Title: Assessment of motor skills in children of younger school age with autism spectrum disorder practising applied behavior analysis with the MABC-2 test battery Objectives: The aim of the work is to assess the motor skills of children of younger school age with autism spectrum disorder using the test battery MABC-2 (Movement Assessment Battery for Children - Second Edition). The obtained results will be compared with the standards for Czech children and children with autism spectrum disorder who do not practice Applied Behavior Analysis. Methods: The motor skills of children with autism spectrum disorder were assessed using the MABC-2 test battery (Henderson et al., 2007) - Movement Assessment Battery for Children - Second Edition. The method of comparison was used in the work, namely the results of children with autism spectrum disorder with standards for Czech children and both groups of tested children - one group practicing applied behavior analysis with another group of children without intervention. Results: We found that children with autism spectrum disorder (ASD) in our sample showed a significantly higher incidence of motor problems. All involved children with ASD (n = 10) in the research fall into the 3rd zone (score below the 5th percentile), where there are significant motor...

TITLE: Influence of swimming on increasing flexibility as a component of the desterity of primary school pupils in the Louny region. AUTHOR: Bc. Veronika Benková DEPARTMENT: Department of physical education SUPERVISOR: PaedDr. Irena Svobodová ABSTRACT The aim of this thesis is to find out how basic swimming training taking place in Louny region affects joint mobility in children of younger school age and at the same time, compare the results of the measured group with similar, already conducted research from 2015 and 2018. In order to get results, proven joint mobility tests are used. Testing will take place twice in total; before the beginning and at the end of the swimming training, e. g. after the end of the ten two-hour lessons period. This research will be conducted for about ten weeks. Testing will take place at two primary schools. The test persons were divided according to gender into boys and girls, as well as whether they are non-swimmers and swimmers. The theoretical part deals with the characteristics of younger school age, motor skills - especially joint mobility, swimming training and swimming. In the practical part, I describe individual flexibility tests and the results gained from these tests. The work showed that swimming helps to develop flexibility, but in comparison with previous...

Background: Due to the deficit of knowledge on fine motor skill far transfer from one domain of expertise to another, piano performance and surgical training serve as a relevant, interdisciplinary context in which to study the transfer of motor skills given both have relatively well-established levels of performance and require complex fine motor skills. Musicians tend to demonstrate greater ease in all aspects of procedural knowledge which are known to contribute to the early stages of motor learning. Previous research in the Piano Pedagogy Research Laboratory (PPRL) found that extensive piano training was correlated with faster learning of surgical knot-tying skills. However, the short-term two-day timeline was a limitation of the study. Objective: Our project has built on previous work in the PPRL to address the short-term nature of previous studies by measuring a long-term performance curve as well as retention of surgical training and also expanded on the previous project by focussing this time on laparoscopic tasks. This study compared performance curves of two participant groups (pianists and controls) over five consecutive days and retention one week later, as measured by speed and accuracy of task completion. Laparoscopic training consisted of six tasks repeated at every session. Since laparoscopy involves a variety of abilities concurrently, we also administered a battery of ten psychometric tests to isolate and measure specific aspects of non-motor and fine motor skills. Results: There was no statistical difference between participant groups on the majority of laparoscopic training and psychomotor assessments based on two-way mixed ANOVA and Mann-Whitney U test analysis, respectively. There were also little to no significant correlations between abilities and laparoscopic performance. The only significant confounding variable was that the control group was significantly more interested in surgery than the musician group (p = .037). Conclusion: Overall, these results demonstrate that piano performance training did not far transfer to laparoscopic surgery. This is relevant to the debate on far transfer of motor skills given this study’s robust design which addressed previous shortcomings by including a longer timeline and more specifications of musicians’ characteristics. Our findings indicate that fine motor skills are domain specific to music and surgery, respectively.

