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关节灵活性、握力和疼痛对肌肉骨骼疾病患者口腔卫生的影响——一项非干预性临床研究

Influence of Joint Flexibility, Hand Grip Strength and Pain on Oral Hygiene in Musculoskeletal Disorders-A Non-Interventional Clinical Study.

作者信息

Ahmad Irshad, Togoo Rafi Ahmad, M Alharthi Demah Saleh, M Alhassan Atheer Ali, O Alqahtani Deena Ali, Mukherjee Debjani, Alharthi Mohammed Saleh, Ahmad Fuzail, Ahmed Hashim, Hasan Shahnaz, Alshehri Mohammed M, Uddin Shadab

机构信息

Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha 61413, Saudi Arabia.

Department of Pediatric Dentistry & Orthodontic Sciences, College of Dentistry, King Khalid University, Abha 61413, Saudi Arabia.

出版信息

J Clin Med. 2023 Mar 11;12(6):2190. doi: 10.3390/jcm12062190.

Abstract

UNLABELLED

Diseases of the oral cavity and musculoskeletal disorders (MSDs) are common occurrences. They are commonly linked with partial mobility, resulting in limited visits to dentists for routine oral care, causing poor periodontal condition, bleeding, gingival inflammation, and increased depth of periodontal pockets. The present study was conducted to measure joint movements, hand grip strength, and pain in joints and their association with oral health.

MATERIALS AND METHODS

The study included 200 subjects, half suffering from back, neck, shoulder, elbow, and wrist problems, belonging to different age groups and professions; 100 had joint pain, and 100 were without joint pain. The study assessed individuals exposed to oral health issues by measuring the strength of hand grip, flexibility, and pain score of the back, neck, shoulder, elbow, and wrist. The strength of the hand grip and the angle of the elbow and shoulder were measured in addition to a questionnaire to assess the relationship between back pain and oral health. To evaluate dental health status and oral hygiene, the total number of decayed, missing, and filled teeth (DMF/T) and Oral Hygiene Index-Simplified (OHI-S) indices were used.

RESULTS

The difference between all demographic parameters was statistically significant ( < 0.05). It was observed that there was a significant difference in calculus, debris, and dental caries scores in both groups, with significantly lower scores and better oral hygiene in patients without joint pain. Concerning pain score and joint movements, the group without joint pain showed a significantly better range of movements and less pain than patients suffering from joint pain, and statistically a significant difference ( < 0.05) was observed between both groups.

CONCLUSION

The present study revealed that musculoskeletal disorders, pain in the neck and hand, and restricted movements were common among professionals. We observed that pain in joints, neck, and hands, with restricted movements, caused a serious impact on the maintenance of oral hygiene practices among subjects of different professions.

摘要

未标注

口腔疾病和肌肉骨骼疾病(MSDs)很常见。它们通常与部分活动能力受限有关,导致看牙医进行常规口腔护理的次数有限,进而造成牙周状况不佳、出血、牙龈炎症以及牙周袋深度增加。本研究旨在测量关节活动度、握力以及关节疼痛情况,并探讨它们与口腔健康的关联。

材料与方法

该研究纳入了200名受试者,其中一半患有背部、颈部、肩部、肘部和腕部问题,来自不同年龄组和职业;100人有关节疼痛,100人无关节疼痛。该研究通过测量握力、灵活性以及背部、颈部、肩部、肘部和腕部的疼痛评分来评估存在口腔健康问题的个体。除了一份评估背痛与口腔健康关系的问卷外,还测量了握力以及肘部和肩部的角度。为评估牙齿健康状况和口腔卫生,使用了龋失补牙总数(DMF/T)和简化口腔卫生指数(OHI-S)指标。

结果

所有人口统计学参数之间的差异具有统计学意义(<0.05)。观察发现,两组在牙石、牙菌斑和龋齿评分方面存在显著差异,无关节疼痛的患者得分显著更低,口腔卫生状况更好。关于疼痛评分和关节活动度,无关节疼痛的组比有关节疼痛的患者表现出明显更好的活动范围和更少的疼痛,两组之间在统计学上存在显著差异(<0.05)。

结论

本研究表明,肌肉骨骼疾病、颈部和手部疼痛以及活动受限在专业人员中很常见。我们观察到,关节、颈部和手部疼痛以及活动受限对不同职业受试者的口腔卫生习惯维持产生了严重影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ada7/10051188/deda20ffa63b/jcm-12-02190-g001.jpg

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