Orofacial Pain and TMD Research Unit, Institute of Stomatology, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China.
Department of TMD and Orofacial Pain, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China.
J Occup Health. 2021 Jan;63(1):e12269. doi: 10.1002/1348-9585.12269.
Musculoskeletal disorders (MSDs) in the neck and shoulder region may be associated with significant impairment of quality of life and well-being. The study was to determine the prevalence of painful MSDs in Chinese dentists and evaluate somatosensory function and neck mobility compared with non-dental professional controls.
One hundred dentists (age: 36.5 ± 9.8 years) and 102 controls (age: 36.2 ± 10.0 years) were recruited between September 2019 and December 2020. The Medical Outcome Study 36-item short-form health survey questionnaire and information of MSDs history were recorded. The cervical range of motion (CROM) with and without pain, and the pressure pain thresholds (PPTs) of the facial and neck muscles were tested. Chi-square test, Mann-Whitney U test and multiple linear regression analysis were used to analyze the data. The factors in the multiple linear regression analysis were occupation, working age, and gender.
The prevalence rate of neck pain was significantly higher in dentists (73.0%) compared with the controls (52.0%) (P = .002). The regression models of cervical range of posterior extension, lateral flexion and rotation were statistically significant (P ≤ .001). The regression models of PPTs of the tested facial and neck muscles were statistically significant (P < .001).
Dentists are at higher risk of neck pain. The bigger cervical range of left rotation of dentists could be related to the working posture. The lower PPTs in dentists may reflect a hypersensitivity in the facial and neck muscles. Preventive measures are needed to reduce occupational hazards in dentists.
颈部和肩部的肌肉骨骼疾病(MSD)可能会导致生活质量和幸福感显著受损。本研究旨在确定中国牙医中疼痛性 MSD 的患病率,并评估与非牙科专业对照相比的躯体感觉功能和颈部活动度。
2019 年 9 月至 2020 年 12 月期间招募了 100 名牙医(年龄:36.5±9.8 岁)和 102 名对照(年龄:36.2±10.0 岁)。记录了医疗结局研究 36 项简短健康调查问卷和 MSD 病史信息。测试了有疼痛和无疼痛时的颈椎活动度(CROM)以及面部和颈部肌肉的压力疼痛阈值(PPT)。采用卡方检验、Mann-Whitney U 检验和多元线性回归分析进行数据分析。多元线性回归分析中的因素包括职业、工龄和性别。
牙医中颈部疼痛的患病率(73.0%)明显高于对照组(52.0%)(P=.002)。颈椎后伸、侧屈和旋转的 CROM 回归模型具有统计学意义(P≤.001)。测试的面部和颈部肌肉的 PPTs 回归模型具有统计学意义(P<.001)。
牙医患颈部疼痛的风险更高。牙医左侧旋转颈椎的活动范围更大可能与工作姿势有关。牙医的 PPTs 较低可能反映了面部和颈部肌肉的高敏性。需要采取预防措施来减少牙医的职业危害。