The hand has the highest surface area-to-volume ratio of any body part. This property offers the potential for the hand to serve an important function in thermoregulation through radiative heat loss. Theoretically, the capacity for heat loss may be influenced by hand and digit proportions, but the extent to which these proportions influence the hand's radiative properties remains under-investigated. Although hand morphology is highly constrained by both integration and functional dexterity, phenotypic variation in hand and digit proportions across human populations shows broad ecogeographic patterns. These patterns have been associated with climate adaptation. However, the theory linking climate adaptation to such ecogeographic patterns is based on underlying assumptions relating to thermodynamic principles, which have not been tested in vivo. This study sought to determine the influence of hand and digit proportions on heat loss from the hands directly, the additional anthropometric factors that may affect this relationship, and the impact of variation in hand proportions on dexterity in the cold. The relationship between hand proportions and thermoregulation was tested through both laboratory-based investigation and a field study. The laboratory investigation assessed the relationship between hand proportions and heat loss, the influence of body size and composition on this relationship, and the effect of morphological variation on manual dexterity. Participants (N=114; 18-50 years of age), underwent a 3-minute ice-water hand-immersion. Thermal imaging analysis was used to quantify heat loss. Hand and digit proportions were quantified using 2D and 3D scanning techniques; body size and composition were measured using established anthropometric methods and bio-impedance analysis. After accounting for body size, hand width, digit-to-palm length ratio, and skeletal muscle mass were significant predictors of heat loss from the hand, whilsthand length and fat mass were not. A separate set of participants (N=40) performed a Purdue pegboard dexterity test before and after the immersion test, which demonstrated that digit width alone negatively correlated with dexterity. The field study tested whether phenotypic variation in upper limb proportions could be attributed to cold adaptation or selection for dexterity in living populations exposed to significant energetic stress. Upper limb segment lengths were obtained from participants (N=254; 18-59 years of age), from highland and lowland regions of the Nepalese Himalayas using established anthropometric methods, and relative hand proportions were assessed in relation to severe energetic stress associated with life at high altitude. Relative to height, hand length and hand width were not reduced with altitude stress, whilst ulna length was. This indicates that cold adaptation is not shaping hand proportions in this case, although phenotypic variation in other limb segments may be attributed to cold adaptation or a thrifty phenotype mechanism. The current study provides empirical evidence to support the link between surface area-to-volume ratio, thermodynamic principles and ecogeographical patterns in human hand morphology. However, this research also demonstrates the complexity of the hand's role in thermoregulation; not only do other factors such as muscularity affect heat loss from the hand, but hand morphology is also highly constrained by integration and dexterity.

Cette thèse vise à répondre à trois questions fondamentales: 1) La diminution de l’excitabilité corticospinale et le manque d’inhibition intracorticale observés suite à la stimulation magnétique transcrânienne (SMT) du cortex moteur de la main atteinte de sujets hémiparétiques sont-ils aussi présents suite à la SMT du cortex moteur de la jambe atteinte? 2) Est-ce que les altérations dans l’excitabilité corticomotrice sont corrélées aux déficits et incapacités motrices des personnes ayant subi un accident vasculaire cérébral depuis plus de 6 mois? 3) La vibration musculaire, étant la source d’une forte afférence sensorielle, peut-elle moduler l’excitabilité corticomotrice et améliorer la performance motrice de ces personnes? Premièrement, afin d’appuyer notre choix d’intervention et d’évaluer le potentiel de la vibration mécanique locale pour favoriser la réadaptation des personnes ayant une atteinte neurologique, nous avons réalisé une révision en profondeur de ses applications et intérêts cliniques à partir d’informations trouvées dans la littérature scientifique (article 1). La quantité importante d’information sur les effets physiologiques de la vibration contraste avec la pauvreté des études qui ont évalué son effet thérapeutique. Nous avons trouvé que, malgré le manque d’études, les résultats sur son utilisation sont encourageants et positifs et aucun effet adverse n’a été rapporté. Dans les trois autres articles qui composent cette thèse, l’excitabilité des circuits corticospinaux et intracorticaux a été