Department of Preventive and Pediatric dentistry, Faculty of Dentistry, University of Belgrade, Belgrade, Serbia.
Innovation Center, School of Electrical Engineering, University of Belgrade, Belgrade, Serbia.
Eur J Dent Educ. 2021 Aug;25(3):460-479. doi: 10.1111/eje.12621. Epub 2020 Nov 26.
Dentistry is a high-risk profession for the development of work-related disorders. Dental students are also exposed to several risk factors. The goal of the study was to determine and localise musculoskeletal pain during dental work, afterwards to measure electromyography signals from the muscles groups mostly affected by the musculoskeletal pain. Study was done in order to provide possible suggestions for the most effective preventive measures of MS pain among dental students.
In order to solve the objectives, the research was realised in two segments. In the first part of the study, specially designed questionnaires were used to determine the frequency of musculoskeletal pain, risk factors and preventive measures among students. The second part of the study included electromyography analyses of muscular activity of students during dental work. Inclinometers also were set up in the purpose of monitoring inclination of the spine.
Results of the questionnaire study indicated that pain during work was frequent, 81.8% of all the subjects reported pain during work. The recorded muscle activity of the neck muscles indicated a high ergonomic risk, while the muscle activity of the shoulders and back muscles indicated a medium risk. Work with a back flexion of 20 degrees and more indicates that students are at risk.
Dental students used to work in unnatural working position. High ergonomic risk occurred in neck muscles. Students should be aware of the potential risks during work and to learn how to prevent it. Regular physical activity is strongly suggested to the students in order to avoid ergonomic problems.
牙科是一种职业相关疾病高发的高风险行业。牙科学生也面临着许多风险因素。本研究的目的是确定和定位牙科工作中肌肉骨骼疼痛的部位,然后测量受肌肉骨骼疼痛影响最大的肌肉群的肌电图信号。该研究旨在为牙科学生肌肉骨骼疼痛的最有效预防措施提供可能的建议。
为了实现研究目标,研究分为两个部分进行。在研究的第一部分,使用专门设计的问卷来确定学生肌肉骨骼疼痛的频率、风险因素和预防措施。研究的第二部分包括对学生在牙科工作期间肌肉活动的肌电图分析。还设置了倾斜计,目的是监测脊柱的倾斜度。
问卷调查研究的结果表明,工作期间疼痛很常见,81.8%的受试者在工作期间报告有疼痛。颈部肌肉的记录肌肉活动表明存在高度的人体工程学风险,而肩部和背部肌肉的肌肉活动表明存在中度风险。工作时背部弯曲度为 20 度及以上表明学生有风险。
牙科学生习惯于在不自然的工作姿势下工作。颈部肌肉存在高人体工程学风险。学生应该意识到工作中的潜在风险,并学习如何预防。建议学生定期进行体育锻炼,以避免出现人体工程学问题。