This chapter describes vibration exposure in the workplace and its adverse health consequences. Both whole-body vibration and hand-arm vibration are described. The deleterious effects from hand-arm vibration induced by power tools on peripheral nerves and small blood vessels have been documented for more than a century. Whole-body vibration increases spinal load and can contribute to muscle fatigue and deterioration of intervertebral lumbar discs. Neck pain and low back pain are also associated with whole-body vibration from various types of equipment and vehicles. The pathophysiology of various vibration-associated disorders are discussed. Prevention and control measures are described in detail. Control of whole-body vibration rests mainly on primary prevention and selection of appropriate equipment (primarily vehicle and equipment seating) to reduce whole-body vibration exposure.
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