1
|
Kapitán M, Jouklová N, Machač S, Hodačová L, Čermáková E, Schmidt J. Changes in spinal curve during dentistry studies measured with a Spinal Mouse device: A five-year prospective study. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2024. [PMID: 39030855 DOI: 10.1111/eje.13026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/27/2023] [Revised: 05/29/2024] [Accepted: 07/07/2024] [Indexed: 07/22/2024]
Abstract
INTRODUCTION Musculoskeletal disorders (MSDs) often arise and develop during dentistry studies. The most affected regions are related to the spine. Possible associations between spinal curve parameters and MSDs have not yet been investigated amongst dentistry students. This longitudinal observational study aimed to determine whether spinal curve changes during dentistry studies, analyse the relationship between objective findings and subjectively declared MSDs and compare spinal curve parameters with those published in the literature. MATERIALS AND METHODS Seventy-three dentistry students answered a questionnaire on MSDs, and were examined using the Spinal Mouse® device at the beginning, in the middle, and at the end of their 5-year study. RESULTS The spinal curve exhibited a gender diversity in the lumbar lordosis angle, sacrum inclination, and thoracolumbar ratio. From the first to fifth study year, we observed an increase in the range of motions in the sagittal and frontal planes, an increase in the maximal extent of right lateral inclination, and a decrease in maximal left lateral inclination. Whole-spine backward inclination increased only in women, and forward sacral inclination decreased. No statistically significant relationships were found between the objective findings and subjectively declared MSDs. CONCLUSIONS The spinal curve shape differed between men and women and changed during dentistry studies. No objective markers or predictors of MSDs were found amongst the dentistry students. These findings can serve as a benchmark for further studies on the association between MSDs and objective findings.
Collapse
Affiliation(s)
- Martin Kapitán
- Department of Dentistry, Faculty of Medicine in Hradec Králové, Charles University, Hradec Králové, Czech Republic
- Department of Dentistry, University Hospital Hradec Králové, Hradec Králové, Czech Republic
| | - Nela Jouklová
- Department of Dentistry, Faculty of Medicine in Hradec Králové, Charles University, Hradec Králové, Czech Republic
- Department of Dentistry, University Hospital Hradec Králové, Hradec Králové, Czech Republic
| | - Stanislav Machač
- Department of Rehabilitation and Sports Medicine, Second Faculty of Medicine, Charles University, Prague, Czech Republic
- Department of Rehabilitation and Sports Medicine, University Hospital Motol, Prague, Czech Republic
- Institute of Sports Medicine, Prague, Czech Republic
| | - Lenka Hodačová
- Department of Preventive Medicine, Faculty of Medicine in Hradec Králové, Charles University, Hradec Králové, Czech Republic
| | - Eva Čermáková
- Department of Medical Biophysics, Faculty of Medicine in Hradec Králové, Charles University, Hradec Králové, Czech Republic
| | - Jan Schmidt
- Department of Dentistry, Faculty of Medicine in Hradec Králové, Charles University, Hradec Králové, Czech Republic
- Department of Dentistry, University Hospital Hradec Králové, Hradec Králové, Czech Republic
| |
Collapse
|
2
|
Zohair HMA, Girish S, Hazari A. Work-related musculoskeletal disorders among United Arab Emirates schoolteachers: an examination of physical activity. BMC Musculoskelet Disord 2024; 25:134. [PMID: 38347534 PMCID: PMC10860240 DOI: 10.1186/s12891-024-07256-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Accepted: 02/04/2024] [Indexed: 02/15/2024] Open
Abstract
OBJECTIVE To estimate the prevalence of work-related musculoskeletal disorders and their association with physical activity among schoolteachers in the United Arab Emirates. METHODS This observational cross-sectional study involved 209 schoolteachers (aged 20-60) with a minimum of two years of experience. Data, including demographics (gender, age), Nordic Musculoskeletal Questionnaire (NMQ) for WMSD prevalence and pain sites, and Global Physical Activity Questionnaire (GPAQ) for physical activity levels, were collected. Six schools were visited for data collection, with consent from school heads and participants. Schedules were tailored to participant availability, allowing up to three attempts for participation. Non-respondents were identified after three unsuccessful attempts. RESULTS Of the total 206 participants, 149 were female, while the remaining 57 were male. Age distribution analysis revealed that 18% of individuals were within the 20 to 30 years range, 26.2% fell within the 30 to 40 years, and 36.9% had 40 to 50 years age brackets. The responses were obtained in Arabic (90%) and English (10%). The study identified a high prevalence (71.4%) of work-related musculoskeletal disorders (WMSD) in UAE schoolteachers, with neck pain being the most common (74.3%). Major risk factors included age, workload, and low physical activity. The data was normally distributed, and Pearson's Correlation test revealed weak positive correlation (r: 0.14), but statistically significant (p value = 0.04) between WMSD and PA, indicating that it was a contributing factor but other factors beyond PA influenced WMSD prevalence in this cohort. The findings of the study are based on certain limitations such as cross-sectional design and convenient sampling which could have potential selection bias and affect generalizability of the results. CONCLUSION Findings suggest the need to promote physical activity and reduce workload for teachers, considering their age and gender. Additionally, there is a need to raise awareness regarding ergonomics and the importance of taking short breaks for stretching or physical movement to enhance the overall well-being of schoolteachers in the UAE and similar contexts. Diverse prevalence rates across different body areas underscore the necessity for individualized treatments.
Collapse
Affiliation(s)
| | - Srilatha Girish
- College of Health Sciences, Gulf Medical University, Ajman, United Arab Emirates
- Department of Community Physiotherapy, MGM Institute of Physiotherapy, Chh. Sambhajinagar, India
| | - Animesh Hazari
- College of Health Sciences, Gulf Medical University, Ajman, United Arab Emirates.
| |
Collapse
|
3
|
Bhatia V, Vaishya RO, Jain A, Grover V, Arora S, Das G, Abdulla AM, Sainudeen S, Mohamed Ali AB, Saluja P. Identification of prevalence of musculoskeletal disorders and various risk factors in dentists. Heliyon 2024; 10:e23780. [PMID: 38332878 PMCID: PMC10851298 DOI: 10.1016/j.heliyon.2023.e23780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2023] [Revised: 12/06/2023] [Accepted: 12/13/2023] [Indexed: 02/10/2024] Open
Abstract
Purpose The awkward and repetitive movements lead to tissue straining, potentially leading to painful musculoskeletal disorders (MSDs). MSDs in dentists result in work inefficiency and a reduction in work hours. A survey was conducted to assess the prevalence of MSDs amongst the dental population of interest. Methods Customized individual detail questionnaires, Standard Nordic Musculoskeletal questionnaires, and Level of Pain estimation using the Likert Scale were used to deduce the various responsible risk factors for the occurrence of MSDs in dentists. Inferential statistical analysis was done to identify the prevalence and severity of the MSDs. The Chi-Square test (95 % confidence interval) was used to identify and compare the association of risk factors involved in MSDs with the occurrence of the Effect of MSDs, the presence of MSDs, and the severity of the MSDs. Results The results of the study deduced that the dentists followed the sedentary work practices. The dentists experienced maximum discomfort in the neck region, which was accompanied by the discomfort experienced in the lower back, hands and wrists, making the upper extremity being more susceptible to the MSDs. Gender risk factors the, the prevalence of MSDs in the dentist's upper back, and the severity of pain in the upper back region showed a significant association level. Conclusion The wrist posture, the prevalence of MSDs and the severity of pain in the dentists' neck, shoulder and upper back showed a significant association level.
