1
|
Suedbeck JR, Russell D, Armitano-Lago C, Ludwig EA. The effects of dental hygiene instrument handles on muscle activity production. Int J Dent Hyg 2023; 21:731-737. [PMID: 37721032 DOI: 10.1111/idh.12750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Revised: 08/08/2023] [Accepted: 08/28/2023] [Indexed: 09/19/2023]
Abstract
OBJECTIVE The objective of this study was to compare the effects of 10 commercially available instrument handle designs' mass and diameter on forearm muscle activity during a simulated periodontal scaling experience. METHODS A convenience sample of 25 registered dental hygienists was recruited for this IRB-approved study. Ten commercially available instruments were categorized into four groups based on their masses and diameters: large diameter/light mass, small diameter/light mass, large diameter/heavy mass and small diameter/heavy mass. Participants were randomized to four instruments, one from each group. Participants scaled with each instrument in a simulated oral environment while muscle activity was collected using surface electromyography. Muscle activity was compared among the four instrument group types. RESULTS Muscle activity of the flexor digitorum superficialis was not significantly influenced by instrument mass (p = 0.60) or diameter (p = 0.15). Flexor pollicis longus muscle activity was not significantly influenced by instrument mass (p = 0.81); diameter had a significant effect (p = 0.001), with smaller diameter instruments producing more muscle activity. For the extensor digitorum communis and extensor carpi radialis brevis, instrument mass did not significantly affect muscle activity (p = 0.64, p = 0.43), while diameter narrowly failed to reach significance for both muscles (p = 0.08, p = 0.08); muscle activity for both muscles increased with smaller diameter instruments. CONCLUSION Results from this study indicate instrument diameter is more influential than mass on muscle activity generation; small diameter instruments increased muscle activity generation when compared to large diameter instruments. Future research in real-world settings is needed to determine the clinical impact of these findings.
Collapse
Affiliation(s)
- Jessica R Suedbeck
- School of Dental Hygiene, Old Dominion University, Norfolk, Virginia, USA
| | - Daniel Russell
- School of Rehabilitation Sciences, Old Dominion University, Norfolk, Virginia, USA
| | | | - Emily A Ludwig
- School of Dental Hygiene, Old Dominion University, Norfolk, Virginia, USA
| |
Collapse
|
2
|
Sangalli L, Alabsy M, Lingle D, Alessandri-Bonetti A, Mitchell JC. Assessment of dental ergonomics among dental students: A retrospective study. J Dent Educ 2023; 87:1559-1569. [PMID: 37491904 DOI: 10.1002/jdd.13338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2023] [Revised: 06/14/2023] [Accepted: 07/08/2023] [Indexed: 07/27/2023]
Abstract
INTRODUCTION Musculoskeletal (MSK) disorders account for 11%-98% of occupational health issues for dental professionals, with an onset as early as in dental school. Dental ergonomics is among the risk factors; thus, a prompt assessment is crucial in preventing future MSK pain. The aim of this study was to retrospectively assess dental ergonomics of second-year dental students after dedicated lectures were introduced in the predoctoral curriculum. METHODS Three cohorts of second-year dental students were evaluated during preclinical activity in July 2019, January 2022, and December 2022 by an Occupational Therapy (OT) faculty and calibrated OT students. Dental ergonomics was assessed with the Rapid Upper Limb Assessment (RULA). Dental student cohorts were compared with one-way analysis of variance (ANOVA). RESULTS The average RULA final score of 409 participants was 5.1 ± 0.9, with no difference between the three cohorts (p = 0.676). The January 2022 cohort scored significantly lower in wrist-arm score than that of 2019 (p = 0.001) and December 2022 (p = 0.046). Neck and lower limb posture were significantly higher in January 2022 cohort than in 2019 (p = 0.001 and 0.013) and December 2022 (p = 0.001 and 0.005) cohorts. The December 2022 cohort revealed a medium, high and extremely high risk of developing MSK of 40.2%, 37.1%, and 21.6%, respectively, with no difference between sexes. CONCLUSION The risk of developing MSK pain was medium-high in predoctoral dental students and was not related to sex. The overall dental ergonomics required attention and rapid change. Further implementation of varied forms of teaching and monitoring of dental ergonomics from the early years of education is recommended to prevent development of MSK pain at young age and foster better postural habits.
Collapse
Affiliation(s)
- Linda Sangalli
- College of Dental Medicine-Illinois, Midwestern University, Downers Grove, Illinois, USA
| | - Melisa Alabsy
- College of Dental Medicine-Illinois, Midwestern University, Downers Grove, Illinois, USA
| | - Dana Lingle
- Occupational Therapy, Midwestern University, Downers Grove, Illinois, USA
| | - Anna Alessandri-Bonetti
- Institute of Dental Clinic, A. Gemelli University Hospital IRCCS, Catholic University of Sacred Heart, Rome, Italy
| | - John C Mitchell
- Occupational Therapy, Midwestern University, Downers Grove, Illinois, USA
- College of Dental Medicine-Arizona, Midwestern University, Glendale, Arizona, USA
| |
Collapse
|
3
|
AlSahiem J, Alghamdi S, AlQahtani R, Bin-Jardan L, AlMadani D, Farooqi FA, Gaffar B. Musculoskeletal disorders among dental students: a survey from Saudi Arabia. BMC Oral Health 2023; 23:795. [PMID: 37880615 PMCID: PMC10601255 DOI: 10.1186/s12903-023-03469-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Accepted: 09/28/2023] [Indexed: 10/27/2023] Open
Abstract
BACKGROUND Work-related musculoskeletal disorders (WMSD) are injuries affecting bones, joints, muscles, and tendons due to improper working conditions with serious consequences on health and career. Dentists were found to be at greater risk of developing WMSD compared to other healthcare providers. This study aimed to investigate the prevalence and risk factors of WMSD among dental students in Saudi Arabia. METHODS This cross-sectional survey-based study recruited dental students across the kingdom using respondent-driven sampling technique. Data was collected using the Nordic Musculoskeletal scale and a validated, self- administered, close-ended questionnaire which assessed WMSDs predisposing factors, enabling factors and musculoskeletal disorders consequences and management. The questionnaire was administered in both Arabic and English languages and was distributed online using google forms. Data analysis was performed using SPSS, Chi-square test or Fisher Exact test was used where appropriate and Multivariate Logistic regression analysis was performed to identify predictors of developing WMSDs. RESULTS The prevalence of WMSD was 87% (95% CL; 83.9% to 90.3%) among the 462 respondents. Gender, study year, type of practice, having clinics for left-handed, hours of clinical practice, sitting in the proper position while working, use of coping strategies were significantly associated with WMSD prevalence (P < 0.05). Males were OR = 10 times at higher risk of WMSD compared to females (P = 0.0001). Those with daily clinical practice were OR = 5 times at higher risk of WMSD than those who have weekly practice. Those practicing walking, workout, and yoga showed lower prevalence of WMSD (OR = 0.377 & 0.323, p = 0.015, 0.010 respectively). CONCLUSIONS The prevalence of WMSD among dental students in KSA was high. Males and those with prolonged clinical sessions were at greater risk of WMSD. There is a need for awareness campaigns to educate dental students about risk factors of WMSD. Collegesy, dental colleges should adopt policies in reducing WMSD among their students.
