Prevalence of musculoskeletal pain in primary care dentists
TL;DR: The studied sample showed a high prevalence of musculoskeletal pain, which serves as a warning flag to the adoption of public policies to improve the working conditions of the dentists surveyed.
Abstract: BACKGROUND AND OBJECTIVES: Dentistry is among the occupational categories that most inflicts its practitioners to a series of risk factors to develop musculoskeletal disorders, especially the maintenance of static postures, repetitive activities, long work days, poorly designed work environment, stress and handling of chemical and biological materials. The objective of this study was to analyze the prevalence of work-related musculoskeletal pain in primary care dentists. METHODS: The sample consisted of 167 primary care dentists, who answered questionnaires relating to musculoskeletal pain, social-demographic data, lifestyle, occupational characteristics, fatigue and ability to work. RESULTS: The prevalence of musculoskeletal pain was high for upper limbs (38.3%), lower limbs (34.7%) and on the back (27.5%). The was a statistical association in the three body segments, with family income, associated morbidities, daily and weekly working time, the perception of fatigue, and ability to work. CONCLUSION: The studied sample showed a high prevalence of musculoskeletal pain, which serves as a warning flag to the adoption of public policies to improve the working conditions of the dentists surveyed.
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09 Jul 2015
TL;DR: A pesquisa exploratoria de carater quantitativo de Educacao Fisica as mentioned in this paper, realizou-se uma exploratorialia de CARTER quantitative, realizado by 20 estudantes, voluntarios, de ambos os sexos.
Abstract: Avaliar os formandos de um curso de Educacao Fisica torna-se importante, pois a partir dos resultados obtidos e possivel perceber os motivos da ocorrencia de dores, lesoes e assim desenvolver acoes que auxiliem os fatores intervenientes na saude e na capacidade para o trabalho do futuro profissional. Em virtude disso, realizou-se uma pesquisa exploratoria de carater quantitativo. A amostra da pesquisa foi composta por 20 estudantes de Educacao Fisica, voluntarios, de ambos os sexos. Como instrumentos de coleta de dados foram utilizados cinco questionarios que objetivaram avaliar a dor, as lesoes, a imagem corporal e a capacidade para o trabalho. Os resultados demonstram que os individuos tem boa capacidade para o trabalho, contudo o numero de lesoes sofridas e a incidencia de dores e muito alta. Ja os resultados da Imagem Corporal apontam que em geral os alunos do curso de Educacao Fisica estao satisfeitos com seu corpo.
29 citations
TL;DR: The quality of life of primary care workers is evaluated as good or very good and reported to be satisfied or very satisfied with their health.
Abstract: Objectives: to evaluate the quality of life and musculoskeletal symptoms in primary care workers. Methods: descriptive, correlational and cross-sectional study with 85 workers using the WHOQOL-Bref and Nordic Osteomuscular Symptoms Questionnaire. Results: lower quality of life for the Environment domain and higher for Social Relationships. Workers reported pain in lower back, neck, shoulders, wrists/hands/fingers and knees. Neck pain influenced Physical (p=0.015) and Psychological (p=0.030) domains; shoulder pain (p=0.004) and dorsal region (p=0.013) influenced the Physical domain; pain in knees influenced Physical (p=0.000) and Environment (p=0.032) domains; pain in the ankles/feet influenced Physical (p=0.000), Psychological (p=0.032) and Environment (p=0.007) domains; pain in the dorsal region influenced the Physical domain (p=0.013). Conclusions: workers evaluated their quality of life as good or very good and reported to be satisfied or very satisfied with their health. They also reported pains in lower back, neck, shoulders, wrists/hands/fingers and knees. Pain has influenced the quality of life.
12 citations
Cites background from "Prevalence of musculoskeletal pain ..."
...In Teresina, state of Piauí, dental surgeons of PHC showed a prevalence of musculoskeletal pain in the upper limbs, lower limbs and dorsal face associated with daily and weekly work hours, fatigue and professionals’ work capacity(25)....
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Journal Article•
TL;DR: The survey results showed that the students evaluated showed high prevalence of musculoskeletal pain, showing that occupational diseases can be felt in the academic period, and difference in the prevalence of symptoms genders was noted.
