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Normative values of vibratory perception in 530 children, juveniles and adults aged 3–79 years
Open accessAbstract
Impaired vibratory perception is an early and frequent finding in various neuropathies. Quantitative vibratory threshold assessment refines the diagnosis of neuropathies but is based on psychophysical techniques requiring patient cooperation. Large, age and sex matched normative data bases are needed to better identify abnormal vibratory perception. In this study vibratory perception was tested at the second metacarpal bone and above the first metatarsal bone of 530 children, juveniles and adults aged 3.3-79.2 years. Thresholds assessed with a 128 Hz graded Rydel-Seiffer tuning fork, TF, were compared to three Vibrameter values, the vibration perception thresholds, VPT, determined with increasing vibration stimuli, the vibration disappearance threshold, VDT, determined with decreasing supraliminal stimuli, and the vibration threshold VT which equals the mean of VPT and VDT. The influence of gender, age, body height, weight and skin temperature at the tested site on thresholds was studied. Retest reliability was tested in 73 children aged 3.3-6.9 years and in 20 volunteers aged 5.2-66.1 years who were also tested for the influence of pretest skin warming on thresholds and for differences between results of the left and right body side. TF, VPT, VDT, VT were closely correlated with each other (Spearman: -0.67<Rs<-0.47; P<0.01). The skin temperature, body side, weight and height did not influence thresholds. In adults, thresholds increased with age and were higher in men above the age of 50 than in women of the same age. Thresholds at the feet were higher than at the hands (Wilcoxon: P<0.001). Retest reliability was high and did not depend on the retest interval. The study provides important normative data for the widespread use of quantitative vibration testing.
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“The decline in sensitivity to touch, pressure, and vibration becomes apparent by the fifth decade and progresses exponentially after age 65 or 70 (Bartlett et al., 1998; Hilz et al., 1998).”
From Design Principles to Accommodate Older Adults (2012) · cites this paper as Hilz et al., 1998
In the citing paper
“The perception of touch, pressure, and vibration declines with age, especially on the hands and feet.”
From Design Principles to Accommodate Older Adults (2012) · cites this paper as Hilz et al., 1998
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Metadata
- Authors
- Hilz, M. J., Axelrod, F. B., Hermann, K., Haertl, U., Duetsch, M., & Neundörfer, B.
- Affiliations
- Friedrich-Alexander-Universität Erlangen-Nürnberg (DE)
- NYU Langone Health (US)
- Corresponding author
- Hilz, Max J
- ORCID
- Hilz, Max J
- Venue
- Journal of the Neurological Sciences
- Publisher
- Elsevier BV
- Published
- 1998-08
- Volume
- 159
- Issue
- 2
- Pages
- 219-225
- ISSN
- 0022-510X (ISSN-L)
- OpenAlex
- W2063071556
- Cited by
- 176
- References
- 39
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 7 · 2023: 6 · 2022: 4 · 2021: 6 · 2020: 10 · 2019: 6 · 2018: 7 · 2017: 6 · 2016: 8 · 2015: 7 · 2014: 4 · 2013: 9 · 2012: 6
- FWCI
- 2.17
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of the Neurological Sciences (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Peripheral Nerve Disorders
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Effects of Vibration on Health
- Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
- Keywords
- vibration perception, vibration perception threshold, reference values, neuropathy diagnosis, test-retest reliability, skin temperature, age and sex differences, children and adults
- MeSH terms
- Adolescent, Adult, Aged, Body Height, Body Weight, Child, Child, Preschool, Female, Humans, Functional Laterality, Male, Middle Aged, Motion Perception, Psychophysics, Reference Values, Sensory Thresholds, Skin Temperature, Vibration, Reproducibility of Results, Linear Models, Age Distribution, Sex Distribution
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