Collapse
Affiliation(s)
- Vibha Bhatia
- Punjab Engineering College (Deemed to be University), Chandigarh, India
| | - Rahul O. Vaishya
- Punjab Engineering College (Deemed to be University), Chandigarh, India
| | - Ashish Jain
- Dr. H.S.J. Institute of Dental Sciences, Panjab University, Chandigarh, India
| | - Vishakha Grover
- Dr. H.S.J. Institute of Dental Sciences, Panjab University, Chandigarh, India
| | - Suraj Arora
- Department of Restorative Dental Sciences, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia
| | - Gotam Das
- Department of Prosthodontics, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia
| | - Anshad M. Abdulla
- Department of Pediatric Dentistry & Orthodontics, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia
| | - Shan Sainudeen
- Department of Restorative Dental Sciences, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia
| | - Ahmed Babiker Mohamed Ali
- Department of Restorative Dental Sciences, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia
| | - Priyanka Saluja
- Department of Dentistry, University of Alberta, Edmonton, Alberta, Canada
| |
Collapse
|
4
|
Chong NT, Chin VY, Haneline MT, Wong YK. Ergonomic Risk Factors of Fourth- and Fifth-Year International Medical University Dental Students. J Chiropr Med 2023; 22:20-26. [PMID: 36844990 PMCID: PMC9947964 DOI: 10.1016/j.jcm.2022.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Revised: 05/03/2022] [Accepted: 05/26/2022] [Indexed: 11/25/2022] Open
Abstract
Objective The purpose of this study was to identify and compare the ergonomic risk factors of year 4 and year 5 dental students attending International Medical University. Methods This was an exploratory, observational study evaluating ergonomic risk factors among year 4 and year 5 dental students, with a total of 89 participants. The students' ergonomic risk components were evaluated using the Rapid Upper Limb Assessment (RULA) worksheet. Descriptive statistics were used to analyze the RULA scores, and the Mann-Whitney U test served to determine the difference of ergonomic risk between year 4 and year 5 dental students. Results The descriptive analysis showed that the participants' (N = 89) median final RULA score was 6.00 (standard deviation = 0.716). One-year difference in the years of clinical practice did not produce a significant difference in the final RULA score (U = 913.0, P = 0.49). The final RULA scores showed year 4 dental students had a higher mean ranking (year 4 = 46.65, year 5 = 43.23). Furthermore, the Mann-Whitney U test indicated that this was not statistically significant (U = 913.0, P = 0.49). Conclusion The descriptive analysis showed that the final RULA score of the participants indicated that the participants were in a high-risk category for experiencing work-related musculoskeletal disorders due to poor ergonomics. Contributing physical factors included working in asymmetric, awkward, and static positions in a confined workspace, infrequent use of dental loupes, and utilization of dental chairs that were not ergonomically appropriate.
Collapse
Affiliation(s)
- Ni Ting Chong
- Department of Chiropractic, Centre for Complementary and Alternative Medicine, International Medical University, Kuala Lumpur, Malaysia
| | - Valerie Ying Chin
- Department of Chiropractic, Centre for Complementary and Alternative Medicine, International Medical University, Kuala Lumpur, Malaysia
| | - Michael Thomas Haneline
- Department of Chiropractic, Centre for Complementary and Alternative Medicine, International Medical University, Kuala Lumpur, Malaysia
| | - Yi Kai Wong
- Department of Chiropractic, Centre for Complementary and Alternative Medicine, International Medical University, Kuala Lumpur, Malaysia
| |
Collapse
|
5
|
Jacquier-Bret J, Gorce P. Prevalence of Body Area Work-Related Musculoskeletal Disorders among Healthcare Professionals: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:841. [PMID: 36613163 PMCID: PMC9819551 DOI: 10.3390/ijerph20010841] [Citation(s) in RCA: 25] [Impact Index Per Article: 25.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Revised: 12/27/2022] [Accepted: 12/27/2022] [Indexed: 06/17/2023]
Abstract
Healthcare professionals perform daily activities that can lead to musculoskeletal disorders (MSDs). The objective of this review was to summarize these MSDs by body areas in relation to healthcare professions. The underlying question is, worldwide, whether there are areas that are more exposed depending on the occupation or whether there are common areas that are highly exposed to MSDs. This issue has been extended to risk factors and responses to reduce MSDs. The review was conducted according to the PRISMA guidelines between February and May 2022. Google scholar and Science Direct databases were scanned to identify relevant studies. Two authors independently reviewed, critically appraised, and extracted data from these studies. Overall and body area prevalence, risk factors, and responses to MSDs were synthetized by occupational activity. Among the 21,766 records identified, 36 covering six healthcare professions were included. The lower back, neck, shoulder and hand/wrist were the most exposed areas for all healthcare professionals. Surgeons and dentists presented the highest prevalence of lower back (>60%), shoulder and upper extremity (35-55%) MSDs. The highest prevalence of MSDs in the lower limbs was found for nurses (>25%). The main causes reported for all healthcare professionals were maintenance and repetition of awkward postures, and the main responses were to modify these postures. Trends by continent seem to emerge regarding the prevalence of MSDs by healthcare profession. Africa and Europe showed prevalence three times higher than Asia and America for lower back MSDs among physiotherapists. African and Asian nurses presented rates three times higher for elbow MSDs than Oceanians. It becomes necessary to objectively evaluate postures and their level of risk using ergonomic tools, as well as to adapt the work environment to reduce exposure to MSDs with regard to the specificities of each profession.
Collapse
|
6
|
Zenbaba D, Sahiledengle B, Dibaba D, Tufa T, Mamo A, Atlaw D. Work-Related Musculoskeletal Symptoms and Associated Factors Among Academic Staff in Ethiopian Universities. ENVIRONMENTAL HEALTH INSIGHTS 2022; 16:11786302221131690. [PMID: 36325376 PMCID: PMC9619926 DOI: 10.1177/11786302221131690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Accepted: 09/22/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND Work-related musculoskeletal symptoms (WMSs) are common injuries or pains that primarily affect various body structures. It is difficult to estimate the burden of WMSs in developing countries such as Ethiopia due to a lack of evidence, particularly among university academic staff. There is a universal and rapidly growing need for information about WMSs, as this is the main challenge to public health and economic burden. The purpose of this study was to determine the magnitude of work-related musculoskeletal symptoms and their associated factors among academic staff in Ethiopian universities. METHODS From February 2 to March 24, 2021, a web-based cross-sectional study was conducted among 422 academic staff members working in Ethiopian universities. A structured and self-administered Google Form questionnaire was sent and shared with the academic staff via their email addresses, Facebook, and Telegram accounts. Using a p-value of <0.05 and a 95% confidence interval, multivariable logistic regression was used to identify factors associated with the outcome variable. RESULTS Around 321 (77.2%) of the 416 participants were reported to have work-related musculoskeletal symptoms at least in one part of the body (95% CI: 73.1, 81.5%), with 28.1% reporting lower back pain. Respondents working in second-stage universities (AOR = 7.35, 95% CI 3.21, 16.79), being 44 years old or older (AOR = 7.89, 95% CI 2.10, 21.57), having a Ph.D. (AOR = 7.09, 95% CI 1.50, 17.93), engaging in physical activity (AOR = 3.32, 95% CI 1.43, 7.74), and working on a computer (AOR = 6.89, 95% CI 2. 0.72, 19.15) were the factors associated with work-related musculoskeletal symptoms. CONCLUSION Almost three-quarters of academic staff reported work-related musculoskeletal symptoms in this survey. Factors such as university establishment stage, age, educational status, physical activity, and frequent computer use were found to be significantly associated with work-related musculoskeletal symptoms.