Abstract: Contexto: O cirurgiao dentista possui um posto de trabalho pouco ergonomico e se submete a movimentos repetitivos, posturas estaticas e posicoes que podem favorecer ao aparecimento de sintomas dolorosos no sistema musculoesqueletico desde o aprendizado. Objetivos: O objetivo deste estudo foi investigar a prevalencia de dor musculoesqueletica em estudantes de odontologia. Metodos: Realizou-se um estudo descritivo de corte transversal para determinar a prevalencia de dor musculoesqueletica relacionada ao trabalho. A amostra contou com 35 estudantes de odontologia que cursavam o ultimo ano de graduacao. O instrumento de avaliacao foi o questionario Nordico, com intuito de verificar a localizacao exata de segmentos corporais que apresentassem sintomas dolorosos musculoesqueleticos. Resultados: Constatou-se que 100% dos estudantes relataram desconforto/dor em algum segmento corporal em um determinado periodo, havendo diferenca na prevalencia dos sintomas entre os sexos (p=0,002), sendo que as maiores prevalencias de dores musculoesqueleticas nos ultimos 12 meses foram em punhos/maos (74%) seguido de cervical (66%) e regiao inferior das costas (66,%). Conclusoes: Os resultados da pesquisa evidenciaram que os academicos avaliados apresentaram alta prevalencia de dores musculoesqueleticas, mostrando que as doencas ocupacionais nos cirurgioes dentistas iniciam-se ja no periodo academico. Context: The dentist surgeons has a little ergonomic work station and are subjected to repetitive movements, static postures and positions that may favor the onset of painful symptoms in the musculoskeletal system. Objectives: The objective of this study was to investigate the prevalence of musculoskeletal pain in different anatomical segments in dental students. Methods: Was conducted a cross-sectional study to determine the prevalence of work-related musculoskeletal pain. The sample consisted of 35 dental students ranging in age from 20 to 30, who attend the last year of school graduation. As assessment tool was applied Nordic questionnaire for the verification exact location of body segments that have musculoskeletal symptoms in certain periods. Results: It was noted that 100% of students reported discomfort/pain in any part at some point, showing difference in the prevalence of symptoms genders (p=0.002), and the highest prevalence of musculoskeletal pain in the past 12 months were in wrists/hands (74%) followed by cervical (66%) and lower back (66%). Conclusion: The survey results showed that the students evaluated showed high prevalence of musculoskeletal pain, showing that occupational diseases can be felt in the academic period.
5 citations
01 Jan 2011
TL;DR: A pesquisa quantitativa, do tipo transversal, exploratoria e descritiva, atraves da utilizacao dos questionarios, WHOQOL Bthis paper modificado e Check-List de Couto, foi realizada in this paper.
Abstract: Considerada como uma profissao “estressante”, a Odontologia vem sendo frequentemente associada a agravos a saude, tanto de ordem fisica quanto psiquica. Observando a interligacao existente entre as posturas adotadas pelos cirurgioes dentistas, os fatores desencadeantes da Sindrome do Desfiladeiro Toracico, a elevada taxa de acometimento em nivel de ombros nesta classe, e, a escassez de estudos referentes a esta sindrome, o objetivo central deste trabalho foi de avaliar a incidencia da sintomatologia da sindrome do desfiladeiro toracico em cirurgioes dentistas da cidade de Campina Grande-PB. Para obter as informacoes, foi realizada uma pesquisa quantitativa, do tipo transversal, exploratoria e descritiva, atraves da utilizacao dos questionarios, WHOQOL BREF modificado e Check-List de Couto. Foram entrevistados profissionais que prestam servico nas Unidades do Programa Saude da Familia (PSF). Em relacao as caracteristicas socio-economicas, 79,2% dos profissionais eram do genero feminino e 70,8% encontrava-se em uma faixa de 25 – 40 anos, com tempo de profissao entre 6 – 20 anos (41,6%). 58,3% referiram a sintomatologia dolorosa localizada na regiao de ombro e cervical. Quando confrontado a frequencia de dor fisica, com a incapacidade em realizar tarefas, 45,8% enquadraram-se no escore medio. 66,67% nao tinham possibilidade de descanso, enquanto que 33,33% realizavam pausas entre 5 a 10 minutos entre o atendimento. De acordo com o Check-List de Couto, grande parte dos cirurgioes dentistas participantes desta pesquisa esta inserida nos escores de risco moderado e alto risco. Palavras-chave: Check-List de Couto. Sindrome do Desfiladeiro Toracico. Dentistas.
