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一项关于牙医工作姿势与肌肉骨骼疾病的研究。

A study on job postures and musculoskeletal illnesses in dentists.

作者信息

Rafeemanesh Ehsan, Jafari Zahra, Kashani Farzad Omidi, Rahimpour Farzaneh

机构信息

Occupational Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran,

出版信息

Int J Occup Med Environ Health. 2013 Aug;26(4):615-20. doi: 10.2478/s13382-013-0133-z. Epub 2014 Jan 25.

Abstract

OBJECTIVES

Musculoskeletal disorders (MSDs) compose a large part of occupational diseases in dental professionals, prevention of which is dependent on assessment and improvement of job postures by means of ergonomic interventions. This study was aimed at evaluation of ergonomic conditions of the profession of dentists and also at assessing the relationship between MSDs and conditions of work.

MATERIALS AND METHODS

This cross-sectional study was performed among 65 dentists using the method of Rapid Entire Body Assessment (REBA). The prevalence of MSDs was obtained by the use of the Nordic Musculoskeletal Questionnaire (NMQ).

RESULTS

In this investigation, the prevalence of MSDs for different body parts was: 75.9% for the neck, 58.6% for the shoulders, 56.9% for the upper back, 48.3% for the lower back and 44.8% for the wrist. Job analysis by the use of REBA showed that 89.6% of limbs in group A and 79.3% of limbs in group B had a score > 4. Only neck and lower back pain have significant relationship with the risk levels obtained using the REBA method.

CONCLUSIONS

It can be concluded that work postures of dentists need to be improved. In addition to education, work station design, rest period during work and regular physical activities should be taken into account.

摘要

目的

肌肉骨骼疾病(MSDs)在牙科专业人员的职业病中占很大一部分,其预防依赖于通过人体工程学干预来评估和改善工作姿势。本研究旨在评估牙医职业的人体工程学状况,并评估MSDs与工作条件之间的关系。

材料与方法

本横断面研究采用快速全身评估(REBA)方法,对65名牙医进行了研究。通过使用北欧肌肉骨骼问卷(NMQ)来获取MSDs的患病率。

结果

在本次调查中,不同身体部位MSDs的患病率分别为:颈部75.9%,肩部58.6%,上背部56.9%,下背部48.3%,手腕44.8%。使用REBA进行工作分析表明,A组89.6%的肢体和B组79.3%的肢体得分>4。只有颈部和下背部疼痛与使用REBA方法获得的风险水平有显著关系。

结论

可以得出结论,牙医的工作姿势需要改善。除了教育之外,还应考虑工作站设计、工作期间的休息时间和定期体育活动。

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