrapment neuropathies, and sensory receptor dysfunction. Participants will undergo standardized assessment including: Tinel, Phalen, reverse Phalen, and elbow flexion tests Semmes-Weinstein monofilament testing Two-point discrimination Vibration perception testing (30 Hz and 256 Hz) Grip and pinch strength measurements Brief Michigan Hand Outcomes Questionnaire Boston Carpal Tunnel Questionnaire The study aims to determine whether occupational vibration exposure is associated with measurable alterations in median and ulnar nerve sensory and motor function.
Study Type
OBSERVATIONAL
Enrollment
20
Gazi University
Ankara, Turkey (Türkiye)
RECRUITINGSemmes-Weinstein Monofilament Threshold
Assessment of light touch sensory threshold using Semmes-Weinstein monofilaments applied to the index and little fingers.
Time frame: Baseline (single assessment session)
Two-Point Discrimination
Minimum distance (mm) at which two points are perceived as separate on index and little fingers
Time frame: Baseline (single assessment session)
Vibration Perception Duration
Duration (seconds) of vibration perception using tuning fork (30 Hz and 256 Hz)
Time frame: Baseline (single assessment session)
Grip Strength
Maximal hand grip strength measured using a dynamometer (kg)
Time frame: Baseline (single assessment session)
Pinch Strength
Lateral and tip pinch strength measured using a pinch gauge (kg)
Time frame: Baseline (single assessment session)
Boston Carpal Tunnel Questionnaire Score
Symptom severity and functional status scores (1-5 scale)
Time frame: Baseline (single assessment session)
Brief Michigan Hand Outcomes Questionnaire Score
Hand function score normalized to a 0-100 scale
Time frame: Baseline (single assessment session)
Nerve Provocation Test Positivity
Presence of positive findings in Tinel, Phalen, reverse Phalen, and elbow flexion tests
Time frame: Baseline (single assessment session)
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