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一种预测牙科学生肌肉骨骼疾病的系统。

A system for predicting musculoskeletal disorders among dental students.

作者信息

Thanathornwong Bhornsawan, Suebnukarn Siriwan, Ouivirach Kan

机构信息

Faculty of Dentistry, Srinakarinwirot University, Bangkok, Thailand.

Faculty of Dentistry, Thammasat University, Pathumthani, Thailand.

出版信息

Int J Occup Saf Ergon. 2014;20(3):463-75. doi: 10.1080/10803548.2014.11077063.

Abstract

OBJECTIVE

This study aimed to develop a system for predicting work-related musculoskeletal disorders (WMSD) among dental students.

MATERIALS AND METHODS

The system comprised 2 accelerometer sensors to register neck and upper back postures and movements, and software developed to collect and process the data. Hidden Markov models (HMMs) were used to predict the likelihood of WMSD in dental students by comparing their neck and upper back movement patterns with WMSD and non-WMSD HMMs learned from previous data. To evaluate the performance of the system, 16 participants were randomly assigned into a 2 × 2 crossover trial scheduled for each sequence of working: receiving feedback or no-feedback from the system. The primary outcome measure was the extension of the neck and upper back, before (pre-test) and after (posttest) receiving feedback or no-feedback from the system. The secondary outcome measure was the log likelihood of classifying the movements as WMSD.

RESULTS AND DISCUSSION

The results showed that in the group that received feedback, the extension of the neck in the y axis and of the upper back in the y axis decreased significantly (t test, p < .05) on the post-test.

CONCLUSION

The system for predicting and preventing WMSD aids the correction of the extension of the neck and upper back in the y axis.

摘要

目的

本研究旨在开发一种用于预测牙科学生工作相关肌肉骨骼疾病(WMSD)的系统。

材料与方法

该系统包括2个加速度计传感器,用于记录颈部和上背部的姿势及动作,以及开发用于收集和处理数据的软件。通过将牙科学生的颈部和上背部运动模式与从先前数据中学习到的WMSD和非WMSD隐马尔可夫模型(HMM)进行比较,使用HMM来预测牙科学生患WMSD的可能性。为了评估该系统的性能,16名参与者被随机分配到一个2×2交叉试验中,该试验针对每个工作序列进行:从系统接收反馈或不接收反馈。主要结局指标是在从系统接收反馈或不接收反馈之前(预测试)和之后(后测试)颈部和上背部的伸展情况。次要结局指标是将动作分类为WMSD的对数似然值。

结果与讨论

结果表明,在接收反馈的组中,后测试时颈部在y轴上的伸展以及上背部在y轴上的伸展显著降低(t检验,p <.05)。

结论

用于预测和预防WMSD的系统有助于纠正颈部和上背部在y轴上的伸展。

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