Raman Vidya, Ramlogan Shaun, Sweet John, Sweet Dinah
Periodontology, Restorative Unit, School of Dentistry, The University of the West Indies, St Augustine, Trinidad and Tobago.
Physiotherapy, School of Healthcare Sciences, Cardiff University, Cardiff (formerly), UK.
Br Dent J. 2020 Aug 14. doi: 10.1038/s41415-020-1855-5.
Introduction High prevalence of musculoskeletal disorders (MSDs) have been reported among operators in dentistry related to prolonged demanding and awkward operative tasks, in which non-neutral vertebral positions and risky joint articulations are adopted. The aim of the study was to investigate the feasibility and reliability of the application of the Rapid Entire Body Assessment (REBA) among dental students utilising three digital photographs of the operator to determine chairside ergonomic risk.Materials and methods Third-year dental students (n = 28) obtained profile, back and frontal digital photographs of student operators in a clinical session. REBA scorings were assigned per student utilising the photographs by student groups and independently by a physiotherapist. Statistical comparisons were done for both scorings.Results There was substantial interrater reliability (kappa = 0.625; p <0.001) and moderate concordance level (Kendall's Tau-b of 0.568; p <0.01) between the scores derived from students and staff. Medium- and high-risk students based on the REBA scores accounted for 64% and 75% of the class as determined by students and staff, respectively.Discussion The high percentage of medium-to-high-risk REBA values matched the prevalence of MSDs reported by dental students in the literature. Compared to staff, students with moderate reliability were able to produce REBA scores adequately.Conclusion REBA utilising digital photographs may be an easily applicable and moderately reliable tool for alerting static ergonomic risk for clinical dental students. Modification of at-risk behaviour early in training may limit the establishment of bad posture habits and aid in the prevention of MSDs during their clinical years and post-graduation.
引言 据报道,牙科操作人员中肌肉骨骼疾病(MSD)的患病率很高,这与长时间要求苛刻且姿势别扭的操作任务有关,在此过程中会采用非中立的脊椎姿势和有风险的关节活动。本研究的目的是利用操作人员的三张数码照片,调查快速全身评估(REBA)在牙科学生中应用的可行性和可靠性,以确定临床操作时的人体工程学风险。
材料与方法 三年级牙科学生(n = 28)在临床课程中获取了学生操作人员的侧面、背面和正面数码照片。学生小组和一名物理治疗师分别根据照片为每位学生进行REBA评分。对两种评分进行了统计比较。
结果 学生和工作人员给出的评分之间存在高度的评分者间信度(kappa = 0.625;p <0.001)和中等程度的一致性水平(肯德尔tau-b为0.568;p <0.01)。根据REBA评分,中等风险和高风险的学生在学生和工作人员确定的班级中分别占64%和75%。
讨论 中高风险REBA值的高比例与文献中牙科学生报告的MSD患病率相符。与工作人员相比,可靠性中等的学生能够充分给出REBA评分。
结论 利用数码照片的REBA可能是一种易于应用且可靠性中等的工具,用于提醒临床牙科学生注意静态人体工程学风险。在培训早期改变危险行为可能会限制不良姿势习惯的形成,并有助于预防他们临床实习期间及毕业后的MSD。