2 citations
TL;DR: The results showed that the Persian version of the FHC-Scale is acceptable and therefore an effective tool for evaluating the different dimensions of family health climate in the Iranian population.
Abstract: Objectives. This study examined the validity and reliability of the Family Health Climate Scale (FHC-Scale) among Iranian families. Second, can it be attributed to other family members by measuring the health climate in one person? Method. In total, 261 female students and 196 mothers completed the FHC-Scale. The study instrument was a Persian version of the FHC-Scale prepared through a translation and back-translation process. Results. The results showed that the Persian version of the FHC-Scale is acceptable. Cronbach’s alpha coefficient for FHC-PA in female students and their mothers, respectively, was 0.88 and 0.86 for the whole scale. Cronbach’s alpha coefficient for FHC-NU in female students and their mothers, respectively, was 0.83 and 0.92 for the whole scale. The CVI values for all the items were equal to or above 0.8, and the CVR value for the total scale was 0.90. Conclusion. The Persian version of the FHC-Scale is therefore an effective tool for evaluating the different dimensions of family health climate in the Iranian population.
1 citations
Cites background from "Prevalence of musculoskeletal pain ..."
...Family health climate was measured only among females, because females care more about their health compared to males [34, 35]....
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References
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TL;DR: Cox or Poisson regression with robust variance and log-binomial regression provide correct estimates and are a better alternative for the analysis of cross-sectional studies with binary outcomes than logistic regression, since the prevalence ratio is more interpretable and easier to communicate to non-specialists than the odds ratio.
Abstract: Cross-sectional studies with binary outcomes analyzed by logistic regression are frequent in the epidemiological literature. However, the odds ratio can importantly overestimate the prevalence ratio, the measure of choice in these studies. Also, controlling for confounding is not equivalent for the two measures. In this paper we explore alternatives for modeling data of such studies with techniques that directly estimate the prevalence ratio. We compared Cox regression with constant time at risk, Poisson regression and log-binomial regression against the standard Mantel-Haenszel estimators. Models with robust variance estimators in Cox and Poisson regressions and variance corrected by the scale parameter in Poisson regression were also evaluated. Three outcomes, from a cross-sectional study carried out in Pelotas, Brazil, with different levels of prevalence were explored: weight-for-age deficit (4%), asthma (31%) and mother in a paid job (52%). Unadjusted Cox/Poisson regression and Poisson regression with scale parameter adjusted by deviance performed worst in terms of interval estimates. Poisson regression with scale parameter adjusted by χ2 showed variable performance depending on the outcome prevalence. Cox/Poisson regression with robust variance, and log-binomial regression performed equally well when the model was correctly specified. Cox or Poisson regression with robust variance and log-binomial regression provide correct estimates and are a better alternative for the analysis of cross-sectional studies with binary outcomes than logistic regression, since the prevalence ratio is more interpretable and easier to communicate to non-specialists than the odds ratio. However, precautions are needed to avoid estimation problems in specific situations.
3,455 citations
TL;DR: As a part of the assessment of the work load of bank clerks and broadcasting workers, the present authors let them rate the degree of their feeling of fatigue using a 9 point scale, and the results of the rating were investigated in relation to the subjective symptoms test of fatigue.
Abstract: In the investigation of fatigue in industrial workers, the subjective feeling of fatigue experienced by them should be especially taken into consideration. This is because industrial fatigue in the real situation is considered to be fatigue expressed in the attitude, orientation and adjustment of the worker. Many researchers have used the subjective symptoms test of fatigue as a means of measuring the feeling of fatigue, and have identified the frequency of complaints of symptoms with the amount of feelings of fatigue. However, strictly speaking, the feeling of fatigue signifies over-all unpleasantness experienced by workers, and is not quite the same as complaints of symptoms of fatigue. As a part of the assessment of the work load of bank clerks and broadcasting workers, the present authors let them rate the degree of their feeling of fatigue using a 9 point scale. The results of the rating were investigated in relation to the subjective symptoms test of fatigue. (1) There was found to be a hig...