Collapse
Affiliation(s)
- Demisu Zenbaba
- Madda Walabu University Goba Referral
Hospital, School of Health Sciences, Department of Public Health, Bale-Goba,
Ethiopia
| | - Biniyam Sahiledengle
- Madda Walabu University Goba Referral
Hospital, School of Health Sciences, Department of Public Health, Bale-Goba,
Ethiopia
| | - Diriba Dibaba
- Madda Walabu University Goba Referral
Hospital, School of Health Sciences, Department of Public Health, Bale-Goba,
Ethiopia
| | - Tilahun Tufa
- Madda Walabu University Goba Referral
Hospital, School of Health Sciences, Department of Public Health, Bale-Goba,
Ethiopia
| | - Ayele Mamo
- Madda Walabu University Goba Referral
Hospital, School of Medicine, Department of Pharmacy, Bale-Goba, Ethiopia
| | - Daniel Atlaw
- Madda Walabu University Goba Referral
Hospital, School of Medicine, Department Biomedical, Bale-Goba, Ethiopia
| |
Collapse
|
7
|
Singh VP, Nettem S, Soe HHK, Babji NAB, Sahari AIIB, Yusof LSBM, Mathew M. Perception of risk factors at work associated with musculoskeletal symptoms in dental students of Melaka, Malaysia: A cross-sectional study. Work 2022; 73:969-976. [DOI: 10.3233/wor-210519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: Dental professionals have been reported to be constantly exposed to work-related musculoskeletal disorders with symptoms often started as early as the student phase. Risk perception may play an important role in modifying risk at work. OBJECTIVE: To assess the influence of gender, academic level, and the presence of painful symptoms on the perception of risk factors at work contributing to musculoskeletal symptoms among dental students of Melaka, Malaysia. METHODS: A cross-sectional survey of 183 clinical year dental students based on a convenience sample. The data were collected using the Nordic Musculoskeletal Questionnaire and Job Factors Questionnaire for assessment of musculoskeletal symptoms and risk factors at work respectively. Study data were evaluated using percentage, median, Cochran’s Q test, Bonferroni correction, multiple linear regression analysis and Mann-Whitney U Test. The analysis was interpreted considering a 95 % confidence interval and significant level at P < 0.05. RESULTS: Dental students reported a high prevalence (86.9 %) of musculoskeletal symptoms mostly affected the neck, shoulder, lower and upper back body regions. No significant difference in perception was found with the gender. A significant (P < 0.05) higher perception was observed in fourth-year students. The presence of painful symptoms was significantly (P < 0.05) associated with working in the same position, prolonged duration of work and use of tools. CONCLUSIONS: Priority in implementing ergonomic education throughout the training in the dental schools should be considered to improve perception and reduce musculoskeletal disorders associated with the dental profession.
Collapse
Affiliation(s)
- Vijendra P. Singh
- Department of Periodontology and Oral Implantology, Faculty of Dentistry, Manipal University College Malaysia, Melaka, Malaysia
| | - Sowmya Nettem
- Department of Periodontology and Oral Implantology, Faculty of Dentistry, Manipal University College Malaysia, Melaka, Malaysia
| | - Htoo H. Kyaw Soe
- Department of Community Medicine, Faculty of Medicine, Manipal University College Malaysia, Melaka, Malaysia
| | | | | | | | - Melwin Mathew
- Department of Periodontology and Oral Implantology, Faculty of Dentistry, Manipal University College Malaysia, Melaka, Malaysia
| |
Collapse
|
8
|
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
|
9
|
Malau-Aduli BS, Lee A, Alele F, Adu M, Drovandi A, Jones K. Preclinical to clinical transition experiences of dental students at an Australian Regional University. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2022; 26:182-196. [PMID: 33825285 DOI: 10.1111/eje.12687] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Revised: 01/28/2021] [Accepted: 04/02/2021] [Indexed: 06/12/2023]
Abstract
INTRODUCTION Clinical experience is a crucial component of dental education as it prepares students for real-world practice. Our study aimed to investigate the transition from preclinical to clinical training experiences of dental students at a regional Australian dental school. MATERIALS AND METHODS A mixed-methods study was conducted using a survey and focus groups. Participants were dental students who recently transitioned into clinical training. Survey data were analysed quantitatively using descriptive statistics, whilst the qualitative data were thematically analysed using the conceptual framework of organisational socialisation theory (OST). RESULTS Forty-eight of the 69 students in the cohort completed the survey and 10 participated in the focus groups. The quantitative findings revealed that the transition was perceived to be abrupt and associated with a heavy workload. However, orientation sessions and engaging in chairside teaching made transitioning into clinical studies easier. The qualitative findings revealed that the transition process occurred in three phases. In phase 1, participants navigated the educational and social challenges using developmental characteristics such as resilience and positivity. Lessons learnt in phase 1 were used to make necessary learning adjustments in phase 2 and this subsequently enhanced developmental growth in the final phase, which helped ease the transition. CONCLUSION This study confirms that transitioning into clinical training can be complex. However, the educational and socialisation challenges associated with the transition can provide stimulating developmental learning opportunities that advance students' adjustments to the clinical environment with positive, empowering and motivational outcomes that facilitate a smooth transition.
Collapse
Affiliation(s)
- Bunmi S Malau-Aduli
- College of Medicine and Dentistry, James Cook University, Queensland, Australia
| | - Andrew Lee
- College of Medicine and Dentistry, James Cook University, Queensland, Australia
| | - Faith Alele
- College of Medicine and Dentistry, James Cook University, Queensland, Australia
| | - Mary Adu
- College of Medicine and Dentistry, James Cook University, Queensland, Australia
| | - Aaron Drovandi
- College of Medicine and Dentistry, James Cook University, Queensland, Australia
| | - Karina Jones
- College of Medicine and Dentistry, James Cook University, Queensland, Australia
| |
Collapse
|
10
|
Garcia PPNS, Pugliesi PMS, Wajngarten D, Neves TDC, Pazos JM, Dovigo LN. Development and assessment of an indirect vision training programme for operatory dentistry: Effects on working posture. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2022; 26:36-44. [PMID: 33527639 DOI: 10.1111/eje.12670] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/19/2020] [Revised: 07/31/2020] [Accepted: 01/07/2021] [Indexed: 06/12/2023]
Abstract
OBJECTIVES Students experience difficulty working with indirect vision and often adopt inadequate working postures because of it. This study created and then assessed the effects of an indirect vision preclinical training programme on dental students' working posture. METHODS The study enrolled students in the third year of the 5-year undergraduate programme in dentistry in the School of Dentistry of São Paulo State University (UNESP), Araraquara (N = 54). The programme consisted of four training sessions in which students performed different types of activities in which only a mirror was used to see the procedure they were performing. To evaluate posture, students were asked to perform class III cavity preparations (distal-palatal and mesial-palatal preparations) on upper central and lateral incisors in a dental mannequin (tooth numbers 11, 12, 21 and 22) both before and after the indirect vision training programme. Photographs were taken of the students' working postures. The photographs were assessed by a duly trained researcher using the Compliance Assessment of Dental Ergonomic Posture Requirements. A descriptive statistical analysis was performed, and the assumptions of normality were verified. Student's paired t test was also performed. The significance level adopted was 5%. RESULTS A significant difference was found between the percentages of correct ergonomic postures adopted before and after the training programme (p = 0.039). CONCLUSIONS The preclinical training programme for indirect vision was found to have a positive effect on the working postures of the students evaluated herein.