Collapse
Affiliation(s)
- Jood AlSahiem
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Sarah Alghamdi
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Raghad AlQahtani
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Leena Bin-Jardan
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Dalal AlMadani
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Faraz Ahmed Farooqi
- Department of Dental Education, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Balgis Gaffar
- Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam Costal Street, B.O Box 1982, 31441, Dammam, Saudi Arabia.
| |
Collapse
|
4
|
Chenna D, Pentapati KC, Kumar M, Madi M, Siddiq H. Prevalence of musculoskeletal disorders among dental healthcare providers: A systematic review and meta-analysis. F1000Res 2022; 11:1062. [PMID: 36505095 PMCID: PMC9709350 DOI: 10.12688/f1000research.124904.2] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/06/2022] [Indexed: 12/14/2022] Open
Abstract
Background: Work-related musculoskeletal disorders (MSD) are common in dentistry due to the prolonged static work involved during patient care, making dental health care personnel vulnerable to musculoskeletal complaints. We aimed to pool the prevalence estimates of MSD among various dental healthcare providers, including dentists, dental students, dental hygienists, and auxiliaries. Methods: A systematic search of five databases was performed (Scopus, Embase, CINAHL, Web of Science, Dentistry & Oral Sciences Source). The studies that reported the prevalence of MSD among dental healthcare workers and those written in English were selected. Screening and data extraction were performed by two review authors independently. Discrepencies were resolved by another review author. Risk of bias assessment was done using a nine-item questionnaire developed by Hoy et al. Pooled estimates were calculated using meta-analysis of proportions (random effects model). Results: Among the 3090 publications screened, 234 publications were included for full-text screening. Meta-analysis was performed for 89 estimates from 88 publications. Females showed significantly higher prevalence [OR = 1.42 (95% CI = 1.09-1.84); I 2 = 66.02; N = 32]. The analysis yielded a pooled estimate of 78.4% (95% CI = 74.8-82). The meta-regression showed similar prevalence over the years (Coefficient: 0.001; P-value: 0.762). Conclusions: A high prevalence of MSD was noted among dental healthcare providers, with about seven out of ten having experienced MSD in the past. This emphasizes the need for awareness and adoption of appropriate ergonomic postures by dental healthcare providers from early in their careers to minimize work-related MSD.
Collapse
Affiliation(s)
- Deepika Chenna
- Department of Immunohematology and Blood Transfusion, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - Kalyana C Pentapati
- Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India,
| | - Mathangi Kumar
- Department of Oral Medicine and Radiology, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - Medhini Madi
- Department of Oral Medicine and Radiology, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - Hanan Siddiq
- Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| |
Collapse
|
5
|
Chenna D, Pentapati KC, Kumar M, Madi M, Siddiq H. Prevalence of musculoskeletal disorders among dental healthcare providers: A systematic review and meta-analysis. F1000Res 2022; 11:1062. [PMID: 36505095 PMCID: PMC9709350 DOI: 10.12688/f1000research.124904.1] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/06/2022] [Indexed: 08/01/2023] Open
Abstract
Background: Work-related musculoskeletal disorders (MSD) are common in dentistry due to the prolonged static work involved during patient care, making dental health care personnel vulnerable to musculoskeletal complaints. We aimed to pool the prevalence estimates of MSD among various dental healthcare providers, including dentists, dental students, dental hygienists, and auxiliaries. Methods: A systematic search of five databases was performed (Scopus, Embase, CINAHL, Web of Science, Dentistry & Oral Sciences Source). The studies that reported the prevalence of MSD among dental healthcare workers and those written in English were selected. Screening and data extraction were performed by two review authors independently. Discrepencies were resolved by another review author. Risk of bias assessment was done using a nine-item questionnaire developed by Hoy et al. Pooled estimates were calculated using meta-analysis of proportions (random effects model). Results: Among the 3090 publications screened, 234 publications were included for full-text screening. Meta-analysis was performed for 89 estimates from 88 publications. Females showed significantly higher prevalence [OR = 1.42 (95% CI = 1.09-1.84); I 2 = 66.02; N = 32]. The analysis yielded a pooled estimate of 78.4% (95% CI = 74.8-82). The meta-regression showed similar prevalence over the years (Coefficient: 0.001; P-value: 0.762). Conclusions: A high prevalence of MSD was noted among dental healthcare providers, with about seven out of ten having experienced MSD in the past. This emphasizes the need for awareness and adoption of appropriate ergonomic postures by dental healthcare providers from early in their careers to minimize work-related MSD.
Collapse
Affiliation(s)
- Deepika Chenna
- Department of Immunohematology and Blood Transfusion, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - Kalyana C Pentapati
- Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - Mathangi Kumar
- Department of Oral Medicine and Radiology, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - Medhini Madi
- Department of Oral Medicine and Radiology, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - Hanan Siddiq
- Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| |
Collapse
|
6
|
The Prevalence and Development of Neck and Lower Back Pain and Associated Factors in Dentistry Students—A Long-Term Prospective Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19148539. [PMID: 35886392 PMCID: PMC9324189 DOI: 10.3390/ijerph19148539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Revised: 07/08/2022] [Accepted: 07/11/2022] [Indexed: 11/17/2022]
Abstract
Musculoskeletal disorders (MSDs) represent a significant occupational burden for dentists and dentistry students. This study aimed to assess the five-year development of most common musculoskeletal complaints among dentistry students during the whole length of their studies and to analyze the impact of some potentially associated risk factors. A longitudinal questionnaire survey regarding the occurrence of MSDs was conducted among a total of 73 dentistry students between 2014 and 2021. The same students enrolled in three consecutive years were monitored throughout their entire studies. Statistical analysis was performed using methods of descriptive statistics, Chi-square test, Fisher’s exact test, McNemar test, and univariate and multivariate logistic regression analyses. The most frequent areas of complaints were neck (61.6%) and lower back (49.3%). The increase in self-reported complaints between the first and the fifth year was statistically significant for neck pain (increase by 15%, p = 0.043) but not for lower back pain (by 6.8%, p = 0.44). According to our data, age, performing top-level sport, and participating in regular sporting activities had a statistically significant influence on neck and/or back pain. The results of this longitudinal prospective study showed that neck, as well as lower back pain, are significant problems for dentistry students.