étudiée chez 27 sujets hémiparétiques et 20 sujets sains sans atteintes neurologiques. Les fonctions sensorimotrices ont aussi été évaluées par des tests cliniques valides et fidèles. Tel qu’observé à la main chez les sujets hémiparétiques, nous avons trouvé, par rapport aux sujets sains, une diminution de l’excitabilité corticospinale ainsi qu’un manque d’inhibition intracorticale suite à la SMT du cortex moteur de la jambe atteinte (article 2). Les sujets hémiparétiques ont également montré un manque de focus de la commande motrice lors de l’activation volontaire des fléchisseurs plantaires. Ceci était caractérisé par une augmentation de l’excitabilité nerveuse des muscles agonistes, mais aussi généralisée aux synergistes et même aux antagonistes. De plus, ces altérations ont été corrélées aux déficits moteurs au membre parétique. Le but principal de cette thèse était de tester les effets potentiels de la vibration des muscles de la main (article 3) et de la cuisse (article 4) sur les mécanismes neuronaux qui contrôlent ces muscles. Nous avons trouvé que la vibration augmente l’amplitude de la réponse motrice des muscles vibrés, même chez des personnes n’ayant pas de réponse motrice au repos ou lors d’une contraction volontaire. La vibration a également diminué l’inhibition intracorticale enregistrée au quadriceps parétique (muscle vibré). La diminution n’a cependant pas été significative au niveau de la main. Finalement, lors d’un devis d’investigation croisé, la vibration de la main ou de la jambe parétique a résulté en une amélioration spécifique de la dextérité manuelle ou de la coordination de la jambe, respectivement. Au membre inférieur, la vibration du quadriceps a également diminuée la spasticité des patients. Les résultats obtenus dans cette thèse sont très prometteurs pour la rééducation de la personne hémiparétique car avec une seule séance de vibration, nous avons obtenu des améliorations neurophysiologiques et cliniques. / This thesis aims to answer three basic questions: 1) Are the decrease in corticospinal excitability and the lack of intracortical inhibition observed following transcranial magnetic stimulation (TMS) of the affected hand motor cortex of stroke patients present after TMS of the affected leg motor cortex? 2) Are the alterations in corticomotor excitability correlated with motor impairments and disabilities of subjects who have suffered a stroke for over six months? 3) Can muscle vibration, as a source of strong sensory afference modulate corticomotor excitability and improve motor performance of these subjects? First of all, to support our choice of intervention and to assess the potential of local mechanical vibration to promote the recovery of persons with neurological impairment, we conducted a thorough review of its physiological effects and clinical applications in the scientific literature (article 1). The wealth of information on the physiological effects of vibration contrasts with the lack of studies that have evaluated its therapeutic effects. Nevertheless, we found that, despite the paucity of studies, the results on its clinical use are encouraging and positive and no adverse effects were reported. In the other three articles included in this thesis, the excitability of corticospinal and intracortical circuits has been studied in 27 hemiparetic patients and in 20 healthy subjects without neurological disease or injury. Sensorimotor functions were also evaluated with valid and reliable clinical tests. Similar to that observed in the hand of hemiparetic patients, we found, compared to the healthy subjects, a decrease of corticospinal excitability and a lack of intracortical inhibition following TMS of the affected leg motor cortex (Article 2). The hemiparetic patients also showed a lack of focus of the motor output during voluntary activation of plantar flexors. This was characterized by an increase in the neural excitability not only of the agonist muscles, but also of the synergists and even the antagonist muscles. The main goal of this thesis was to test the potential effects of vibrating hand (Article 3) and thigh (Article 4) muscles on the neural mechanisms that control these muscles. We found that vibration increases the amplitude of motor responses in the vibrated muscles and even produces a response in subjects with no motor response at rest or during a voluntary contraction. The vibration also decreased the intracortical inhibition recorded in the paretic quadriceps muscle (vibrated muscle). The decrease was however not significant at the hand. Finally, using a cross-over design study, the vibration of the paretic hand or leg resulted in specific improvements in hand dexterity or leg coordination, respectively. In the lower limb, quadriceps vibration also reduced the spasticity in patients. The results obtained in this thesis are very promising for stroke rehabilitation because with a single session of vibration, we obtained neurophysiological and clinical improvements.