Collapse
Affiliation(s)
| | - Priscila Mi Suh Pugliesi
- Department of Social Dentistry, Araraquara Dental School, UNESP, Univ Estadual Paulista, Araraquara, São Paulo, Brazil
| | - Danielle Wajngarten
- Department of Social Dentistry, Araraquara Dental School, UNESP, Univ Estadual Paulista, Araraquara, São Paulo, Brazil
| | - Tamíris da Costa Neves
- Department of Social Dentistry, Araraquara Dental School, UNESP, Univ Estadual Paulista, Araraquara, São Paulo, Brazil
| | - Júlia Margato Pazos
- Department of Social Dentistry, Araraquara Dental School, UNESP, Univ Estadual Paulista, Araraquara, São Paulo, Brazil
| | - Lívia Nordi Dovigo
- Department of Social Dentistry, Araraquara Dental School, UNESP, Univ Estadual Paulista, Araraquara, São Paulo, Brazil
| |
Collapse
|
11
|
Sezer B, Kartal S, Sıddıkoğlu D, Kargül B. Association between work-related musculoskeletal symptoms and quality of life among dental students: a cross-sectional study. BMC Musculoskelet Disord 2022; 23:41. [PMID: 35012487 PMCID: PMC8744582 DOI: 10.1186/s12891-022-04998-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Accepted: 01/05/2022] [Indexed: 11/29/2022] Open
Abstract
Background Dental students are frequently affected by work-related musculoskeletal symptoms (WMSs) due to reasons such as working conditions, difficult education process and long work periods. The aim of the study was to investigate the frequency and anatomical distribution of WMSs, and its effect on the quality of life (QoL) in dental students. Methods Sociodemographic and health-related characteristics of one-hundred and five dental students were recorded. WMSs were scored by the participants with the Nordic Musculoskeletal Questionnaire. Then, participants were asked to evaluate their QoL by scoring the World Health Organization Quality of Life-Brief Form. Differences between independent groups for continuous variables were evaluated by Student’s t-test and ANOVA as appropriate. Linear regression analysis was performed to determine the effect of demographic and health-related parameters in predicting the QoL subscales. Results The most common painful region in the last 12 months was the neck (66.7%). The body region with the most WMSs in the last 7 days was the upper back (43.8%). Physical health-related QoL of those with diagnosed musculoskeletal symptoms, and general health-related QoL of those using medicine due to any musculoskeletal symptoms were found to be statistically significantly lower (p = 0.018, p = 0.041, respectively). It was observed that the general and physical health, psychological well-being, and social relationship of the participants who reported the presence of neck pain in the last 7 days were statistically significantly lower (p = 0.003, p < 0.001, p = 0.004, p = 0.012; respectively). According to multiple regression analyses, pain occurrence in the body in the last 12 months and/or in the last 7 days had a negative impact on the participants’ general and physical health, psychological well-being, social relationship, and environmental status and related QoL (p = 0.026, p = 0.047, p = 0.021, p = 0.001, p = 0.027, respectively). Conclusions The results of this study show that dental students’ body regions, especially the neck and the back, are affected by WMSs. These negative changes observed in the body had a negative effect on the QoL of the dental students.
Collapse
Affiliation(s)
- Berkant Sezer
- Department of Pediatric Dentistry, School of Dentistry, Çanakkale Onsekiz Mart University, Cumhuriyet Mah. Sahilyolu Cd. No:5, 17100, Kepez, Merkez / Çanakkale, Turkey.
| | - Sinan Kartal
- Department of Restorative Dentistry, School of Dentistry, İzmir Katip Çelebi University, İzmir, Turkey
| | - Duygu Sıddıkoğlu
- Department of Biostatistics, School of Medicine, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Betül Kargül
- Department of Pediatric Dentistry, School of Dentistry, Marmara University, İstanbul, Turkey
| |
Collapse
|
12
|
Bud M, Pricope R, Pop RC, Onaca R, Swerts PJ, Lucaciu O, Delean A. Comparative analysis of preclinical dental students' working postures using dental loupes and dental operating microscope. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2021; 25:516-523. [PMID: 33180967 DOI: 10.1111/eje.12627] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Revised: 09/19/2020] [Accepted: 10/12/2020] [Indexed: 05/22/2023]
Abstract
BACKGROUND Dentists are susceptible to musculoskeletal disorders due to prolonged static postures during dental treatments. Using a magnification tool like dental operating microscope (DOM) or the dental loupes may correct the operator's posture. Up until now, few studies have focused on preclinical dental students' posture when working with the DOM, while most of them have focused on the loupes. The aim of this study was to comparatively analyse the working posture of preclinical students during a dental restoration procedure, working with two different magnification methods. MATERIALS AND METHODS This study used a randomised cross-over design in which seventeen third year students were randomly divided into three groups. The exclusion criteria were previous contact with magnification systems and previous clinical working experience. Each student prepared 3 Black class 1 cavities on artificial lower molars: first with no magnification, following dental loupes and DOM. They were video-recorded throughout the preparation. Trunk, neck and upper-arm position were evaluated using the Posture Assessment Instrument. Students completed a questionnaire on their subjective perception of the two magnification systems. RESULTS The statistical analysis showed significant improvement of the working posture using magnification systems compared to direct vision. The biggest improvement was obtained through the use of DOM, followed by the dental loupes. Students perceived dental loupes as being the most comfortable and easy to adapt to. They reported being more focused when using DOM. CONCLUSIONS Both magnification systems had a positive impact on the working posture, DOM having the best results. Loupes showed better adaptability while DOM showed better concentration.
Collapse
Affiliation(s)
- Marius Bud
- Department of Conservative Odontology, Faculty of Dentistry, "Iuliu Hațieganu" University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania
| | - Razvan Pricope
- Faculty of Dentistry, "Iuliu Hațieganu" University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania
| | - Razvan C Pop
- Faculty of Dentistry, "Iuliu Hațieganu" University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania
| | - Razvan Onaca
- Faculty of Physical Education and Sport, Babes-Boliay, University of Cluj-Napoca, Cluj-Napoca, Romania
| | | | - Ondine Lucaciu
- Department of Oral Rehabilitation, Faculty of Dentistry, "Iuliu Hațieganu" University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania
| | - Ada Delean
- Department of Conservative Odontology, Faculty of Dentistry, "Iuliu Hațieganu" University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania
| |
Collapse
|
13
|
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
|
14
|
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
|
15
|
Roxô LC, Ramos GC, Arruda ZM, Dias AC. Work activity and musculoskeletal symptoms in female cashiers. Rev Bras Med Trab 2021; 19:324-331. [PMID: 35774767 PMCID: PMC9137857 DOI: 10.47626/1679-4435-2021-615] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Accepted: 12/18/2020] [Indexed: 11/20/2022] Open
Abstract
Introduction Musculoskeletal symptoms affect several professional categories, including cashiers, who make repetitive movements. Irregular ergonomic aspects referring to poor postures cause physical and mental debilitation, leading to work-related musculoskeletal disorders. Objectives To correlate musculoskeletal disorders with an ergonomic analysis of the workstation used by cashiers. Methods A cross-sectional study was conducted for evaluation of female cashiers working at a supermarket chain in the city of Goiânia, state of Goiás, Brazil. The Nordic Musculoskeletal Questionnaire (NMQ), Portuguese version, was used. To assess the ergonomic position of cashiers, the Rapid Upper Limb Assessment (RULA) tool was administered. Results A high prevalence of musculoskeletal pain was demonstrated in the neck, shoulders, wrists/hands, and lower and upper back in cashiers. A final RULA score of 6 was obtained, equivalent to action level 3, which indicates that a more detailed investigation and short-term changes are needed. In the RULA assessment, there was a significant correlation between legs and lower back; in the NMQ assessment, there were correlations between trunk and shoulder and between neck and elbow, among other correlations that contribute to the emergence of work-related musculoskeletal disorders. Conclusions Musculoskeletal complaints correlated with an ergonomic risk of the workstation. Thus, interventions such as workplace kinesiotherapy and urgent changes in the workstation are needed to comply with the requirements of the Brazilian Regulatory Standard No. 17 and improve the workplace for cashiers.
