School of Health Sciences, Faculty of Health, University of Newcastle, Ourimbah, NSW, Australia.
Int Dent J. 2010 Oct;60(5):343-52.
This review of the current literature is aimed at examining musculoskeletal disorders in dental hygienists, and investigates the complex nature of this significant occupational health issue. Musculoskeletal disorders (MSD) have been identified as a significant issue for the profession of dental hygiene. The purpose of this review is to examine and assemble the best evidence on the epidemiology, diagnosis, treatment, interventions, prevention, impact and consequences of MSD among the dental hygiene profession. The prevalence of MSD is alarming, with up to 96% reporting pain, and a number of occupational risk factors have been identified by the literature. Studies investigating interventions are generally limited in their study design, which is concerning given the huge impact MSD can have on the practising dental hygienist. Overall, it is evident from the literature that MSD is a complex and multifactorial problem. However, a complete understanding of the progression of musculoskeletal disorders is still far from being realised, due to the lack of longitudinal studies and standardised research techniques. Future research should implement triangulation methods in longitudinal studies, a strategy which will go a long way in the understanding of this complex occupational health issue.
本文旨在回顾当前文献，探讨牙科保健员的肌肉骨骼疾病，并研究这一重大职业健康问题的复杂性。肌肉骨骼疾病（MSD）已被确定为牙科保健专业的一个重大问题。本综述的目的是检查和综合有关牙科保健专业中 MSD 的流行病学、诊断、治疗、干预、预防、影响和后果的最佳证据。MSD 的患病率令人震惊，高达 96%的人报告有疼痛，文献中还确定了一些职业危险因素。研究干预措施的研究通常在研究设计上存在局限性，考虑到 MSD 对执业牙科保健员的巨大影响，这令人担忧。总的来说，文献表明 MSD 是一个复杂的多因素问题。然而，由于缺乏纵向研究和标准化的研究技术，对肌肉骨骼疾病进展的全面了解仍远未实现。未来的研究应该在纵向研究中采用三角测量方法，这一策略将对理解这一复杂的职业健康问题大有帮助。