L'objectif de ce travail est de concevoir une nouvelle interface haptique en vue de son exploitation pour la chirurgie mini-invasive. La technique d'anastomose ciblée consiste à réunir deux parties désolidarisées d'une artère par des sutures et des nœuds. Ceci est effectué par des outils chirurgicaux introduits à travers de petites incisions. Une étude expérimentale de cette tâche a été effectuée en collaboration avec des chirurgiens afin de caractériser leurs gestes. L'enregistrement de l'opération par un système de capture de mouvement a permis d'identifier la nature et les gestes canoniques de cette technique. Une structure parallèle sphérique a été ensuite adoptée comme base de l'interface haptique. Cette architecture présente un centre fixe de rotation semblable au point d'incision réel et offre les trois degrés de liberté de rotation nécessaires autours de ce point. Une étude détaillée de cette architecture suivie d'une phase d'optimisation, a permis d'adapter la structure à l'application chirurgicale. L'optimisation, basée sur un algorithme générique, a porté dans un premier lieu sur l'espace de travail de la tâche. La dextérité de la structure a été ensuite prise en compte. Une phase de conception basée sur les paramètres résultants de cette optimisation a aboutie à la réalisation d'un premier prototype. L'influence des erreurs de fabrication sur l'orientation de la plateforme a été aussi traitée dans ce travail afin de déterminer les plages des défauts admissibles. Une modélisation, utilisant les torseurs de petits déplacements, a été élaborée.La dernière partie de ce travail porte sur la commande a retour d'effort de l'interface. Un banc d'essais à 1 degré de liberté a été réalisé afin de tester les différents schémas de contrôle pour la téléopération. Les essais en simulation on permit de dresser une vue comparative de ces schémas. / The aim of this work is to develop a new haptic interface to perform a minimally invasive surgery. The targeted anastomosis technique consists of the surgical binding of a ruptured blood vessel, using sutures and knots. This task is performed by surgical tools inserted through small incisions. An experimental study of this task was conducted in collaboration with surgeons in order to characterize their gesture. The recording of the operation by a motion capture system helped identifying the nature and the canonical actions of this technique. A spherical parallel mechanism (SPM) was then adopted as a basis for the haptic interface. This architecture has a fixed center of rotation similar to the real incision point and offers the three required degrees of freedom of rotation around that point. A detailed study of the architecture followed by an optimization procedure led to a suitable mechanism for the surgical application. The optimization, which is based on a generic algorithm, used the workspace of the task as a criterion. Then the dexterity of the structure was taken into account. A design phase based on the parameters resulting from this optimization led to building the first prototype.The influence of manufacturing errors on the orientation of the platform was also addressed in this work to determine the ranges of allowable defects. The manufacturing errors are modeled by screws of small displacement in order to determine their effect on the orientation error of the end effector. The last part of this work focuses on the command of the force feedback interface. An experimental setup made out of a one degree of freedom system, was built to test different control schemes for teleoperation. Simulation trials allowed developing a comparative view of these schemes.

This work deals with the effect the natural environment on the development of motor and cognitive abilities of preschool age. The aim is to determine the effect of education in the natural environment to the level of motor skills and knowledge of preschool children. The theoretical part describes the characteristics of preschool age. Acquaints with the development of motor skills and their training in the natural environment. It also deals with the cognitive component of the preschool child's personality and the possibilities of its development in the countryside. Zooms problems of education in a forest environment, types of learnin and methods of training in the various components of the child's personality just in a forest. The practical part is a qualitative research method used is a questionnaire survey among kindergarten teachers to determine the most commonly used educational environment, the method standardized test for 4-6-year old children to determine the level of motor skills of the children, and the method of diagnostic interview, which examined the effect of natural environments on children's knowledge. Results in agreement with reported literature confirm the positive influence of education in the natural environment for the development of several components of the child's personality.

