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Objectives . Exposure to hand–arm vibration (HAV) is associated with hand–arm vascular syndrome (HAVS), which is characterized by musculoskeletal complications. However, evidence on this matter has been inconclusive. Therefore, this study aimed to determine and compare the prevalence of musculoskeletal complications of HAVS between a high-exposure (≥5 m·s −2 ) group and a low–moderate-exposure (&lt;5 m·s −2 ) group and to explore the factors associated with the musculoskeletal complications of HAVS among tyre shop workers in Kelantan, Malaysia.  Methods . A cross-sectional study involving 200 tyre shop workers was carried out. HAV was measured by a vibration meter. The workers were divided into two exposure groups – according to their 8-h time-weighted average,  A (8), of vibration exposure – and compared.  Results . Almost half of the workers reported musculoskeletal complications of the upper limbs and neck. Only the lifetime vibration dose (LVD) was significantly associated with the development of musculoskeletal complications.  Conclusion . The high-exposure group had a higher prevalence of musculoskeletal complications. Only the LVD was significantly associated with complications. However, all factors of the work system, such as ergonomics, handgrip force and posture, might contribute to the development of musculoskeletal complications of HAVS and should be included in assessments.

Musculoskeletal complications of hand–arm vibration syndrome among tyre shop workers in Kelantan, Malaysia