Collapse
Affiliation(s)
- Larissa Costa Roxô
- Physical Therapy, Pontifícia Universidade
Católica de Goiás, Goiânia, GO, Brazil
| | | | | | - Alex Carrér Dias
- Physical Therapy, Pontifícia Universidade
Católica de Goiás, Goiânia, GO, Brazil
| |
Collapse
|
16
|
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
|
17
|
Legan M, Zupan K. Prevalence of mobile device-related musculoskeletal pain among working university students: a cross-sectional study. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2020; 28:734-742. [PMID: 32965177 DOI: 10.1080/10803548.2020.1827561] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
The aim of the present study was to investigate usage patterns of mobile devices and their impact on users' musculoskeletal system among working university students in Slovenia at the Faculty of Chemistry and Chemical Technology of the University of Ljubljana. An Internet-based survey was sent to students' e-mail addresses and students provided information about usage patterns and reported on musculoskeletal pain (MSP) that may relate to mobile device usage in the past 12 months. A total of 535 students (63% females and 37% males) aged 18 years or older completed the survey and fulfilled the inclusion criteria. The results showed that the prevalence of MSP was 39.6%. Most musculoskeletal symptoms were reported in the back (57.1%) and shoulder (50%). Statistically significant differences in exposure to mobile devices and MSP between genders were found (p < 0.05). This study highlights the importance of knowledge of mobile device ergonomics among working students.
Collapse
Affiliation(s)
- Maša Legan
- Faculty of Chemistry and Chemical Technology, University of Ljubljana, Slovenia
| | - Klementina Zupan
- Faculty of Chemistry and Chemical Technology, University of Ljubljana, Slovenia
| |
Collapse
|
18
|
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
|
19
|
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
|
20
|
El Ansari W, Salam A. Is Achieving the Guidelines of Four Forms of Physical Activity Associated with Less Self-Reported Health Complaints? Cross-Sectional Study of Undergraduates at the University of Turku, Finland. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17155595. [PMID: 32756425 PMCID: PMC7432588 DOI: 10.3390/ijerph17155595] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/11/2020] [Revised: 07/22/2020] [Accepted: 07/31/2020] [Indexed: 12/12/2022]
Abstract
Very little research has assessed the physical activity (PA) of university students in in Finland, and their associations with self-reported health complaints (HCs), whilst simultaneously accounting for a range of other potential confounders. Students at the University of Turku (1177) completed an online health and wellbeing questionnaire that assessed 22 physical and somatic HCs, and students' achievement of the international guidelines of four forms of PA (moderate, vigorous, moderate-to-vigorous and muscle strengthening PA; MPA, VPA, MVPA, MSPA respectively). We also explored the associations between HCs and PA, controlling for sociodemographic and health confounders (age, sex, year of study, marital status, accommodation during semesters, health awareness). Factor analysis reduced the HCs into three factors (psychological, pains/aches, circulatory/breathing). Bivariate relationships (no controlling for confounders) between these 3 factors and four forms of PA guideline achievement showed significant effects of achieving the PA guidelines against various groups of HCs, where more strenuous PA was associated with significantly less HCs in a step-ladder pattern. Multiple regression analyses (controlling for confounders) showed that achievement of PA guidelines was significantly independently associated with self-reported HCs scores in most cases. Psychological HCs were negatively associated with achieving any type of PA; pains/aches were negatively associated with achieving two types of PA or with achieving MSPA guidelines; and circulatory/breathing HCs were negatively associated with achieving the VPA guidelines only. This is the first study in Finland to examine such relationships, and highlights the critical role of PA for the health of these young adults. Programs and policies to strengthen and improve the PA of university students would be beneficial, recognizing the benefits of instilling life-long PA habits among this group of young adults.
Collapse
Affiliation(s)
- Walid El Ansari
- Department of Surgery, Hamad General Hospital, Doha 3050, Qatar
- College of Medicine, Qatar University, Doha 3050, Qatar
- School of Health and Education, University of Skovde, 54128 Skövde, Sweden
- Correspondence:
| | - Abdul Salam
- Department of Epidemiology and Biostatistics, King Fahad Specialist Hospital, Dammam 31444, Saudi Arabia;
| |
Collapse
|
21
|
Mills ME, Smilyanski I, Giblin-Scanlon L, Vineyard J. What are the effects of photographic self-assessment on students' risk for musculoskeletal disorders using Rapid Upper Limb Assessment. J Dent Educ 2020; 84:749-754. [PMID: 32198757 DOI: 10.1002/jdd.12146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Revised: 02/21/2020] [Accepted: 03/01/2020] [Indexed: 11/11/2022]
Abstract
PURPOSES/OBJECTIVES Musculoskeletal disorders (MSD) affect the careers of dental professionals. Research suggests symptoms of MSD begin during educational careers. This sequential explanatory study aimed to determine if dental hygiene students' self-assessment using the Rapid Upper Limb Assessment (RULA) tool reduced the risk of MSD development and explore students' experiences using a risk tool. METHODS Dental hygiene students (n = 21) in the last 2 of 4 sequential clinical semesters completed self-assessment using the RULA, employing photographs taken during patient care. Initial photographs were taken before students participated in a workshop about ergonomics and application of the RULA tool. Using a within-subjects repeated measures design, student risk scores were calculated for pre- and post-workshop photographs over 4 consecutive weeks. Students (n = 10) participated in a focus group to share their experiences with the risk tool. RESULTS Repeated measures one-way analysis of variance compared differences in student RULA scores between weeks. There was a statistically significant effect of time on student self-reported RULA scores, F(3, 60) = 7.04, P < .001. Emergent themes from the focus group were practice using RULA, video versus photographs, adjust tool for dental hygiene practice, increased self-awareness, and connect theory to practice. CONCLUSIONS Results suggested using self-assessment utilizing a risk tool increased self-awareness for ergonomics, thus reducing the risk of developing MSDs for dental hygiene students.
