Vijay S, Ide M
King's College London Dental Institute, Periodontology/Oral and Mucosal Biology, Floor 21, Tower Wing, Great Maze Pond, London, SE1 9RT.
Br Dent J. 2016 Sep 9;221(5):241-5. doi: 10.1038/sj.bdj.2016.642.
Objective Limited data exist on musculoskeletal problems within dental students: we aimed to determine the prevalence of these disorders.Design Single centre cross-sectional study.Setting A UK Dental School 2015.Methods Students completed a modified Nordic pain questionnaire.Main outcome measures Self-reported frequency and severity of pain, fitness and coping strategies.Results 63% of 390 respondents were female and 75% aged under 23. Seventy-nine percent experienced pain with 42% experiencing pain for 30 or more days in the past year. Lower back pain was most common (54%) and was most frequently the worst area of pain (48%). Thirty-six percent reported pain lasting at least four hours. The mean 'average pain intensity' VAS score was 3.81/10 (sd = 1.75) and mean 'worst pain intensity' was 5.56 (sd = 2.10). More females reported neck pain (58% versus 37%, P <0.001) and higher 'average pain intensity' (mean 4.02, sd 1.82 versus 3.43 sd 1.55, P = 0.012. Daily stretching was used by 55.7% of respondents, and this positively correlated with 'average' and 'worst pain intensity' (P = 0.096 and P = 0.001) scores. Eighteen percent sought professional help to manage pain.Conclusion Musculoskeletal pain is a problem for dental students. Education in self-care may be helpful; however, assessments of possible interventions are needed.
目的 关于牙科学生肌肉骨骼问题的数据有限:我们旨在确定这些疾病的患病率。
设计 单中心横断面研究。
地点 英国一所牙科学院,2015年。
方法 学生们完成一份改良的北欧疼痛问卷。
主要结局指标 自我报告的疼痛频率和严重程度、健康状况及应对策略。
结果 390名受访者中63%为女性,75%年龄在23岁以下。79%的学生经历过疼痛,其中42%在过去一年中疼痛持续30天或更长时间。下背部疼痛最为常见(54%),且最常是疼痛最严重的部位(48%)。36%的学生报告疼痛持续至少4小时。“平均疼痛强度”视觉模拟评分(VAS)的平均分为3.81/10(标准差=1.75),“最严重疼痛强度”的平均分为5.56(标准差=2.10)。更多女性报告有颈部疼痛(58%对37%,P<0.001)以及更高的“平均疼痛强度”(平均4.02,标准差1.82对3.43,标准差1.55,P=0.012)。55.7%的受访者每天进行伸展运动,这与“平均”和“最严重疼痛强度”评分呈正相关(P=0.096和P=0.001)。18%的学生寻求专业帮助来缓解疼痛。
结论 肌肉骨骼疼痛是牙科学生面临的一个问题。自我护理教育可能会有所帮助;然而,需要对可能的干预措施进行评估。