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健康女牙医月经周期中的手部灵巧性特征:一项观察性研究。

Manual dexterity characteristics throughout the menstrual cycle in healthy female dentists: An observational study.

作者信息

Hassanein Amira I, Hanfy Hala M, Kamel Hossam Al-Din H, Shaban Ahmed S

机构信息

Department of Physical Therapy for Women's Health, Faculty of Physical Therapy, Horus University, Egypt.

Department of Physical Therapy for Women's Health, Faculty of Physical Therapy, Cairo University, Egypt.

出版信息

J Taibah Univ Med Sci. 2024 Nov 17;19(6):1077-1084. doi: 10.1016/j.jtumed.2024.11.001. eCollection 2024 Dec.

Abstract

OBJECTIVES

Throughout the regular menstrual cycle, women experience fluctuations in hormonal levels, including estrogen and progesterone. Dentists often perform repetitive hand movements requiring highly proficient manual dexterity to skillfully grip and manipulate tools. Hormonal factors have been suggested to influence female dentists' level of function, thus potentially making them more vulnerable to musculoskeletal injuries than their male counterparts. Therefore, this study was conducted to investigate female dentists' manual dexterity and handgrip strength (HGS) during different phases of the menstrual cycle.

METHODS

Forty-five healthy female dentists with regular menstrual cycles participated in this study. Their ages and body mass index (BMI) were 25-35 years and 18.5-24.9 kg/m², respectively. The participants' manual dexterity and HGS were assessed during the menstrual, ovulation, and mid-luteal phases of the menstrual cycle. Manual dexterity was assessed with various measures of the Purdue Pegboard Test (PPT), including dominant hand, non-dominant hand, both hands, total, and assembly tasks. HGS for both dominant and non-dominant hands was measured with a handgrip dynamometer.

RESULTS

Statistically significantly higher mean values (P < 0.05) were obtained for all measures of the PPT and HGS during the ovulation phase compared to the menstrual and mid-luteal phases. In addition, statistically significantly higher mean values (P < 0.05) were observed for all measures of the PPT and HGS during the mid-luteal phase compared to the menstrual phase.

CONCLUSIONS

The menstrual phase may hinder proficiency in hand motor functions, such as manual dexterity and HGS, in female dentists, thus potentially increasing their vulnerability to future musculoskeletal dysfunction.

摘要

目的

在整个正常月经周期中,女性会经历激素水平的波动,包括雌激素和孕激素。牙医经常进行重复性手部动作,需要高度熟练的手部灵活性才能熟练地握持和操作工具。有研究表明,激素因素会影响女牙医的功能水平,因此她们可能比男牙医更容易受到肌肉骨骼损伤。因此,本研究旨在调查月经周期不同阶段女牙医的手部灵活性和握力。

方法

45名月经周期正常的健康女牙医参与了本研究。她们的年龄和体重指数(BMI)分别为25至35岁和18.5至24.9kg/m²。在月经周期的月经期、排卵期和黄体中期对参与者的手部灵活性和握力进行评估。通过普渡钉板测试(PPT)的各种测量方法评估手部灵活性,包括优势手、非优势手、双手、总分和组装任务。使用握力计测量优势手和非优势手的握力。

结果

与月经期和黄体中期相比,排卵期PPT和握力的所有测量值的平均数值在统计学上均显著更高(P<0.05)。此外,与月经期相比,黄体中期PPT和握力的所有测量值的平均数值在统计学上也显著更高(P<0.05)。

结论

月经期可能会妨碍女牙医手部运动功能的熟练程度,如手部灵活性和握力,从而可能增加她们未来发生肌肉骨骼功能障碍的易感性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7977/11617953/5a6012c7effe/gr1.jpg

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