131 citations
TL;DR: A prevalencia de dor musculoesqueletica associou-se as seguintes variaveis ocupacionais: tempo de trabalho superior a cinco anos na escola estudada, elevado esforco fisico, outra atividade remunerada nao docente e calor em sala de aula.
Abstract: The article describes the prevalence of musculoskeletal pain according to socio-demographic and occupational variables among elementary school teachers. A cross-sectional study included all 4,496 school teachers of the municipal elementary education network of Salvador, Bahia, Bra-zil. There was a high prevalence of muscu-loskeletal pain in lower limbs (41.1%), upper limbs (23.7%) and back (41.1%). The overall prevalence of musculoskeletal pain related to any of the three body segments was 55%. Musculoskeletal pain was more prevalent in the three body segments investigated: among women, the elderly, those with high-level school education, married, with three or more children, and who had worked over fourteen years as teachers. The prevalence of musculoskeletal pain was associated with the following occupational variables: working over five years at the school, high level of physical exertion, not having a paid activity other than teaching, and reporting heat in the classroom. The findings draw attention toward the need to adopt public policies to improve the working conditions of teachers.
129 citations
TL;DR: There was more WMSD seen in dental students who had started their clinical years and neck and lower back are more injury prone areas and are at increased risk of developing musculoskeletal disorders.
Abstract: Work-related musculoskeletal disorders are one of the main occupational health hazards affecting dental practitioners. This study was conducted to assess the prevalence of Work-related Musculoskeletal Disorder (WMSD) amongst dental students. Possible correlations with the working environment and ergonomics taught in Malaysian dental schools were also sought. Five dental schools in Malaysia participated in this cross-sectional study. A validated self-administered questionnaire was used to establish the point prevalence of WMSD in the dental students based on various body regions. The questionnaire also collected data regarding the working environment, clinical practice and the taught ergonomics of the students during their training years. Out of five hundred and sixty eight dental students who participated in the study, 410 were in their clinical years whilst 158 were students in their non- clinical years. Ninety three percent of the clinical year students reported symptoms of WMSD in one or more body regions. Female students reported a significantly higher numbers of symptoms compared to male students. The neck (82%) and lower back (64%) were reported to have the highest prevalence of WMSD. Discomfort in the neck region was found to be associated with self-reported frequency of bending of the neck. A majority of students (92%) reported minimum participation in workshops related to ergonomics in dentistry and 77% were unfamiliar with treatment and remedies available in the case of WMSD. There was more WMSD seen in dental students who had started their clinical years. Neck and lower back are more injury prone areas and are at increased risk of developing musculoskeletal disorders. Theory and practice of ergonomics should be incorporated into the dental undergraduate curriculum.
86 citations
TL;DR: It appears as though the causes of MSD among dental hygienists may be multifactorial, as may be the solutions to this problem.
Abstract: To cite this article:
Int J Dent Hygiene10, 2012; 265–269
DOI: 10.1111/j.1601-5037.2011.00536.x
Hayes MJ, Taylor JA, Smith DR. Predictors of work-related musculoskeletal disorders among dental hygienists.
Abstract: Objectives: Work-related musculoskeletal disorders (MSD) have been recognized as a considerable problem for the dental hygiene profession, with the majority of professionals reporting musculoskeletal pain. The aim of this study was to investigate which risk factors may help predict MSD among Australian dental hygienists. Methods: A modified version of the Standardised Nordic questionnaire was distributed to registered hygienists throughout Australia. Results: Logistic regression analysis revealed a variety of work-related and psychosocial factors that correlate with reported MSD, including scaling tasks, type of practice and work interference in home life. Statistical predictors for non-reporting of MSD included wearing loupes, ergonomics education and wage satisfaction. Concerning is the impact on the profession, with an association between MSD and hygienists considering reducing working hours or even alternate careers. Conclusions: In general, it appears as though the causes of MSD among dental hygienists may be multifactorial, as may be the solutions to this problem. Further research is required to objectively examine whether controllable variables can be implemented as preventive strategies or interventions for MSD.
80 citations