Collapse
|
7
|
Younis U, Shakoor A, Chaudhary FA, Din SU, Sajjad S, Younis M, Javed MQ, Alam MK. Work-Related Musculoskeletal Disorders and Their Associated Risk Factors among Pakistani Dental Practitioners: A Cross-Sectional Study. BIOMED RESEARCH INTERNATIONAL 2022; 2022:4099071. [PMID: 35592521 PMCID: PMC9113859 DOI: 10.1155/2022/4099071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/03/2021] [Revised: 04/20/2022] [Accepted: 04/21/2022] [Indexed: 11/17/2022]
Abstract
Background Work-related musculoskeletal disorders (WMSDs) have a negative impact on quality of life, and dentists are at risk of WMSDs due to the nature of work being static, repetitious, and for a long duration. The study was aimed at measuring the prevalence and distribution of work-related musculoskeletal disorders and determining the risk factors associated with affliction among Pakistani dentists. Methods An online cross-sectional survey was conducted using a validated questionnaire consisting of four sections. The first section had questions related to sociodemographic information, the second section had questions that assessed the intensity and frequency of musculoskeletal pain (MSP), third section questions were concerned with the effect of MSP on the respondents' daily life, while the last section contained questions on whether they perceived their work in the dental clinic as a cause of their pain. Chi-square and one-way ANOVA tests were used for the analysis of the data in SPSS-23. Results A total of 600 completely filled questionnaires were received with a response rate of 76.4%, and about 87% of the dental practitioners had some sort of MSD. The intensity and frequency of WMSDs were statistically significant (p < 0.05) in association with all the sociodemographic characteristics. The lower back area was the most reported site of WMSD pain (51.3%) followed by the neck/upper back (21.3%) and shoulder (17.6%). The site of pain was statistically significant (p < 0.05) in association with all the sociodemographic characteristics except gender (p = 0.11). A majority of participants (95.4%) had sought medical treatment and taken sick leaves (70%) due to WMSDs pain during their life. Participants attributed a number of working years and working posture as the two main reasons behind WMSDs. Conclusion Considering the high prevalence of WMSDs among dentists, preventive strategies that minimize the occurrence of WMSDs should be adopted by dental professionals. The impact of WMSDs can be reduced by maintaining good posture, taking breaks and rest in between work, doing regular exercise, and improving the work environment.
Collapse
Affiliation(s)
- Usman Younis
- Institute of Dentistry, CMH-Lahore Medical College, National University of Medical Sciences (NUMS), Pakistan
| | - Asma Shakoor
- Institute of Dentistry, CMH-Lahore Medical College, National University of Medical Sciences (NUMS), Pakistan
| | - Farooq Ahmad Chaudhary
- School of Dentistry (SOD), Federal Medical Teaching Institution (FMTI)/PIMS, Shaheed Zulfiqar Ali Bhutto Medical University (SZABMU), Islamabad, Pakistan
| | - Shahab Ud Din
- School of Dentistry (SOD), Federal Medical Teaching Institution (FMTI)/PIMS, Shaheed Zulfiqar Ali Bhutto Medical University (SZABMU), Islamabad, Pakistan
| | - Sadia Sajjad
- Margalla Institute of Health Sciences, Rawalpindi, Pakistan
| | | | - Muhammad Qasim Javed
- Department of Conservative Dental Sciences and Endodontics, College of Dentistry, Qassim University, PO Box 6700, 51452 Buraydah, Qassim, Saudi Arabia
| | - Mohammad Khursheed Alam
- Preventive Dentistry Department, College of Dentistry, Jouf University, 72345 Sakaka, Saudi Arabia
- Center for Transdisciplinary Research (CFTR), Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India
- Department of Public Health, Faculty of Allied Health Sciences, Daffodil International University, Dhaka, Bangladesh
| |
Collapse
|
8
|
Sim EB, Park BY, Lee KT, Choi EM, Jeong JH, Yang JH, Moon SH, Noh HJ. Changes in dental hygiene students' working posture following digital sound feedback. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2021; 25:641-648. [PMID: 33259658 DOI: 10.1111/eje.12641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 11/18/2020] [Accepted: 11/21/2020] [Indexed: 06/12/2023]
Abstract
INTRODUCTION This study aimed to observe changes in working posture by measuring the REBA (Rapid Entire Body Assessment) score of dental hygiene students according to digital sound feedback linked with a smartphone application. METHODS This study was conducted on 28 fourth-year dental hygiene students who received theoretical and practical training on dental posture in the second year and then practised on mannequins and patients for about four semesters. Periodontal instrumentation was performed freely by applying digital sound notification feedback for four weeks after baseline, 30 minutes per week. REBA was measured after performing periodic structure construction without providing digital sound notification feedback for the last 1-2 minutes. Follow-up was conducted the same way 2-3 weeks after the intervention period. RESULTS The REBA score for total, neck and trunk of all subjects showed statistically significant decreases post-intervention compared with the baseline scores (total p < .001, neck p < .001 and trunk p = .042). CONCLUSIONS A digital sound feedback system was shown to be effective in encouraging correct working posture in dental hygiene students by helping them improve their REBA scores.