Collapse
Affiliation(s)
- Mary E Mills
- Practices Clinical Dental Hygiene, Washington, District of Columbia, USA
| | - Irina Smilyanski
- MCPHS University Forsyth School of Dental Hygiene, Boston, Massachusetts, USA
| | - Lori Giblin-Scanlon
- Associate Dean for Clinical Programs at MCPHS University, Forsyth School of Dental Hygiene, Boston, Massachusetts, USA
| | - Jared Vineyard
- MCPHS University Forsyth School of Dental Hygiene, Boston, Massachusetts, USA
| |
Collapse
|
22
|
Netanely S, Luria S, Langer D. Musculoskeletal disorders among dental hygienist and students of dental hygiene. Int J Dent Hyg 2020; 18:210-216. [DOI: 10.1111/idh.12428] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2019] [Revised: 01/07/2020] [Accepted: 01/31/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Shifra Netanely
- Occupational Therapy Department Hadassah‐Hebrew University Medical Center Jerusalem Israel
| | - Shai Luria
- Department of Orthopedic Surgery Hadassah‐Hebrew University Medical Center Jerusalem Israel
| | - Danit Langer
- School of Occupational Therapy Hadassah and Hebrew University Jerusalem Israel
| |
Collapse
|
23
|
Mayta-Tovalino F, Vidal W, Romero-Tapia P, Mauricio F, Mauricio-Vilchez C, Alvítez-Temoche D, Robles G. Associated risk factors and prevalence of work-related musculoskeletal disorders in Peruvian undergraduate dental students: A multivariate analytical study. J Int Oral Health 2020. [DOI: 10.4103/jioh.jioh_125_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
24
|
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
|
25
|
|
26
|
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
|
27
|
Santoshi JA, Jain S, Popalwar HJ, Pakhare AP. Musculoskeletal disorders and associated risk factors in coaching students: A cross-sectional study. J Family Med Prim Care 2019; 8:929-933. [PMID: 31041227 PMCID: PMC6482780 DOI: 10.4103/jfmpc.jfmpc_54_19] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
Background: Coaching institutes attract students aspiring for admission to professional courses and jobs. Physical stress during coaching includes poor study posture and sitting on chairs improperly in overcrowded classes for prolonged periods. Many students attending the coaching institutes report to outpatient clinics of multiple specialties with musculoskeletal disorders (MSD). Materials and Methods: We carried out a cross-sectional study of 500 coaching students. We ascertained the 12-month MSD (period prevalence) and last 7-day MSD (point prevalence) using the Nordic Musculoskeletal Questionnaire. The duration of attending classes, hours of daily study, and duration of sitting continuously at a stretch were also enquired. Results: A total of 488 responses were retrieved. Males and females accounted for 63.9% and 36.1%, respectively. The respondents’ mean age was 18.6 ± 1.06 years; mean body mass index was 21.4; mean duration of attending classes was 15.6 ± 7.66 months; mean hours of daily study were 4.78 ± 1.71 hours; mean duration of sitting continuously at a stretch was 2.2 hours. The overall prevalence of MSD was 87.1%. The mean frequency of MSD per participant was 2.6. Most participants reported pain in the neck region and lower back (43%), followed by ankle/foot (36%), followed by upper back (32%), followed by shoulder (28%); knee, elbow, and wrist/hand were lesser than 20%, while hip/thigh pain was the least common symptom (8%). Conclusion: This study serves to sensitize the medical community to this largely under-reported problem in young individuals who are in the phase of life preparing for their future career while inadvertently risking their long-term health in the process.
Collapse
Affiliation(s)
- John Ashutosh Santoshi
- Department of Orthopaedics, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
| | - Siddharth Jain
- Department of Orthopaedics, Government Medical College, Vidisha, Madhya Pradesh, India
| | | | - Abhijit P Pakhare
- Department of Community and Family Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
| |
Collapse
|
28
|
Moodley R, Van Wyk J. Multidisciplinary perspectives to prevent occupational health-related conditions among dental practitioners. BDJ Open 2019; 5:6. [PMID: 30993007 PMCID: PMC6459843 DOI: 10.1038/s41405-019-0010-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2018] [Revised: 10/07/2018] [Accepted: 10/15/2018] [Indexed: 11/09/2022] Open
Abstract
Introduction The prevalence of occupational health conditions is high among dental practitioners and this study investigated the role which occupational health plays in dental training. Purpose/objectives This study was conducted to explore occupational health and to determine the topics to include from an occupational health perspective into the dental curriculum. Methods A descriptive qualitative study was conducted to explore the perceptions of dental practitioners, dental academics, physiotherapists, occupational therapists, occupational health specialists, ergonomists, optometrists and audiologists about dental training from an occupational health perspective in KwaZulu- Natal, South Africa. The interdisciplinary and multidisciplinary approach was used in this study. Results Three main themes became evident that hinged on varying understanding of occupational health-related conditions to dental practice, how practitioners experience practising in the resource-poor settings and its impact on the dental practice. There was also a lack of awareness of the occupational health policies and practices, which could inform safe dental practice. Conclusion Dental academics should gain input from a multidisciplinary team. An occupational health course with a student-centred approach would enrich the dental curriculum and make dental practitioners more aware of occupational health issues.
Collapse
Affiliation(s)
- Rajeshree Moodley
- 1Discipline of Dentistry, School of Health Sciences, University of KwaZulu-Natal, KwaZulu-Natal, South Africa
| | - J Van Wyk
- 2Discipline of Clinical and Professional Practice, School of Clinical Medicine, College of Health Sciences, University of KwaZulu-Natal, KwaZulu-Natal, South Africa
| |
Collapse
|
29
|
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
|
30
|
Mulimani P, Hoe VCW, Hayes MJ, Idiculla JJ, Abas ABL, Karanth L. Ergonomic interventions for preventing musculoskeletal disorders in dental care practitioners. Cochrane Database Syst Rev 2018; 10:CD011261. [PMID: 30320459 PMCID: PMC6516890 DOI: 10.1002/14651858.cd011261.pub2] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
BACKGROUND Dentistry is a profession with a high prevalence of work-related musculoskeletal disorders (WMSD) among practitioners, with symptoms often starting as early in the career as the student phase. Ergonomic interventions in physical, cognitive, and organisational domains have been suggested to prevent their occurrence, but evidence of their effects remains unclear. OBJECTIVES To assess the effect of ergonomic interventions for the prevention of work-related musculoskeletal disorders among dental care practitioners. SEARCH METHODS We searched CENTRAL, MEDLINE PubMed, Embase, PsycINFO ProQuest, NIOSHTIC, NIOSHTIC-2, HSELINE, CISDOC (OSH-UPDATE), ClinicalTrials.gov, and the World Health Organization International Clinical Trials Registry Platform (ICTRP) Search Portal to August 2018, without language or date restrictions. SELECTION CRITERIA We included randomised controlled trials (RCTs), quasi-RCTs, and cluster RCTs, in which participants were adults, aged 18 and older, who were engaged in the practice of dentistry. At least 75% of them had to be free from musculoskeletal pain at baseline. We only included studies that measured at least one of our primary outcomes; i.e. physician diagnosed WMSD, self-reported pain, or work functioning. DATA COLLECTION AND ANALYSIS Three authors independently screened and selected 20 potentially eligible references from 946 relevant references identified from the search results. Based on the full-text screening, we included two studies, excluded 16 studies, and two are awaiting classification. Four review authors independently extracted data, and two authors assessed the risk of bias. We calculated the mean difference (MD) with 95% confidence intervals (CI) for continuous outcomes and risk ratios (RR) with 95% confidence intervals for dichotomous outcomes. We assessed the quality of the evidence for each outcome using the GRADE approach. MAIN RESULTS We included two RCTs (212 participants), one of which was a cluster-randomised trial. Adjusting for the design effect from clustering, reduced the total sample size to 210. Both studies were carried out in dental clinics and assessed ergonomic interventions in the physical domain, one by evaluating a multi-faceted ergonomic intervention, which consisted of imparting knowledge and training about ergonomics, work station modification, training and surveying ergonomics at the work station, and a regular exercise program; the other by studying the effectiveness of two different types of instrument used for scaling in preventing WMSDs. We were unable to combine the results from the two studies because of the diversity of interventions and outcomes.Physical ergonomic interventions. Based on one study, there is very low-quality evidence that a multi-faceted intervention has no clear effect on dentists' risk of WMSD in the thighs (RR 0.57, 95% CI 0.23 to 1.42; 102 participants), or feet (RR 0.64, 95% CI 0.29 to 1.41; 102 participants) when compared to no intervention over a six-month period. Based on one study, there is low-quality evidence of no clear difference in elbow pain (MD -0.14, 95% CI -0.39 to 0.11; 110 participants), or shoulder pain (MD -0.32, 95% CI -0.75 to 0.11; 110 participants) in participants who used light weight curettes with wider handles or heavier curettes with narrow handles for scaling over a 16-week period.Cognitive ergonomic interventions. We found no studies evaluating the effectiveness of cognitive ergonomic interventions.Organisational ergonomic interventions. We found no studies evaluating the effectiveness of organisational ergonomic interventions. AUTHORS' CONCLUSIONS There is very low-quality evidence from one study showing that a multi-faceted intervention has no clear effect on dentists' risk of WMSD in the thighs or feet when compared to no intervention over a six-month period. This was a poorly conducted study with several shortcomings and errors in statistical analysis of data. There is low-quality evidence from one study showing no clear difference in elbow pain or shoulder pain in participants using light weight, wider handled curettes or heavier and narrow handled curettes for scaling over a 16-week period.We did not find any studies evaluating the effectiveness of cognitive ergonomic interventions or organisational ergonomic interventions.Our ability to draw definitive conclusions is restricted by the paucity of suitable studies available to us, and the high risk of bias of the studies that are available. This review highlights the need for well-designed, conducted, and reported RCTs, with long-term follow-up that assess prevention strategies for WMSDs among dental care practitioners.
