Tezel Adnan, Kavrut Fahri, Tezel Ayfer, Kara Cankat, Demir Turgut, Kavrut Rabia
Department of Periodontology, Faculty of Dentistry, Atatürk University, Erzurum, Turkey.
Int J Neurosci. 2005 Feb;115(2):255-66. doi: 10.1080/00207450590519517.
The purpose of this study was two-fold: first, to find out the musculoskeletal disorders between left- and right-handed dentists and second, to describe the prevalence and distribution of symptoms of musculoskeletal disorders among Turkish students who are practicing general dentistry. The investigation was carried out on 221 dental students; group I consisted of 24 left-handed students (18 male, 6 female), aged 24.2+/-2.24 years; group II comprised 24 right-handed students (14 male, 10 female), aged 25.1+/-3.14 years; and group III included 173 right-handed students (102 male, 71 female), aged 24.3+/-1.45 years. The study consists of a questionnaire to identify work tasks and working conditions, and a field study to assess the pain of the neck, shoulders, and other disorders during the dental practice. Data were analyzed through tests for the difference between two population proportion, percentage, and Chi-square. Left- and right-handed students had headaches (34%, 22%), pins and needles (35%, 22%), weakness (42%, 40%), numbness (23%, 19%), neck pain (67%, 43%), back pain (56%, 47%), upper limp pain (46%, 43%) and shoulder pain (78%, 58%), respectively (Table 3). Female students were not significantly different from males in musculoskeletal symptoms (p>.05). The position adopted by the student was significantly related to the intensity of pain. Left-handed students especially suffered from neck and shoulder pain when compared with right-handed students (p<.06). The authors think that a modification of work practices appears to be effective in decreasing the prevalence of symptoms. The best ergonomic working principles should be taught to the students, dental schools should provide a comfortable working environment, and further study is required to identify factors that will reduce the prevalence of symptoms among those practicing general dentistry.
第一,找出左利手和右利手牙医之间的肌肉骨骼疾病;第二,描述在土耳其从事普通牙科实习的学生中肌肉骨骼疾病症状的患病率和分布情况。对221名牙科学生进行了调查;第一组由24名左利手学生(18名男性,6名女性)组成,年龄为24.2±2.24岁;第二组由24名右利手学生(14名男性,10名女性)组成,年龄为25.1±3.14岁;第三组包括173名右利手学生(102名男性,71名女性),年龄为24.3±1.45岁。该研究包括一份用于识别工作任务和工作条件的问卷,以及一项用于评估牙科实习期间颈部、肩部疼痛和其他疾病的实地研究。通过对两个总体比例、百分比和卡方检验的差异进行数据分析。左利手和右利手学生出现头痛的比例分别为34%和22%,刺痛感分别为35%和22%,无力感分别为42%和40%,麻木感分别为23%和19%,颈部疼痛分别为67%和43%,背痛分别为56%和47%,上肢疼痛分别为46%和43%,肩部疼痛分别为78%和58%(表3)。在肌肉骨骼症状方面,女学生与男学生没有显著差异(p>0.05)。学生采用的姿势与疼痛强度显著相关。与右利手学生相比,左利手学生尤其容易出现颈部和肩部疼痛(p<0.06)。作者认为,改变工作方式似乎对降低症状患病率有效。应向学生传授最佳的人体工程学工作原则,牙科学校应提供舒适的工作环境,还需要进一步研究以确定能降低从事普通牙科实习人员症状患病率的因素。