Cette thèse vise à répondre à trois questions fondamentales: 1) La diminution de l’excitabilité corticospinale et le manque d’inhibition intracorticale observés suite à la stimulation magnétique transcrânienne (SMT) du cortex moteur de la main atteinte de sujets hémiparétiques sont-ils aussi présents suite à la SMT du cortex moteur de la jambe atteinte? 2) Est-ce que les altérations dans l’excitabilité corticomotrice sont corrélées aux déficits et incapacités motrices des personnes ayant subi un accident vasculaire cérébral depuis plus de 6 mois? 3) La vibration musculaire, étant la source d’une forte afférence sensorielle, peut-elle moduler l’excitabilité corticomotrice et améliorer la performance motrice de ces personnes? Premièrement, afin d’appuyer notre choix d’intervention et d’évaluer le potentiel de la vibration mécanique locale pour favoriser la réadaptation des personnes ayant une atteinte neurologique, nous avons réalisé une révision en profondeur de ses applications et intérêts cliniques à partir d’informations trouvées dans la littérature scientifique (article 1). La quantité importante d’information sur les effets physiologiques de la vibration contraste avec la pauvreté des études qui ont évalué son effet thérapeutique. Nous avons trouvé que, malgré le manque d’études, les résultats sur son utilisation sont encourageants et positifs et aucun effet adverse n’a été rapporté. Dans les trois autres articles qui composent cette thèse, l’excitabilité des circuits corticospinaux et intracorticaux a été étudiée chez 27 sujets hémiparétiques et 20 sujets sains sans atteintes neurologiques. Les fonctions sensorimotrices ont aussi été évaluées par des tests cliniques valides et fidèles. Tel qu’observé à la main chez les sujets hémiparétiques, nous avons trouvé, par rapport aux sujets sains, une diminution de l’excitabilité corticospinale ainsi qu’un manque d’inhibition intracorticale suite à la SMT du cortex moteur de la jambe atteinte (article 2). Les sujets hémiparétiques ont également montré un manque de focus de la commande motrice lors de l’activation volontaire des fléchisseurs plantaires. Ceci était caractérisé par une augmentation de l’excitabilité nerveuse des muscles agonistes, mais aussi généralisée aux synergistes et même aux antagonistes. De plus, ces altérations ont été corrélées aux déficits moteurs au membre parétique. Le but principal de cette thèse était de tester les effets potentiels de la vibration des muscles de la main (article 3) et de la cuisse (article 4) sur les mécanismes neuronaux qui contrôlent ces muscles. Nous avons trouvé que la vibration augmente l’amplitude de la réponse motrice des muscles vibrés, même chez des personnes n’ayant pas de réponse motrice au repos ou lors d’une contraction volontaire. La vibration a également diminué l’inhibition intracorticale enregistrée au quadriceps parétique (muscle vibré). La diminution n’a cependant pas été significative au niveau de la main. Finalement, lors d’un devis d’investigation croisé, la vibration de la main ou de la jambe parétique a résulté en une amélioration spécifique de la dextérité manuelle ou de la coordination de la jambe, respectivement. Au membre inférieur, la vibration du quadriceps a également diminuée la spasticité des patients. Les résultats obtenus dans cette thèse sont très prometteurs pour la rééducation de la personne hémiparétique car avec une seule séance de vibration, nous avons obtenu des améliorations neurophysiologiques et cliniques. / This thesis aims to answer three basic questions: 1) Are the decrease in corticospinal excitability and the lack of intracortical inhibition observed following transcranial magnetic stimulation (TMS) of the affected hand motor cortex of stroke patients present after TMS of the affected leg motor cortex? 2) Are the alterations in corticomotor excitability correlated with motor impairments and disabilities of subjects who have suffered a stroke for over six months? 3) Can muscle vibration, as a source of strong sensory afference modulate corticomotor excitability and improve motor performance of these subjects? First of all, to support our choice of intervention and to assess the potential of local mechanical vibration to promote the recovery of persons with neurological impairment, we conducted a thorough review of its physiological effects and clinical applications in the scientific literature (article 1). The wealth of information on the physiological effects of vibration contrasts with the lack of studies that have evaluated its therapeutic effects. Nevertheless, we found that, despite the paucity of studies, the results on its clinical use are encouraging and positive and no adverse effects were reported. In the other three articles included in this thesis, the excitability of corticospinal and intracortical circuits has been studied in 27 hemiparetic patients and in 20 healthy subjects without neurological disease or injury. Sensorimotor functions were also evaluated with valid and reliable clinical tests. Similar to that observed in the hand of hemiparetic patients, we found, compared to the healthy subjects, a decrease of corticospinal excitability and a lack of intracortical inhibition following TMS of the affected leg motor cortex (Article 2). The hemiparetic patients also showed a lack of focus of the motor output during voluntary activation of plantar flexors. This was characterized by an increase in the neural excitability not only of the agonist muscles, but also of the synergists and even the antagonist muscles. The main goal of this thesis was to test the potential effects of vibrating hand (Article 3) and thigh (Article 4) muscles on the neural mechanisms that control these muscles. We found that vibration increases the amplitude of motor responses in the vibrated muscles and even produces a response in subjects with no motor response at rest or during a voluntary contraction. The vibration also decreased the intracortical inhibition recorded in the paretic quadriceps muscle (vibrated muscle). The decrease was however not significant at the hand. Finally, using a cross-over design study, the vibration of the paretic hand or leg resulted in specific improvements in hand dexterity or leg coordination, respectively. In the lower limb, quadriceps vibration also reduced the spasticity in patients. The results obtained in this thesis are very promising for stroke rehabilitation because with a single session of vibration, we obtained neurophysiological and clinical improvements.

