Faculté de Chirurgie Dentaire, Université de Strasbourg, Strasbourg, France.
Pôle de Médecine et Chirurgie Bucco-Dentaires, Hôpitaux Universitaires de Strasbourg (HUS), Strasbourg, France.
Eur J Dent Educ. 2023 Aug;27(3):575-581. doi: 10.1111/eje.12843. Epub 2022 Aug 9.
Many studies show a higher prevalence of back pain for dentists and dental students than in the general population. This leads to a need to integrate an effective back pain prevention program (BPPP) into the student's curriculum. We have implemented such a program for 10 years, and the objective was to evaluate its effectiveness.
Data from 102 dentists and students who benefited from the BPPP were collected. Back pain prevalence and its intensity (0-10 scale) regarding neck, upper back and lower back location were studied, as well as sex, age, implementation or not of elements of the BPPP into daily practice, and if so at what moment of the professional life. For identical items, answers were compared with those from a national survey conducted amongst French students and practitioners in 2018.
Amongst the BPPP beneficiaries, 60% were suffering from chronic back pain versus 77% in the previous national survey (p < .001). Mean pain intensity was lower in each location for the BPPP beneficiaries on the 0-10 scale: neck 1.91 vs. 2.40 (p = .05); upper back 1.94 vs. 2.72 (p < .001); lower back 2.26 vs. 2.67 (p = .15). Respondents who implemented elements of the BPPP from the start of their clinical practice showed a prevalence of chronic back pain of 48.4%, against 77% for respondents who did so only from the first year or after (p < .05).
Our BPPP seems to show a positive preventive effect on dentists and students after a 10-year implementation. It is a solid basis that can however be further improved.
许多研究表明,牙医和牙科学员的背痛患病率高于普通人群。这就需要将有效的背痛预防计划(BPPP)纳入学生的课程中。我们已经实施了这样的计划 10 年,其目的是评估其效果。
收集了 102 名受益于 BPPP 的牙医和学生的数据。研究了颈部、上背部和下背部位置的背痛患病率及其强度(0-10 级),以及性别、年龄、是否将 BPPP 的要素纳入日常实践中,如果是,在职业生涯的哪个阶段。对于相同的项目,将答案与 2018 年在法国学生和从业者中进行的全国性调查的答案进行了比较。
在 BPPP 的受益者中,60%患有慢性背痛,而前一次全国性调查中为 77%(p<.001)。在 0-10 级的每个位置,BPPP 受益者的平均疼痛强度较低:颈部 1.91 对 2.40(p=.05);上背部 1.94 对 2.72(p<.001);下背部 2.26 对 2.67(p=.15)。从临床实践开始就实施 BPPP 要素的受访者中,慢性背痛的患病率为 48.4%,而仅在第一年或之后开始实施的受访者中,慢性背痛的患病率为 77%(p<.05)。
经过 10 年的实施,我们的 BPPP 似乎对牙医和学生有积极的预防作用。这是一个坚实的基础,但可以进一步改进。