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Investigations of the suitability of pallesthesiometry in the diagnostics of functional disturbances of the peripheral nervous system.

This contribution presents the results of fundamental investigations of the suitability of measurements of vibration sensitivity threshold (pallesthesiometry) as a method for the assessment of vibration-induced nerve impairments. Sinusoidal vibration stimuli are applied at the fingertips of the subjects in this method. The sensitivity threshold of the subjects is determined similar like the hearing threshold in audiometry and is used as a measure for possibly existing nerve disorders. Laboratory and field experiments were carried out by means of a simple to serve and inexpensive pallesthesiometer. The test results proved the suitability of the pallesthesiometry for screening purposes in principle. Concentration and cooperation of the subjects as well as the suitable selection of the investigation frequencies according to the frequency content of the vibration exposure are of essential meaning for comparable and reliable measuring results. Furthermore the rest and vibration-free position of the hand and fingers during the measurement of the thresholds are important to avoid measurement falsifications. A most extensive standardization of the investigation methodology and of the measuring equipment as well as the establishment of normative values of the sensitivity thresholds for different age groups are necessary for a broad application of the pallesthesiometry in practice.