Workplace Health Promotion Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Ergonomics, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Int J Occup Saf Ergon. 2022 Sep;28(3):1473-1481. doi: 10.1080/10803548.2021.1904626. Epub 2021 Apr 19.
This study aimed to investigate the relationship between dentists' hand functionality (handgrip, tip-to-tip pinch, key pinch and palmar pinch strengths) and dental specialty (maxillofacial surgery, endodontics, pediatric dentistry), socio-demographic factors and hand-forearm anthropometric dimensions. A cross-sectional study was designed in which 720 certified dentists (330 males and 390 females) voluntarily participated in the study. A tape measure (±0.1 cm) and a digital caliper (±0.1 mm) were used to measure anthropometric dimensions. A Jamar dynamometer and pinch gauge were used to measure hand strength variables. Hand strengths decreased with age and clinical experience, and were always greater in male than female dentists. Maxillofacial surgeons aged 35-39 years attained the highest values of handgrip and key pinch strengths, while endodontists aged 30-34 years attained the peak values of tip-to-tip pinch strength. Among the measured hand dimensions, forearm circumference was significantly greater in maxillofacial surgeons compared with endodontists and pediatric dentists. Hand functionality is specialty-related among dentists because distinct dental specialties expose practitioners to different task demands. Like any other manual workers, dentists need more ergonomic and usable hand tools tailored not only to the intended application but also to the anthropometry of users.
本研究旨在探讨牙医手部功能(握力、指尖对指尖捏力、指尖捏力和掌捏力)与牙科专业(颌面外科、牙髓病学、儿童牙科)、社会人口因素以及手前臂人体测量学维度之间的关系。 本研究采用横断面研究设计,共有 720 名认证牙医(330 名男性和 390 名女性)自愿参加了这项研究。使用卷尺(±0.1cm)和数字卡尺(±0.1mm)测量人体测量学维度。使用 Jamar 测力计和捏力计测量手部力量变量。 手部力量随年龄和临床经验的增长而下降,且男性牙医的手部力量总是大于女性牙医。年龄在 35-39 岁的颌面外科医生达到了握力和指尖捏力的最高值,而年龄在 30-34 岁的牙髓病学医生达到了指尖对指尖捏力的峰值。在所测量的手部维度中,与牙髓病学医生和儿童牙科医生相比,颌面外科医生的前臂周长明显更大。 牙医的手部功能与专业相关,因为不同的牙科专业对从业者提出了不同的任务要求。与任何其他体力劳动者一样,牙医需要更多符合人体工程学和易于使用的手动工具,这些工具不仅要针对预期的应用,还要针对用户的人体测量学。