Collapse
Affiliation(s)
- Priti Mulimani
- School of Dentistry, University of WashingtonOral Health Sciences1959 Pacific Street NESeattleWAUSA98195
| | - Victor CW Hoe
- University of MalayaCentre for Occupational and Environmental HealthPantai ValleyKuala LumpurMalaysia50603
| | - Melanie J Hayes
- University of NewcastleFaculty of Medicine and Health SciencesOurimbahNSWAustralia2287
| | - Jose Joy Idiculla
- Faculty Of Dentistry, Melaka‐Manipal Medical College (Manipal Academy of Higher Education)Department of Oral PathologyJalan Batu Hampar, Bukit BaruMelakaMalaysia75150
| | - Adinegara BL Abas
- Melaka‐Manipal Medical College (Manipal Academy of Higher Education)Department of Community MedicineJalan Batu HamparBukit BaruMelakaMalaysia75150
| | - Laxminarayan Karanth
- Melaka Manipal Medical CollegeDepartment of Obstetrics and GynecologyBukit Baru, Jalan BatuHamparMelakaMalaysia75150
| | | |
Collapse
|
31
|
Koni A, Kufersin M, Ronchese F, Travan M, Cadenaro M, Larese Filon F. Approach to prevention of musculoskeletal symptoms in dental students: an interventional study. LA MEDICINA DEL LAVORO 2018; 109:276-284. [PMID: 30168500 PMCID: PMC7682162 DOI: 10.23749/mdl.v109i4.6841] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/25/2017] [Accepted: 05/09/2018] [Indexed: 11/17/2022]
Abstract
Background: Work-related musculoskeletal (MS) disorders are very common among dentists due to abnormal positions maintained during their work. There is the need to teach undergraduate students ergonomic procedures to prevent MS pain and disorders. Methods: All the students of the School of Dentistry at the University of Trieste were enrolled for the study (No. 55). A self-administered questionnaire was used to collect anthropometric information, previous or current diseases, MS pain and disorders and work tasks performed. All students attended a training course. Three months after the training they completed a follow-up questionnaire. Results: All students reported MS pain: higher at cervical level (91%), lower at lumbosacral level (64.2%), shoulders (43.6%), and wrist/hand level (41.8%). Forty-nine percent of students reported an improvement in pain symptoms (p<0.05) 3 months after the training. Conclusions: The prevalence of pain symptoms was high but the training course helped reduce symptoms. Theory and practice of ergonomics should be incorporated into dental undergraduate curricula.
Collapse
Affiliation(s)
- Adela Koni
- Corso di Laurea in Fisioterapia, Università di Trieste, Italy.
| | | | | | | | | | | |
Collapse
|
32
|
Taib MFM, Bahn S, Yun MH, Taib MSM. The effects of physical and psychosocial factors and ergonomic conditions on the prevalence of musculoskeletal disorders among dentists in Malaysia. Work 2018; 57:297-308. [PMID: 28582951 DOI: 10.3233/wor-172559] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Musculoskeletal disorders (MSDs) have been recognized as one of the main occupational health problems for dentists. Many studies have suggested that dentists experience work-related pain or discomfort in the neck, shoulder, and back, as well as in other parts of the body. OBJECTIVE This study aimed to examine the relationship between specific physical and psychosocial factors and/or ergonomic conditions on MSD symptoms among dentists in Malaysia. METHODS A group of 85 dentists was asked to complete a questionnaire to determine whether their complaints were related to physical and psychosocial factors and/or ergonomic conditions in their practices. RESULTS Among the nine reviewed body areas, the shoulders were most often affected by symptoms of MSDs (92.7%). Moreover, MSDs of the neck and upper back were most likely to prevent these practitioners from engaging in normal activities (32.9%). In general, no significant differences were found in the prevalence of MSD symptoms in relation to gender, age, body mass index, years in practice, number of patients, and frequency of breaks. CONCLUSIONS Our results were consistent with those reported in other studies that focused on MSD problems among dentists in other countries. To reduce the prevalence of MSDs, more attention should be paid to instituting ergonomically sensible approaches in the dental practice setting.
Collapse
Affiliation(s)
- Mohd Firdaus Mohd Taib
- Department of Materials, Manufacturing and Industrial Engineering, Universiti Teknologi Malaysia, Johor, Malaysia
| | - Sangwoo Bahn
- Department of Industrial and Management Systems Engineering, Kyung Hee University, Yongin, Korea
| | - Myung Hwan Yun
- Department of Industrial Engineering, Seoul National University, Seoul, Korea
| | | |
Collapse
|
33
|
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
|
34
|
Garcia PPNS, Gottardello ACA, Wajngarten D, Presoto CD, Campos JADB. Ergonomics in dentistry: experiences of the practice by dental students. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2017; 21:175-179. [PMID: 26998591 DOI: 10.1111/eje.12197] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 02/16/2016] [Indexed: 06/05/2023]
Abstract
OBJECTIVE The aim of this study was to qualitatively evaluate the experiences of students enrolled in the last year of dentistry school with ergonomic practice. METHODS This is a qualitative, observational and cross-sectional study, with a non-probabilistic sample design. The sample comprised students enrolled in the last year of dentistry in Araraquara-UNESP (n = 29). The data were collected by means of open semi-structured and individual interviews, captured by a digital voice recorder. The students were interviewed in their own university at a time that was previously scheduled, and care was taken to provide a private and welcoming environment to carry out the interviews. A script containing questions related to practices in ergonomics was prepared at the university. Data analysis was carried out using the qualitative-quantitative Collective Subject Discourse technique with the aid of Qualiquantisoft® software program. RESULTS It was found that more than half of the students (58.6%) believe that adopting an ergonomic posture is important to prevent future problems, pain and occupational diseases, and 62.1% of the students confirm having difficulties in adopting ergonomic postures due to the types of treatment required and the regions of the mouth being treated. The main reasons stated for the fact that their colleagues do not adopt ergonomic postures are lack of attention, practice and forgetfulness (44.8%) and difficulty in visualising the operatory field or the procedure performed (27.6%). CONCLUSION It is possible to conclude that the students interviewed know ergonomic principles and their importance in occupational health. However, they found it difficult to put these principles into practice.
