Current perception threshold (CPT) as a quantitative sensory testing (QST) method in hand-arm vibration syndrome (HAVS)
WorkSafeBC Evidence-Based Practice Group, Martin CW
Record ID 32018013206
English
Authors' objectives:
To explore the reproducibility, reliability, and validity of CPT for the assessment, diagnosis, and staging of HAVS patients.
Authors' results and conclusions:
In total 33 citations were captured with 11 duplicate articles were discarded while 22 articles were examined. Of these 22 articles, five were discarded as earlier articles used CPT for another test “cold provocation thermography” and not “current perception threshold”. Three more were excluded thus a total of 14 studies were examined for this review. Of these, 10 were determined to use other test/outcome measurements and not CPT and were subsequently dropped. Of the four remaining studies, level of evidence was 4 for the three cross-sectional studies we found and the one systematic review we located did not include any higher quality studies. At present, there are no studies that validated CPT as one single QST method to diagnose or clinically stage HAVS. When assessing neurosensory signs and symptoms in workers exposed to hand-transmitted vibration CPT must be used in conjunction with nerve conduction studies (NCSs) and the Stockholm Workshop Scale sensorineural (SSN) component.
Authors' methods:
A comprehensive and systematic literature search was conducted on November 28, 2023. The search was done on commercial and non-commercial medical literature databases. A combination of keywords was employed on this search. No limitation, such as on the language or date of publication, was implemented in this search. A manual search was also done on the references of the articles that were retrieved in full.
Details
Project Status:
Completed
URL for project:
https://www.worksafebc.com/en/about-us/research-services/evidence-based-medicine-and-systematic-reviews
Year Published:
2024
English language abstract:
An English language summary is available
Publication Type:
Mini HTA
Country:
Canada
MeSH Terms
- Hand-Arm Vibration Syndrome
- Diagnosis
- Neural Conduction
- Neurologic Examination
- Sensory Thresholds
- Vibration
Keywords
- HAVS
- hand-arm vibration syndrome
- quantitative sensory testing
- CPT
- current perception threshold
Contact
Organisation Name:
WorkSafeBC
Contact Address:
6591 Westminster Highway, Richmond, BC, V7C 1C6 Canada. Tel: 604-231-8417; Fax: 604-279-7698
Contact Name:
ebpg@worksafebc.com
Contact Email:
ebpg@worksafebc.com
Copyright:
WorkSafe BC
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.