牙科保健员中基于快速全身评估(REBA)评分的足底压力差异。

Differences in plantar pressure by REBA scores in dental hygienists.

作者信息

Kim Jiyen, Park Bo-Young, Mun So-Jung, Shim Jemyung, Choi Eun-Sil, Noh Hiejin

机构信息

Department of Dental Hygiene, The Graduate School, Yonsei University, Wonju, Korea.

Department of Dental Hygiene, Wonju College of Medicine, Yonsei University, Wonju, Korea.

出版信息

Int J Dent Hyg. 2019 May;17(2):177-182. doi: 10.1111/idh.12375. Epub 2018 Dec 25.

Abstract

OBJECTIVES

The purpose of the present study was to analyse the effects of working posture, physical balance and work accumulation on shifts in plantar pressure in dental hygienists, by measuring REBA, which evaluates working posture, and plantar pressure, which evaluates physical balance.

METHODS

This study was conducted on 24 dental hygienists currently working in dental clinics. The ergonomic assessment method of the Rapid Entire Body Assessment was used to evaluate working posture in the dental hygienists, and a Gait Analyzer was used to measure plantar pressure.

RESULTS

The subjects' mean REBA score was 4.96 ± 1.04 points, and 87.5% of the subjects showed poor working posture, with a REBA score of at least four points. Among subjects with a REBA score of four points or more, seven of the eight parts of the sole of the foot showed significant differences in plantar pressure between the right and left feet (P < 0.05). When we examined changes in plantar pressure over a week, pressure increased on the left side, and in particular, for subjects with a REBA score of four points or higher, pressure increased in the left foot and in the anterior right foot.

CONCLUSIONS

Most of the dental hygienists in this study showed poor posture during working. Subjects with poor posture at a level requiring intervention showed differences in plantar pressure between the right and left feet. Inappropriate posture can cause musculoskeletal disorders. Therefore, it will be necessary to prepare internal and external measures to maintain proper working posture in dental hygienists, including education, exercise, improvement of the working environment and improvement of ergonomic equipment and devices.

摘要

目的

本研究旨在通过测量评估工作姿势的快速全身评估法(REBA)和评估身体平衡的足底压力,分析工作姿势、身体平衡和工作累积对牙科保健员足底压力变化的影响。

方法

本研究对24名目前在牙科诊所工作的牙科保健员进行。采用快速全身评估的人体工程学评估方法来评估牙科保健员的工作姿势,并使用步态分析仪测量足底压力。

结果

受试者的平均REBA评分为4.96±1.04分,87.5%的受试者工作姿势不佳,REBA评分至少为4分。在REBA评分4分及以上的受试者中,足底八个部位中的七个部位左右脚的足底压力存在显著差异(P<0.05)。当我们检查一周内足底压力的变化时,左侧压力增加,特别是对于REBA评分4分及以上的受试者,左脚和右前足的压力增加。

结论

本研究中的大多数牙科保健员在工作期间姿势不佳。姿势不佳达到需要干预程度的受试者左右脚的足底压力存在差异。不适当的姿势会导致肌肉骨骼疾病。因此,有必要制定内部和外部措施来保持牙科保健员的正确工作姿势,包括教育、锻炼、改善工作环境以及改进人体工程学设备和装置。

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