Collapse
Affiliation(s)
- Eun Bi Sim
- Department of Dental Hygiene, College of Software and Digital Healthcare Convergence, Yonsei University, Wonju, Korea
| | - Bo Young Park
- Department of Dental Hygiene, College of Software and Digital Healthcare Convergence, Yonsei University, Wonju, Korea
| | - Kyu Tae Lee
- DKI Technology, 71, Yeouinaru-ro, Yeongdeungpo-gu, Seoul, Korea
| | - Eun Mi Choi
- Department of Dental Hygiene, College of Software and Digital Healthcare Convergence, Yonsei University, Wonju, Korea
| | - Ju Hui Jeong
- Department of Dental Hygiene, College of Software and Digital Healthcare Convergence, Yonsei University, Wonju, Korea
| | - Ji Hye Yang
- Korea Disease Control ans Prevention Agency, The Office of Spokesperson, Seoul, Korea
| | - Su Hyun Moon
- Department of Dental Hygiene, College of Software and Digital Healthcare Convergence, Yonsei University, Wonju, Korea
| | - Hie Jin Noh
- Department of Dental Hygiene, College of Software and Digital Healthcare Convergence, Yonsei University, Wonju, Korea
| |
Collapse
|
9
|
Omar H, Khan S, Haneline M, Toh CG. Attitudes of dental and chiropractic students towards a shared learning programme-An interprofessional learning model. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2021; 25:592-599. [PMID: 33222374 DOI: 10.1111/eje.12636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/04/2019] [Revised: 11/14/2020] [Accepted: 11/18/2020] [Indexed: 06/11/2023]
Abstract
INTRODUCTION Interprofessional learning (IPL) is the first stage towards the goal of interprofessional collaborative care. To enhance IPL experience, the School of Dentistry, International Medical University developed an IPL model based on the core competencies and the learning outcomes for dental and chiropractic students in their second and fourth year, respectively. The model was based on experiential learning and adult learning theories in addition to Miller's framework for clinical competencies. METHODS The programme was developed as a student-centred, collaborative approach to achieve the learning outcomes for dental and chiropractic students. Second-year dental students (n = 46) and chiropractic students (n = 23) in their fourth year participated in the programme. The focus of the programme was to address the prevention of work-related musculoskeletal disorders (WMSDs) amongst dental students and to provide the chiropractic students with the opportunity to assess and identify risk factors for WMSDs in the dental setting. The readiness for interprofessional learning scale (RIPLS) questionnaire was completed prior to the interprofessional education programme and once again afterwards to determine dental and chiropractic students' awareness of roles and responsibilities of the other profession, and their attitudes to interprofessional education and teamwork. RESULTS Dental and chiropractic students showed similar levels of readiness for shared learning. The results of this study suggest that the IPL programme contributed to the development of the students' positive perceptions towards the positive professional identity and the roles of other healthcare professionals. CONCLUSION This study provides initial support for the integrated interprofessional learning experiences within the school. The results of the study will shape future curricula changes to further strengthen interprofessional education and subsequent interprofessional collaborative care.
Collapse
Affiliation(s)
- Hanan Omar
- School of Dentistry, International Medical University, Kuala Lumpur, Malaysia
- Missouri School of Dentistry and Oral Health, A.T. Still University, Kirksville, MO, USA
| | - Saad Khan
- School of Dentistry, International Medical University, Kuala Lumpur, Malaysia
- Public Health, Dadabhoy Institute of Higher Education, Karachi, Pakistan
| | - Michael Haneline
- School of Health Sciences, International Medical University, Kuala Lumpur, Malaysia
| | - Chooi Gait Toh
- School of Dentistry, International Medical University, Kuala Lumpur, Malaysia
| |
Collapse
|
10
|
Kapitán M, Hodačová L, Čermáková E, Machač S, Schmidt J, Pilbauerová N. The Development of Musculoskeletal Disorders during Undergraduate Dentistry Studies-A Long-Term Prospective Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18147662. [PMID: 34300119 PMCID: PMC8303519 DOI: 10.3390/ijerph18147662] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/29/2021] [Revised: 07/14/2021] [Accepted: 07/15/2021] [Indexed: 11/16/2022]
Abstract
Musculoskeletal disorders (MSDs) frequently occur among dental practitioners and present a significant occupational burden with an early onset in the dentists' career. This study aimed to analyze the five-year development of self-reported overall MSDs among the dentistry students during the course of their studies and to assess the possible influence of the risk as well as protective factors. The questionnaire inquiry was performed among the first-year dentistry students, regarding the occurrence of MSDs and the presence of potential risk and protective factors. The same students were followed, and they filled in the same questionnaire in the middle and at the end of their studies. A total of 73 dentistry students and 28 general medicine students participated. The occurrence of the overall MSDs statistically significantly increased from 30.1% at the beginning of the first year to 45.2% at the end of the fifth year among the dentistry students. The top-level sport was statistically significantly associated with the higher occurrence of MSDs in the fifth year and with the development of new MSDs between the first and the fifth year. This longitudinal prospective evaluation showed a significant increase in the MSDs occurrence among the dentistry students during their studies.
Collapse
Affiliation(s)
- Martin Kapitán
- Department of Dentistry, Charles University, Faculty of Medicine in Hradec Králové, and University Hospital Hradec Králové, 500 05 Hradec Králové, Czech Republic; (J.S.); (N.P.)
- Correspondence:
| | - Lenka Hodačová
- Department of Preventive Medicine, Charles University, Faculty of Medicine in Hradec Králové, 500 03 Hradec Králové, Czech Republic;
| | - Eva Čermáková
- Department of Medical Biophysics, Charles University, Faculty of Medicine in Hradec Králové, 500 03 Hradec Králové, Czech Republic;
| | - Stanislav Machač
- Department of Rehabilitation and Sports Medicine, Charles University, Second Faculty of Medicine, and University Hospital Motol, 150 06 Prague, Czech Republic;
- Institute of Sports Medicine, 150 00 Prague, Czech Republic
| | - Jan Schmidt
- Department of Dentistry, Charles University, Faculty of Medicine in Hradec Králové, and University Hospital Hradec Králové, 500 05 Hradec Králové, Czech Republic; (J.S.); (N.P.)
| | - Nela Pilbauerová
- Department of Dentistry, Charles University, Faculty of Medicine in Hradec Králové, and University Hospital Hradec Králové, 500 05 Hradec Králové, Czech Republic; (J.S.); (N.P.)
| |
Collapse
|
11
|
Abstract
OBJECTIVES Most dentists maintain awkward and restricted postures for prolonged periods that stress the body while providing direct patient care. Information about working posture must be analysed in a more systematic manner to provide a deeper understanding of the relationship between working posture and work-related musculoskeletal disorders (MSD). Therefore, the present study aimed to clarify the effects of different lines of vision during tooth preparation, such as the direct and the mirror view technique, on-body tilt (angle), muscle activity, and sitting balance, which may correlate with the reduction or prevention of MSD. METHODS A mannequin head with a maxillary right first molar embedded in a model was attached to the dental chair headrest. Two different techniques for tooth preparation were selected: direct view and mirror view. Muscle activity, body tilt (angle), and sitting balance were analysed as independent parameters. RESULTS Different tooth preparation techniques had a distinct influence on body tilt (angle), muscle activity, and sitting balance. The direct view technique resulted in significantly larger values for all parameters, except for the activity of the spinal column erector muscles than the mirror view technique. CONCLUSION Based on these results, the direct view technique for tooth preparation, which is used by most dentists in practice, imposes a burden on the lower back, shoulders, and neck of the dentist.
