The major objective of this study is to find whether the vibration power absorption (VPA) has a stronger association with vibration-induced white finger (VWF) than the acceleration measured on power hand tools. While the basic mechanical impedance data required to estimate the power absorption were gathered in our laboratory, the required vibration exposure information and medical data were obtained from previously published studies. This study finds that the power absorption of the hand-arm system and that measured at the palm are strongly correlated to the square of the frequency- weighted acceleration (ISO 5349-1, 2001) or the weighted acceleration is highly correlated to the square root of the VPA. Hence, if the weighted acceleration tends to overestimate the effects of low frequency vibration, these energy measures will also overestimate the effects of low frequency vibration. The medical data support this finding. The power absorption measured at the fingers correlates better with finger disorders than the total power absorption, probably because the finger energy method partially overcomes the deficiencies of the total energy method. Among the five vibration dose measures, unweighted acceleration shows the strongest correlation to finger disorders. This suggests that the most important factor associated with the vibration-induced finger disorders is the acceleration actually transmitted to the fingers. Therefore, the vibration transmissibility on the fingers can be used as a frequency weighting function for quantifying and evaluating vibration exposure. This transmissibility-based weighting method may also be applied for wrist problems and other components of hand-arm vibration syndrome. Further studies are required to test these hypotheses.