Marshall E D, Duncombe L M, Robinson R Q, Kilbreath S L
School of Physiotherapy, University of Sydney.
Aust Dent J. 1997 Aug;42(4):240-6. doi: 10.1111/j.1834-7819.1997.tb00128.x.
This study describes the prevalence and distribution of symptoms of musculoskeletal disorders occurring in New South Wales dentists and investigates the relationship between these symptoms and work practices. Four hundred and forty two members of the Australian Dental Association (New South Wales Branch), were randomly selected and sent questionnaires. Eighty per cent (n = 355) responded. No significant differences in reported symptoms were found when considering age, experience, handedness, operating position or period of working without a break. Eighty-two per cent of the respondents reported experiencing one or more musculoskeletal symptoms during the previous month. Sixty-four per cent of the sample reported suffering pain (the majority reported back pain) and 58 per cent headaches. Most severe symptoms reported were pain (39%) and headaches (25%). Those in the youngest age category of less than 35 years (26%), were significantly more likely to have headaches (chi 2 4df p < 0.05). Female dentists were more likely to rate the severity of their most severe symptom higher (chi 2 1df p < 0.05), and to report more frequent pain (chi 2 2df p < 0.05) and headaches (chi 2 2df p < 0.05). Those practising four-handed dentistry were significantly more likely to be in the 35-44 age range (chi 2 4df p < 0.01), to work for longer periods before taking a 10-minute break (chi 2 5df p < 0.05) and to report frequent pain (chi 2 2df p < 0.05). The results support the findings of previous studies conducted overseas but additional information about musculoskeletal symptoms in this occupational group has been identified.
本研究描述了新南威尔士州牙医中肌肉骨骼疾病症状的患病率和分布情况,并调查了这些症状与工作方式之间的关系。随机选取了442名澳大利亚牙科协会(新南威尔士州分会)的成员,并向他们发送了问卷。80%(n = 355)的人回复了问卷。在考虑年龄、经验、用手习惯、操作位置或不间断工作时间时,报告的症状没有显著差异。82%的受访者报告在前一个月内经历过一种或多种肌肉骨骼症状。64%的样本报告有疼痛(大多数报告为背痛),58%报告有头痛。报告的最严重症状是疼痛(39%)和头痛(25%)。年龄在35岁以下的最年轻年龄组中,有头痛症状的比例显著更高(卡方检验,自由度为4,p < 0.05)。女牙医更有可能给自己最严重症状的严重程度评分更高(卡方检验,自由度为1,p < 0.05),并报告更频繁的疼痛(卡方检验,自由度为2,p < 0.05)和头痛(卡方检验,自由度为2,p < 0.05)。从事四手操作牙科的人更有可能处于35 - 44岁年龄范围(卡方检验,自由度为4,p < 0.01),在休息10分钟之前工作更长时间(卡方检验,自由度为5,p < 0.05),并报告频繁疼痛(卡方检验,自由度为2,p < 0.05)。研究结果支持了此前在海外进行的研究结果,但也确定了关于这一职业群体肌肉骨骼症状的更多信息。