Collapse
|
12
|
Hashim R, Salah A, Mayahi F, Haidary S. Prevalence of postural musculoskeletal symptoms among dental students in United Arab Emirates. BMC Musculoskelet Disord 2021; 22:30. [PMID: 33407336 PMCID: PMC7788996 DOI: 10.1186/s12891-020-03887-x] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Accepted: 12/16/2020] [Indexed: 11/16/2022] Open
Abstract
Background The purpose of the present study was to determine the prevalence of neck, shoulder, and low-back pain and to examine factors associated with musculoskeletal pain (MSP) among dental students at Ajman University and Ras Al Khaimah College of Dental Sciences in United Arab Emirates (UAE). Method A cross-sectional study was conducted among dental students using an online questionnaire, which was a modified version of the Standardized Nordic questionnaire, focused on neck, shoulder and low-back pain in the past week and the past year. Results A total of two hundred and two dental students (out of 368) responded to the questionnaire. The majority were female 75.2%. The prevalence of MSP in at least one body site in the past week, and in the past year was 48.5 and 68.3% respectively. The factors significantly associated with MSP in at least one body site at any time were having history of trauma (P = 0.009), lack of exercise (P = 0.001), longer clinical sessions (P = 0.000), and higher BMI (P = 0.010). Conclusion The present study indicates that the prevalence of MSP among dental students in the UAE is high. Careful attention from dental colleges is needed to increase students’ awareness of this problem. This study contributed to better understanding of MSP among dental professionals. Supplementary Information The online version contains supplementary material available at 10.1186/s12891-020-03887-x.
Collapse
Affiliation(s)
- Raghad Hashim
- Growth and Development Department, Ajman University, Emirate of Ajman, P.O. Box 346, Ajman, United Arab Emirates.
| | - Afraa Salah
- Growth and Development Department, Ajman University, Emirate of Ajman, P.O. Box 346, Ajman, United Arab Emirates
| | - Fatemeh Mayahi
- Growth and Development Department, Ajman University, Emirate of Ajman, P.O. Box 346, Ajman, United Arab Emirates
| | - Saeedeh Haidary
- Growth and Development Department, Ajman University, Emirate of Ajman, P.O. Box 346, Ajman, United Arab Emirates
| |
Collapse
|
13
|
Aboalshamat KT. Nordic Assessment of Occupational Disorders among Dental Students and Dentists in Saudi Arabia. J Int Soc Prev Community Dent 2020; 10:561-568. [PMID: 33282764 PMCID: PMC7685269 DOI: 10.4103/jispcd.jispcd_142_20] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2020] [Revised: 04/06/2020] [Accepted: 04/18/2020] [Indexed: 11/04/2022] Open
Abstract
Objectives Ergonomics and the avoidance of occupational or work-related musculoskeletal disorders (WRMSDs) are crucial for a future dentist's career, as studies have linked WRMSDs to some serious complications, including early retirement. This study aimed to investigate the level of knowledge and awareness about ergonomics and the prevalence of WRMSDs among dental students and dentists in Makkah province, Saudi Arabia. Materials and Methods A cross-sectional study was conducted of 322 dental students and dentists from two universities in Makkah province, Saudi Arabia, using a self-report questionnaire to measure ergonomic awareness and the Nordic Musculoskeletal Questionnaire to measure WRMSDs. Results Among the respondents, only 4.82% could correctly explain ergonomics, 14.16% had attended a course or workshop on ergonomics, 55.12% were familiar with preventive techniques for WRMSDs, and 37.95% were familiar with remedies/treatment for WRMSDs. Females were significantly more aware of WRMSDs than males. There was 81.33% who had trouble (pain, aches, or discomfort) in one or more parts of their body during the previous 12 months. The most common sites for WRMSDs were the upper back (48.19%), wrists/hands (44.27%), lower back (43.98%), neck (36.45%), and shoulder (33.43%). In most body parts, WRMSDs were more common among males and participants from a governmental university than among females or those from a private university. Conclusion Both dental students and dentists in Saudi Arabia lacked awareness of ergonomics and experienced high levels of WRMSDs. More educational efforts and attempts are needed to boost dental professionals' knowledge about musculoskeletal disorders related to dental profession and built the skills to cope with them.
Collapse
Affiliation(s)
- Khalid T Aboalshamat
- Dental Public Health Division, Preventative Dentistry Department, College of Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia, Head of Medicine and Medical Science Research Center, Deanship of Scientific Research, Umm Al-Qura University, Makkah, Saudi Arabia
| |
Collapse
|
14
|
Santucci NM, Jellin J, Davenport TE. Dental and physical therapy faculty collaborate in assessing and educating dental students on musculoskeletal disorders. J Dent Educ 2020; 85:53-59. [PMID: 32839992 DOI: 10.1002/jdd.12387] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2019] [Revised: 07/28/2020] [Accepted: 08/04/2020] [Indexed: 11/09/2022]
Abstract
INTRODUCTION Research shows 54% to 93% of practicing dentists suffer from musculoskeletal disorders (MSDs), with many developing afflictions early in their careers. Studies also show that dental students are developing MSDs early in their professional education. OBJECTIVE The research goal was to quantify the prevalence, anatomical location and initial onset of MSDs among first-year dental students. The study also assessed the students' self-reported opinion as to whether there were enough educational touchpoints to improve their ergonomics in daily activities. METHODS At the conclusion of a 9-month preclinical restorative course, that included 2 lectures on MSDs, ergonomics, and postural cueing sessions, a dental and physical therapy faculty member administered a survey to 143 first-year dental students. This survey included questions about the history and presentation of the students' MSD symptoms and their opinion on the relative value of the educational interventions. RESULTS There was a 96.5% response rate to the survey with 87.8% of students reporting mild to moderate pain. The cervical spine (41.7%) and hands (42.4%) were the most common areas afflicted. 55.4% reported pain commencing 1 month after starting in the simulation clinic. Over 60.9% of students "agreed" or "somewhat agreed" that the 2 sessions of hands-on ergonomic educational interventions resulted in improved biomechanics and students requested additional educational resources. CONCLUSION Dental students are developing MSDs as soon as 1 month after commencing dental school. Dental education should include ongoing ergonomic training throughout the curriculum to help students prevent MSDs.
