The Taylor-Pelmear stages in the hand-arm vibration syndrome was an early classification scheme based on evaluation of vibration-exposed workers. It has been subsequently modified to meet a variety of needs, including better separation of the vascular and neurological components of injury.
Stage |
Condition of Digits |
Work & Social Interference |
0 |
vibration exposed but no signs or symptoms |
no complaints |
0T |
intermittent tingling |
no interference with activities |
0N |
intermittent numbness |
no interference with activities |
0TN |
intermittent tingling and numbness |
no interference with activities |
1 |
blanching of 1 or more fingertips with or without tingling or numbness |
no interference with activities |
2 |
blanching of 1 or more fingers with numbness, usually confined to winter |
slight interference with home and social activities; no interference at work |
3 |
extensive blanching, frequent episodes summer and winter |
definite interference at work, at home and with social activities; restriction of hobbies |
4 |
extensive blanching, frequent episodes summer and winter |
definite interference at work, at home and with social activities; restriction of hobbies; occupation changes to avoid further vibration exposure |
where
• 0T, 0N, and 0TN should have the letters following 0 expressed as subscripts
Purpose: To evaluate a patient with the hand-arm vibration syndrome using the Taylor-Pelmear staging system.
Specialty: Sports Medicine & Rehabilitation
Objective: severity, prognosis, stage
ICD-10: I73.0, T75.2,