In many occupations, exposure to hand-transmitted vibration (HTV) over a prolonged period causes various disorders involving the vascular, neural and musculoskeletal systems, collectively known as the hand-arm vibration syndrome (HAVS). It is a complex and potentially disabling chronic disorder of the upper extremities, especially of the hands. Numbness, tingling, reduced tactile discrimination, and impaired manipulative dexterity are often reported by workers exposed to HTV. The precise pathophysiological mechanism responsible for vascular injuries in HAVS has not yet been fully clarified; it seems to be multifactorial and highly complex. Interaction of neural signals, hormones, mediators and changes in the blood vessel itself appear to contribute to the development of such vascular injuries. This study aims to assess the risk of the hand-transmitted vibration exposure during pneumatic impact wrench operation in a rock drill repair and maintenance workshop at a South African platinum mine. A total of 8 workers working on a day to day basis with impact wrenches were available for this study. For each of the workers a control (not exposed to vibration) was selected on the basis of gender, ethnic group, smoking habits, age and body mass index (BMI). Grip force, dexterity and hand-eye co-ordination were tested on the workers and control group before and after work. Finger systolic blood pressure (FSBP) was also measured after cold provocation of the worker and control groups. Results have shown astatistically significant difference between the two groups with respect coordination, dexterity and FSBP after cold provocation. Vibration measurements shows three workers had values above the suggested ELV of 5 m/s² for an eight hour A (8) workday. With regards to dexterity, workers were capable to manipulate small objects better with their dominant right (vibration exposed) hand after work than before work. In contrast, it seems that the number of pegs correctly inserted by the controls is not uniformly affected by their 8 hour workday. The worker group showed a greater grip force than that of the control group, both before and after work.There was a statistically significant difference between the control and worker group with respect to the number of mistakes during the mirror trace and the time to complete this test only for the right hand. The difference in FSBP after cold provocation between the control and worker group observed is of medium importance when compared with effect sizes, however, there was no statistical significant difference. In this study, it was very difficult to make valid conclusions due to the limitations of a small sample size. A longitudinal study should be conducted preferably using newly appointed workers with no prior exposure to vibration and a sufficient control group to eliminate the effect other confounding variables such as general working conditions. / Thesis (MSc (Occupational Hygiene))--North-West University, Potchefstroom Campus, 2013.

In many occupations, exposure to hand-transmitted vibration (HTV) over a prolonged period causes various disorders involving the vascular, neural and musculoskeletal systems, collectively known as the hand-arm vibration syndrome (HAVS). It is a complex and potentially disabling chronic disorder of the upper extremities, especially of the hands. Numbness, tingling, reduced tactile discrimination, and impaired manipulative dexterity are often reported by workers exposed to HTV. The precise pathophysiological mechanism responsible for vascular injuries in HAVS has not yet been fully clarified; it seems to be multifactorial and highly complex. Interaction of neural signals, hormones, mediators and changes in the blood vessel itself appear to contribute to the development of such vascular injuries. This study aims to assess the risk of the hand-transmitted vibration exposure during pneumatic impact wrench operation in a rock drill repair and maintenance workshop at a South African platinum mine. A total of 8 workers working on a day to day basis with impact wrenches were available for this study. For each of the workers a control (not exposed to vibration) was selected on the basis of gender, ethnic group, smoking habits, age and body mass index (BMI). Grip force, dexterity and hand-eye co-ordination were tested on the workers and control group before and after work. Finger systolic blood pressure (FSBP) was also measured after cold provocation of the worker and control groups. Results have shown astatistically significant difference between the two groups with respect coordination, dexterity and FSBP after cold provocation. Vibration measurements shows three workers had values above the suggested ELV of 5 m/s² for an eight hour A (8) workday. With regards to dexterity, workers were capable to manipulate small objects better with their dominant right (vibration exposed) hand after work than before work. In contrast, it seems that the number of pegs correctly inserted by the controls is not uniformly affected by their 8 hour workday. The worker group showed a greater grip force than that of the control group, both before and after work.There was a statistically significant difference between the control and worker group with respect to the number of mistakes during the mirror trace and the time to complete this test only for the right hand. The difference in FSBP after cold provocation between the control and worker group observed is of medium importance when compared with effect sizes, however, there was no statistical significant difference. In this study, it was very difficult to make valid conclusions due to the limitations of a small sample size. A longitudinal study should be conducted preferably using newly appointed workers with no prior exposure to vibration and a sufficient control group to eliminate the effect other confounding variables such as general working conditions. / Thesis (MSc (Occupational Hygiene))--North-West University, Potchefstroom Campus, 2013.