Collapse
Affiliation(s)
- Noëlle M Santucci
- Department of Preventive and Restorative Dentistry, Arthur A, Dugoni School of Dentistry, University of the Pacific, San Francisco, California, USA
| | - Justin Jellin
- Department of Diagnostic Sciences, Arthur A, Dugoni School of Dentistry, University of the Pacific, San Francisco, California, USA
| | - Todd E Davenport
- Department of Physical Therapy, Thomas J. Long School of Pharmacy & Health Sciences, University of the Pacific, Stockton, California, USA
| |
Collapse
|
15
|
Raman V, Ramlogan S, Sweet J, Sweet D. Application of the Rapid Entire Body Assessment (REBA) in assessing chairside ergonomic risk of dental students. Br Dent J 2020:10.1038/s41415-020-1855-5. [PMID: 32801322 DOI: 10.1038/s41415-020-1855-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Introduction High prevalence of musculoskeletal disorders (MSDs) have been reported among operators in dentistry related to prolonged demanding and awkward operative tasks, in which non-neutral vertebral positions and risky joint articulations are adopted. The aim of the study was to investigate the feasibility and reliability of the application of the Rapid Entire Body Assessment (REBA) among dental students utilising three digital photographs of the operator to determine chairside ergonomic risk.Materials and methods Third-year dental students (n = 28) obtained profile, back and frontal digital photographs of student operators in a clinical session. REBA scorings were assigned per student utilising the photographs by student groups and independently by a physiotherapist. Statistical comparisons were done for both scorings.Results There was substantial interrater reliability (kappa = 0.625; p <0.001) and moderate concordance level (Kendall's Tau-b of 0.568; p <0.01) between the scores derived from students and staff. Medium- and high-risk students based on the REBA scores accounted for 64% and 75% of the class as determined by students and staff, respectively.Discussion The high percentage of medium-to-high-risk REBA values matched the prevalence of MSDs reported by dental students in the literature. Compared to staff, students with moderate reliability were able to produce REBA scores adequately.Conclusion REBA utilising digital photographs may be an easily applicable and moderately reliable tool for alerting static ergonomic risk for clinical dental students. Modification of at-risk behaviour early in training may limit the establishment of bad posture habits and aid in the prevention of MSDs during their clinical years and post-graduation.
Collapse
Affiliation(s)
- Vidya Raman
- Periodontology, Restorative Unit, School of Dentistry, The University of the West Indies, St Augustine, Trinidad and Tobago.
| | - Shaun Ramlogan
- Periodontology, Restorative Unit, School of Dentistry, The University of the West Indies, St Augustine, Trinidad and Tobago
| | - John Sweet
- Periodontology, Restorative Unit, School of Dentistry, The University of the West Indies, St Augustine, Trinidad and Tobago
| | - Dinah Sweet
- Physiotherapy, School of Healthcare Sciences, Cardiff University, Cardiff (formerly), UK
| |
Collapse
|
16
|
Santos RRD, Garbin CAS, Batista JA, Saliba TA, Garbin AJI. Prevalence of musculoskeletal pain in dental students and associated factors. BRAZILIAN JOURNAL OF ORAL SCIENCES 2019. [DOI: 10.20396/bjos.v18i0.8657270] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Aim: The objective of this research was to evaluate the prevalence of painful symptoms among dental academics, as well as their associated factors. Methods: A cross-sectional study was carried out at a public higher education institution, and the study population (n = 303) included undergraduate students who studied at least one subject that included clinical activities. For data collection, two self-administered questionnaires were delivered to the participants, the first of which consisted of sociodemographic variables, academic life, harmful habits, physical activity practice, and general health. The validated Nordic Musculoskeletal Questionnaire was used to identify musculoskeletal symptoms, the need to seek health resources, and to assess whether the disorders interfered with the work activities of academics. Results: The presence of pain in the past 12 months was observed in 199 participants (82.6%). Several variables, including gender, number of courses performed, physical activity, and general health status, had an association with painful symptoms in at least one area of the body (GA) over the past 12 months. In addition, variable general health was associated with pain symptoms in any area of the body (DG) over the past seven days. Conclusion: There was a high prevalence of musculoskeletal symptoms, especially in the upper limbs, and there were associations between muscular pain and the number of disciplines studied and between muscular pains and the general health of the students.
Collapse
|
17
|
Kapitán M, Pilbauerová N, Vavřičková L, Šustová Z, Machač S. Prevalence of Musculoskeletal Disorders Symptoms among Czech Dental Students. Part 1: a Questionnaire Survey. ACTA MEDICA (HRADEC KRÁLOVÉ) 2019; 61:131-136. [PMID: 30664445 DOI: 10.14712/18059694.2018.131] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Musculoskeletal disorders (MSDs) frequently occur among dentists and dental students. The first aim of this study was to gather and analyze information about the prevalence of symptoms of MSDs. The second aim was to determine a correlation between subjectively described complaints and the results of an objective examination of the spine using the Spinal Mouse® device; that part is described in the second section of this article. Dental students of the first, third and fifth years at Charles University, Faculty of Medicine in Hradec Králové were included. The participants filled out a questionnaire regarding the prevalence of symptoms of MSDs and the potential risk factors. From a total of 182 students that participated in this study, 71 reported musculoskeletal pain (prevalence 39%). The musculoskeletal pain was more frequent among women. During the studies its prevalence increased. The most frequent areas of pain were neck, lower back and upper back. The results indicate that musculoskeletal pain often begins and continues to develop throughout the dentistry studies.
Collapse
Affiliation(s)
- Martin Kapitán
- Department of Dentistry, Charles University, Faculty of Medicine in Hradec Králové, and University Hospital Hradec Králové, Hradec Králové, Czech Republic.
| | - Nela Pilbauerová
- Department of Dentistry, Charles University, Faculty of Medicine in Hradec Králové, and University Hospital Hradec Králové, Hradec Králové, Czech Republic
| | - Lenka Vavřičková
- Department of Dentistry, Charles University, Faculty of Medicine in Hradec Králové, and University Hospital Hradec Králové, Hradec Králové, Czech Republic
| | - Zdeňka Šustová
- Department of Dentistry, Charles University, Faculty of Medicine in Hradec Králové, and University Hospital Hradec Králové, Hradec Králové, Czech Republic
| | - Stanislav Machač
- Department of Rehabilitation and Sports Medicine, Charles University, 2nd Faculty of Medicine, and Motol University Hospital, Prague, Czech Republic.,Institute of Sports Medicine, Prague, Czech Republic
| |
Collapse
|
18
|
Coskun Benlidayi I, Al-Bayati Z, Guzel R, Sarpel T. Neither got a good bill of musculoskeletal health: a comparative study among medical and dental students. Acta Clin Belg 2019; 74:110-114. [PMID: 29874980 DOI: 10.1080/17843286.2018.1483564] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
OBJECTIVES It has been well established that musculoskeletal complaints are common among dentistry students. However, data regarding the comparison of overall musculoskeletal health between dental and medical students is scarce. The objective of the current study was to compare musculoskeletal health between medical and dental students. METHODS The population of the current study was comprised of fourth- and fifth-year students from medical and dental faculties of the same university who were at least three months in clinical training. Self-administered multi-item questionnaires regarding the musculoskeletal complaints were distributed to these students. A comparative analysis was carried out on the responses derived from the medical and dental students. RESULTS A total of 219 students completed the questionnaire, yielding a response rate of 81.1%. Almost four fifth (80.4%) of the students reported musculoskeletal pain, with frequencies of 85.9 and 75.8% in dental and medical students, respectively (p > 0.05). Total, upper extremity and neck VAS scores were significantly higher in dental students than those in medical students (p < 0.01, p < 0.001 and p < 0.05, respectively). The rate of mild-severe pain sufferers in the upper extremity was also higher among dental students (p < 0.001). CONCLUSION Musculoskeletal pain is frequent in both medical and dental students. However, the intensity of pain - particularly for the upper extremity and neck - is higher among dental students. The findings of the current study might be attributed to the fact that dental education requires more physical burden during routine clinical training than medical education.