Collapse
Affiliation(s)
- P P N S Garcia
- Department of Social Dentistry, Araraquara Dental School, UNESP, Univ Estadual Paulista, Araraquara, São Paulo, Brazil
| | - A C A Gottardello
- Department of Social Dentistry, Araraquara Dental School, UNESP, Univ Estadual Paulista, Araraquara, São Paulo, Brazil
| | - D Wajngarten
- Department of Restorative Dentistry, Araraquara Dental School, UNESP, Univ Estadual Paulista, Araraquara, São Paulo, Brazil
| | - C D Presoto
- Department of Restorative Dentistry, Araraquara Dental School, UNESP, Univ Estadual Paulista, Araraquara, São Paulo, Brazil
| | - J A D B Campos
- Department of Social Dentistry, Araraquara Dental School, UNESP, Univ Estadual Paulista, Araraquara, São Paulo, Brazil
| |
Collapse
|
35
|
Tantawy SA, Abdul Rahman A, Abdul Ameer M. The relationship between the development of musculoskeletal disorders, body mass index, and academic stress in Bahraini University students. Korean J Pain 2017; 30:126-133. [PMID: 28416996 PMCID: PMC5392656 DOI: 10.3344/kjp.2017.30.2.126] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2017] [Revised: 02/11/2017] [Accepted: 03/07/2017] [Indexed: 02/07/2023] Open
Abstract
Background There are many mechanisms in which stress can lead to weight gain thus high a BMI. The endocrine and inflammatory pathway can directly increase abdominal adiposity. Another way in which stress leads to weight gain is through changes in health behaviors. The study aimed to investigate the prevalence of musculoskeletal disorders (MSDs) among healthy students of Ahlia University, and to determine the relationship between the development of MSDs and academic stressors and body mass index. Methods Self-administered questionnaires were distributed to 94 students aged 18-26 years who were enrolled at various Ahlia University colleges and met other inclusion criteria. The students responded to the standardized Nordic musculoskeletal questionnaire and the modified College Student Stress Inventory regarding musculoskeletal symptoms and academic stressors. Height and weight measurements were also obtained to determine body mass index. Results A total of 77.66% reported MSDs in one or more body part, with the prevalence being higher among women than among men. The 7-day prevalence of MSDs severe enough to interfere with activities of daily living was 60.64%, and 44.68% by female and male students, respectively. There was a significant relationship between academic stress and MSDs in the neck, shoulders, lower back, and hips, while the relationship between MSDs, and body mass index, academic stress, and grade point average was not significant. Conclusions The prevalence of MSDs among Ahlia University students was found to be high. Apart from the positive correlation between academic stress and MSDs in certain body parts, other correlations were not significant.
Collapse
Affiliation(s)
- Sayed A Tantawy
- Centre of Radiation, Oncology and Nuclear Medicine, Cairo University, Giza, Egypt.,Department of Physiotherapy, College of Medical & Health Sciences, Ahlia University, Manama, Kingdom of Bahrain
| | - Asma Abdul Rahman
- Department of Physiotherapy, College of Medical & Health Sciences, Ahlia University, Manama, Kingdom of Bahrain
| | - Maryam Abdul Ameer
- Department of Physiotherapy, College of Medical & Health Sciences, Ahlia University, Manama, Kingdom of Bahrain
| |
Collapse
|
36
|
Decharat S, Phethuayluk P, Maneelok S. Prevalence of Musculoskeletal Symptoms among Dental Health Workers, Southern Thailand. Adv Prev Med 2016; 2016:5494821. [PMID: 27597901 PMCID: PMC5002296 DOI: 10.1155/2016/5494821] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2016] [Accepted: 05/17/2016] [Indexed: 11/20/2022] Open
Abstract
Objectives. The objective of this study was to describe the socioeconomic situation of dental health work and work characteristics and to evaluate the prevalence of musculoskeletal symptoms among dental health workers. Material and Methods. A cross-sectional study was conducted with 124 dental health workers and 124 persons in the reference group, matched to dental health workers by gender, were recruited from the workers who worked at the same 17 community hospitals in Nakhon Si Thammarat province, Thailand. Information was collected by using questionnaire. Data analysis comprised descriptive and analytical components. Results and Discussion. 75.8% were female and 24.2% were male dental health workers. 91.9% of subjects had worked >5 years. Most subjects worked for >8 hours per day and worked >6 days per week, at 63.7% and 53.2%, respectively. 100% of subjects worked in public institutions, and 68% also worked in both public and private institutions. Most subjects (52.4%) did not exercise. Daily activity, gender, duration of work, hours worked per day, days worked per week, and physical activity were significantly associated with musculoskeletal symptoms at <0.001. Conclusion. The prevention and reduction of MSDs among dentists should include improving their education in dental ergonomics.
Collapse
Affiliation(s)
- Somsiri Decharat
- Department of Industrial Hygiene and Health Science, Faculty of Health and Sports Science, Thaksin University, 222 Moo 2 Papayom District, Phatthalung Province 93210, Thailand
| | - Piriyalux Phethuayluk
- Department of Public Health, Faculty of Health and Sports Science, Thaksin University, 222 Moo 2 Papayom District, Phatthalung Province 93210, Thailand
| | - Supandee Maneelok
- Department of Industrial Hygiene and Health Science, Faculty of Health and Sports Science, Thaksin University, 222 Moo 2 Papayom District, Phatthalung Province 93210, Thailand
| |
Collapse
|
37
|
Ng A, Hayes MJ, Polster A. Musculoskeletal Disorders and Working Posture among Dental and Oral Health Students. Healthcare (Basel) 2016; 4:healthcare4010013. [PMID: 27417601 PMCID: PMC4934547 DOI: 10.3390/healthcare4010013] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2015] [Revised: 01/12/2016] [Accepted: 01/20/2016] [Indexed: 11/25/2022] Open
Abstract
The prevalence of musculoskeletal disorders (MSD) in the dental professions has been well established, and can have detrimental effects on the industry, including lower productivity and early retirement. There is increasing evidence that these problems commence during undergraduate training; however, there are still very few studies that investigate the prevalence of MSD or postural risk in these student groups. Thus, the aim of this study was to determine the prevalence of MSD and conduct postural assessments of students studying oral health and dentistry. A previously validated self-reporting questionnaire measuring MSD prevalence, derived from the Standardised Nordic Questionnaire, was distributed to students. Posture assessments were also conducted using a validated Posture Assessment Instrument. MSD was highly prevalent in all student groups, with 85% reporting MSD in at least one body region. The neck and lower back were the most commonly reported. The final year dental students had the highest percentage with poor posture (68%), while the majority of students from other cohorts had acceptable posture. This study supports the increasing evidence that MSD could be developing in students, before the beginning of a professional career. The prevalence of poor posture further highlights the need to place further emphasis on ergonomic education.
Collapse
Affiliation(s)
- Andrew Ng
- Melbourne Dental School, The University of Melbourne, 720 Swanston Street, Melbourne 3010 VIC, Australia.
| | - Melanie J Hayes
- Melbourne Dental School, The University of Melbourne, 720 Swanston Street, Melbourne 3010 VIC, Australia.
| | - Anu Polster
- Melbourne Dental School, The University of Melbourne, 720 Swanston Street, Melbourne 3010 VIC, Australia.
| |
Collapse
|
38
|
Abledu JK, Offei EB. Musculoskeletal disorders among first-year Ghanaian students in a nursing college. Afr Health Sci 2015; 15:444-9. [PMID: 26124790 DOI: 10.4314/ahs.v15i2.18] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
OBJECTIVE To estimate the prevalence and extent of MSDs among a sample of freshmen in a nursing college in Ghana. METHODS A semi-structured self-reported questionnaire including the Nordic Musculoskeletal Questionnaire (NMQ) was used to collect information on age, gender and musculoskeletal complaints among a random sample of 200 students at a nursing and midwifery college in the Eastern region of Ghana. RESULTS Out of the 200 questionnaires administered, 160 were retrieved of which 3 were found to be incomplete and void, yielding a total of 157 evaluable questionnaires, a response rate of 78.5%. One hundred and ten (70.1%) students reported having MSDs in the previous 12 months, of which a total 88 (56.1%) suffered disabling effects, while 70(44.6%) students reported having MSDs in the past 7 days. The prevalence of MSDs in the different body regions was generally low with clustered distribution in the neck, upper back, wrists/hands and lower back. CONCLUSION Nursing students are at reasonably high risk of MSDs. Strategies to prevent this important public health problem amongst future generation of nursing students must be given utmost priority. This study provides the baseline data for more elaborative studies in the Ghanaian population.
Collapse
|