Hayes Melanie J, Osmotherly Peter G, Taylor Jane A, Smith Derek R, Ho Alan
Melbourne Dental School, The University of Melbourne, Melbourne, VIC, Australia.
School of Health Sciences, The University of Newcastle, Callaghan, NSW, Australia.
Work. 2016 Feb 15;53(4):755-62. doi: 10.3233/WOR-162253.
Musculoskeletal disorders represent a significant occupational health issue in dental hygiene, with high prevalence rates documented. Despite this fact, there have been few advancements in the application of ergonomic principles in the dental hygiene profession. While the use of loupes is often promoted as an ergonomic solution, there is little published research to support this claim.
The aim of the present study, therefore, was to investigate the effect of the use of loupes on neck pain and disability in dental hygienists.
The study was conducted using an exploratory pre-test post-test design, comparing musculoskeletal measures in dental hygienists wearing loupes with final year dental hygiene students who do not wear loupes. Pre- and post-test measures included the Neck Pain and Disability Scale and a standardised physical assessment using previously validated measures. Statistical analysis was conducted as a series of mixed ANOVAs with time and treatment as the independent variables.
While the analyses revealed no significant interactions between time and treatment (p < 0.05), there were general trends of improvement or deterioration for outcome measures. Improvements over time were noted in the treatment group for cervical range of motion and deep neck muscle endurance; however deteriorations were noted for forward head posture and cervical kinaesthetic sense.
Overall, despite no statistically significant differences being detected, this study suggests that wearing loupes appears to have both positive and negative outcomes with regards to physical well-being. As such, further studies are required to more precisely determine the effects of loupes on MSD among dental hygienists, particularly long-term. Dental hygienists with existing neck pain exploring ergonomic equipment may reflect on the findings and consider the potential benefits and risks of wearing loupes.
肌肉骨骼疾病是口腔卫生领域一个重大的职业健康问题,有记录显示其患病率很高。尽管如此,在口腔卫生行业中,人体工程学原理的应用进展甚微。虽然经常提倡使用放大镜作为一种符合人体工程学的解决方案,但几乎没有已发表的研究来支持这一说法。
因此,本研究的目的是调查使用放大镜对口腔卫生工作者颈部疼痛和功能障碍的影响。
本研究采用探索性的前测后测设计,比较佩戴放大镜的口腔卫生工作者与未佩戴放大镜的口腔卫生专业最后一年学生的肌肉骨骼测量结果。前测和后测措施包括颈部疼痛和功能障碍量表以及使用先前验证过的测量方法进行的标准化身体评估。统计分析作为一系列混合方差分析进行,时间和治疗作为自变量。
虽然分析显示时间和治疗之间没有显著的交互作用(p < 0.05),但结果测量指标有改善或恶化的总体趋势。治疗组在颈椎活动范围和颈部深层肌肉耐力方面随时间有改善;然而,在头部前倾姿势和颈椎动觉方面有恶化。
总体而言,尽管未检测到统计学上的显著差异,但本研究表明,佩戴放大镜似乎对身体健康有积极和消极的影响。因此,需要进一步研究以更精确地确定放大镜对口腔卫生工作者肌肉骨骼疾病的影响,特别是长期影响。患有颈部疼痛的口腔卫生工作者在探索符合人体工程学的设备时,可能会思考这些发现,并考虑佩戴放大镜的潜在益处和风险。