Collapse
Affiliation(s)
- Ilke Coskun Benlidayi
- Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Cukurova University, Adana, Turkey
| | - Zainb Al-Bayati
- Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Cukurova University, Adana, Turkey
| | - Rengin Guzel
- Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Cukurova University, Adana, Turkey
| | - Tunay Sarpel
- Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Cukurova University, Adana, Turkey
| |
Collapse
|
19
|
Pineda Álvarez DM, Carrasco FL, Morales Sanmartín J, Álvarez Pesantez KDR. Prevalencia de dolor musculoesquelético y factores asociados en odontólogos de la ciudad de Cuenca, Ecuador, 2016. ACTA ODONTOLÓGICA COLOMBIANA 2019. [DOI: 10.15446/aoc.v9n1.73029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Introducción: el dolor es uno de los síntomas principales de los trastornos musculoesqueléticos y tiene alta frecuencia en los profesionales de la odontología. El objetivo del estudio fue determinar la prevalencia del dolor musculoesquelético y los factores sociodemográficos y laborales asociados en odontólogos que laboran en la ciudad de Cuenca, Ecuador. Materiales y métodos: se realizó un estudio transversal en 240 odontólogos inscritos en la Dirección Provincial de Salud del Azuay de la ciudad de Cuenca hasta el año 2015. Se usó el cuestionario de Kuorinka para determinar síntomas musculoesqueléticos. Se creó un formulario con variables sociodemográficas y las características del dolor para establecer asociaciones estadísticas. La información fue procesada en el programa SPSS versión 22. Resultados: el 58,7% eran mujeres. El promedio de edad fue de 37 años con una DE de 11,6. La prevalencia de dolor musculoesquelético fue del 73,3%. El 90,3% atribuyó el dolor a causas laborales. Los factores asociados al dolor fueron: sexo femenino, sedentarismo, trabajar en el sector público y carga horaria mayor a 30 horas semanales. El dolor musculoesquelético en los odontólogos está asociado estadísticamente a: sexo femenino (OR= 2,60; IC 95%= 1,35 – 4,99; p= 0,004), sedentarismo (OR= 2,42; IC 95%= 1,20 – 4,89; p= 0,013), ejercer en el área pública (OR= 2,97; IC 95%= 1,26 – 6,99; p= 0,012) y carga horaria mayor a 30 horas semanales (OR= 2,21; IC 95%= 1,15 – 4,21; p= 0,017). Conclusiones: el ejercicio de la práctica clínica odontológica constituye un factor de riesgo para la generación de trastornos musculoesqueléticos.Palabras clave: Dolor musculoesquelético; osteomuscular; salud ocupacional; odontólogos; atención odontológica
Collapse
|
20
|
Cervera-Espert J, Pascual-Moscardó A, Camps-Alemany I. Wrong postural hygiene and ergonomics in dental students of the University of Valencia (Spain) (part I). EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2018; 22:e48-e56. [PMID: 28295943 DOI: 10.1111/eje.12255] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/05/2016] [Indexed: 06/06/2023]
Abstract
INTRODUCTION Failure to adopt a correct working posture can lead to occupational diseases. OBJECTIVES Evaluate knowledge in relation to ergonomics about BHOP concept and its application to routine clinical practice amongst undergraduate and postgraduate dental students in the University of Valencia (Valencia, Spain). MATERIAL AND METHODS A study based on interviews of undergraduate and postgraduate dental students in the University of Valencia (Valencia, Spain) was carried out. The information from a total of 336 interviews was used for the statistical analysis, differentiating according to gender and academic year: knowledge of ergonomics, pain prevalence and antecedents, assessment of the possible necessity for improved training in ergonomics, and evaluation of postural hygiene. RESULTS Only 28.6% of the students were found to sit correctly in the dentist chair. Furthermore, in the opinion of the students, very few subjects during the career afforded adequate teaching in relation to ergonomics and working posture. The analysis of postural hygiene showed great variability. There were no significant differences in posture between males and females, although some incorrect postures appeared to be associated with the academic year (P<.05). However, no significant improvements in postural hygiene were noted on progressing from one academic year to the next. CONCLUSIONS The students in our study were not familiar with the principles of ergonomics and did not sit correctly in the dentist chair. Improved training in this field is required in dental school.
Collapse
Affiliation(s)
- J Cervera-Espert
- Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain
| | - A Pascual-Moscardó
- Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain
| | - I Camps-Alemany
- Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain
| |
Collapse
|
21
|
Plessas A, Bernardes Delgado M. The role of ergonomic saddle seats and magnification loupes in the prevention of musculoskeletal disorders. A systematic review. Int J Dent Hyg 2018; 16:430-440. [DOI: 10.1111/idh.12327] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/13/2017] [Indexed: 11/30/2022]
Affiliation(s)
- A Plessas
- Peninsula Dental School; Plymouth University (PUPSMD); Plymouth UK
| | | |
Collapse
|
22
|
Movahhed T, Dehghani M, Arghami S, Arghami A. Do dental students have a neutral working posture? J Back Musculoskelet Rehabil 2016; 29:859-864. [PMID: 27197705 DOI: 10.3233/bmr-160702] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Dentists are susceptible to Musculoskeletal Disorders (MSDs) due to prolonged static postures. To prevent MSDs, working postures of dental students should be assessed and corrected in early career life. OBJECTIVE This study estimated the risk of developing musculoskeletal disorders in dental students using Rapid Upper Limb Assessment (RULA) tool. METHODS A number of 103 undergraduate dental students from fourth and fifth academic years participated. Postures of these students were assessed using RULA tool while working in the dental clinic. They also answered a questionnaire regarding their knowledge about postural dental ergonomic principles. RESULTS The majority of the students (66%) were at intermediate and high risk levels to develop MSDs and their postures needed to be corrected. There was no significant correlation between RULA score and gender, academic year and different wards of dental clinics. There was no significant correlation between knowledge and RULA scores. CONCLUSIONS Dental students did not have favorable working postures. They were at an intermediate to high risk for developing MSDs which calls for a change in their working postures. Therefore students should be trained with ergonomic principles and to achieve the best results, ergonomic lessons should be accompanied by practice and periodical evaluations.
Collapse
Affiliation(s)
- Taraneh Movahhed
- Dental Materials Research Center, Department of Community Oral Health, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Mahboobe Dehghani
- Dental Research Center, Department of Orthodontics, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Shirazeh Arghami
- Department of Occupational Health Engineering, Zanjan University of Medical Sciences, Zanjan, Iran
| | - Afarin Arghami
- Department of Periodontics, Louisiana State University, New Orleans, LA, USA
| |
Collapse
|
23
|
Mulimani P, Hoe VCW, Hayes MJ, Idiculla JJ, Abas ABL, Karanth L. Ergonomic interventions for preventing musculoskeletal disorders in dental care practitioners. Hippokratia 2014. [DOI: 10.1002/14651858.cd011261] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Priti Mulimani
- Melaka-Manipal Medical College; Department of Orthodontics; Jalan Batu Hampar, Bukit Baru Malaysia India 75150
| | - Victor CW Hoe
- University of Malaya; Centre for Occupational and Environmental Health; Pantai Valley Kuala Lumpur Malaysia 50603
| | - Melanie J Hayes
- The University of Melbourne; Melbourne Dental School; 720 Swanston Street Melbourne VIC Australia 3010
| | - Jose J Idiculla
- Faculty Of Dentistry, Melaka-Manipal Medical College; Department of Oral Pathology; Jalan Batu Hampar, Bukit Baru Melaka Malaysia 75150
| | - Adinegara BL Abas
- Melaka-Manipal Medical College; Department of Community Medicine; Jalan Batu Hampar Bukit Baru Melaka Malaysia 75150
| | - Laxminarayan Karanth
- Melaka Manipal Medical College; Department of Obstetrics and Gynecology; Bukit Baru, Jalan Batu Hampar Melaka Malaysia 75150
| |
Collapse
|
24
|
Garcia PPNS, Presoto CD, Campos JADB. Perception of Risk of Musculoskeletal Disorders Among Brazilian Dental Students. J Dent Educ 2013. [DOI: 10.1002/j.0022-0337.2013.77.11.tb05632.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
|
25
|
Khan SA, Chew KY. Effect of working characteristics and taught ergonomics on the prevalence of musculoskeletal disorders amongst dental students. BMC Musculoskelet Disord 2013; 14:118. [PMID: 23547959 PMCID: PMC3626888 DOI: 10.1186/1471-2474-14-118] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/28/2012] [Accepted: 03/22/2013] [Indexed: 11/26/2022] Open
Abstract
Background Work-related musculoskeletal disorders are one of the main occupational health hazards affecting dental practitioners. This study was conducted to assess the prevalence of Work-related Musculoskeletal Disorder (WMSD) amongst dental students. Possible correlations with the working environment and ergonomics taught in Malaysian dental schools were also sought. Methods Five dental schools in Malaysia participated in this cross-sectional study. A validated self-administered questionnaire was used to establish the point prevalence of WMSD in the dental students based on various body regions. The questionnaire also collected data regarding the working environment, clinical practice and the taught ergonomics of the students during their training years. Results Out of five hundred and sixty eight dental students who participated in the study, 410 were in their clinical years whilst 158 were students in their non- clinical years. Ninety three percent of the clinical year students reported symptoms of WMSD in one or more body regions. Female students reported a significantly higher numbers of symptoms compared to male students. The neck (82%) and lower back (64%) were reported to have the highest prevalence of WMSD. Discomfort in the neck region was found to be associated with self-reported frequency of bending of the neck. A majority of students (92%) reported minimum participation in workshops related to ergonomics in dentistry and 77% were unfamiliar with treatment and remedies available in the case of WMSD. Conclusions There was more WMSD seen in dental students who had started their clinical years. Neck and lower back are more injury prone areas and are at increased risk of developing musculoskeletal disorders. Theory and practice of ergonomics should be incorporated into the dental undergraduate curriculum.
Collapse
Affiliation(s)
- Saad A Khan
- International Medical University, Jalan Jalil Perkasa 19, Bukit Jalil, Kuala Lumpur 57000, Malaysia.
| | | |
Collapse
|
26
|
Musculoskeletal disorders among Tunisian hospital staff: Prevalence and risk factors. EGYPTIAN RHEUMATOLOGIST 2013. [DOI: 10.1016/j.ejr.2013.01.002] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
27
|
Thanathornwong B, Suebnukarn S, Songpaisan Y, Ouivirach K. A system for predicting and preventing work-related musculoskeletal disorders among dentists. Comput Methods Biomech Biomed Engin 2012; 17:177-85. [PMID: 22519570 DOI: 10.1080/10255842.2012.672565] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Work-related musculoskeletal disorders (WMSDs) have become increasingly common among dentists and initiate a series of events that could result in a career ending. This study aims to construct a system for predicting and preventing WMSD among dentists. We used Bayesian network (BN) that describes the mutual relationships among multiple variables contributing to WMSDs. The data-sets were prepared from direct measurements of dentist's movements and a questionnaire survey. We applied BN learning algorithms to the training data-sets to develop WMSD prediction model using 10-fold cross-validation. To evaluate the system performance, 16 dentists were randomly assigned into a 2 × 2 crossover trial scheduled to each of two sequences of dental working: receiving feedback or no feedback including the probability of WMSD and related risk factors from the system. The group that received feedback decreased significantly (t-test, p < 0.05) the extensions of neck and upper back in the y-axis as well as the WMSD probability on the post-test. In conclusion, the system for predicting and preventing WMSD aids the correction of neck and upper back extensions and reduction in WMSD probability, which may potentially contribute to reduce the risk of WMSD among dentists.
Collapse
|
28
|
Peros K, Vodanovic M, Mestrovic S, Rosin-Grget K, Valic M. Physical Fitness Course in the Dental Curriculum and Prevention of Low Back Pain. J Dent Educ 2011. [DOI: 10.1002/j.0022-0337.2011.75.6.tb05103.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- Kristina Peros
- Department of Pharmacology; School of Dental Medicine; University of Zagreb; Croatia
| | - Marin Vodanovic
- Department of Anthropology; School of Dental Medicine; University of Zagreb; Croatia
| | | | - Kata Rosin-Grget
- Department of Pharmacology; School of Dental Medicine; University of Zagreb; Croatia
| | - Maja Valic
- Department of Neuroscience; School of Medicine; University of Split; Croatia
| |
Collapse
|