scholarly journals Musculoskeletal Disorders in Dentists: A Systematic Review

2018 ◽  
Vol 7 (2) ◽  
pp. 38-42
Author(s):  
Nihar Sultana ◽  
Md Anower Hussain Mian ◽  
Md Golam Rubby ◽  
Palash Chandra Banik

Background: Musculoskeletal disorders (MSDs) are the most important occupational health problems particularly in dentists. Technological advancements in the field of dental equipment and material- shave not fully eliminated the musculoskeletal problems of dentists.Methods: This systematic review began with a search of a range of a relevant articles from May to July 2017 in Google Scholar with the key words musculoskeletal disorders, dental practitioners, dentist, risk factors. According to the inclusion and exclusion criteria of the manuscript a total 13 origi- nal articles were included for this review work.Results : This review work observed the highest overall prevalence of MSDs among dental practition- ers were 92% with the most prevalent regions for pain in dentists have been shown to be the neck (41-75.7%), lower back (35–73.5 %) and shoulder (29–43.3%). Different risk factors have been identi- fied, including inadequate postures, long working hours without pause, direct inspection, physical load, repetitive movements etc.Conclusion: Overall, the review emphasizes that MSDs represent a significant burden for the dental professionals. Further studies are required including large sample size to be able to reach valid conclusion and be able to generalize results.Update Dent. Coll. j: 2017; 7 (2): 38-42

2005 ◽  
Vol 4 (4) ◽  
pp. 241-279
Author(s):  
Bohdana Sherehiy ◽  
Waldemar Karwowski ◽  
Tadeusz Marek

A systematic review of the published literature was carried out in order to identify the most important risk factors for musculoskeletal disorders (MSD) in the nursing profession. A standardized checklist was used in order to assess the methodological quality of the publications selected for the review. Specific criteria were established to assess the strength and consistence of evidence for potential risk factors for MSD. The results support a notion of the importance of physical work-related factors for the development of musculoskeletal problems in nursing. Lifting in awkward and forward-bent postures were especially high-risk tasks that resulted in variety of reported musculoskeletal problems. This review also revealed that psychosocial factors, especially work organization issues and "social relations at work" were strongly related to the musculoskeletal outcomes in the studied population. Such risk factors as psychological job demands and job control were also associated with musculoskeletal problems; however, the evidence concerning these factors were weak and inconsistent. Further research is needed to establish the moderating and combined effects of different risk factors for musculoskeletal disorders in the nursing profession.


PeerJ ◽  
2018 ◽  
Vol 6 ◽  
pp. e4154 ◽  
Author(s):  
Simone De Sio ◽  
Veronica Traversini ◽  
Francesca Rinaldo ◽  
Valerio Colasanti ◽  
Giuseppe Buomprisco ◽  
...  

IntroductionDental practitioners are exposed to different occupational hazards during the course of their professional activity, such as physical, chemical, biological, ergonomic factors. The ergonomic hazards, caused by strained posture and prolonged repetitive movements, can induce musculoskeletal disorders. It occurs in 54–93% of dental professionals and involve the spine, shoulder and hand-wrist tract. Through a systematic review of international literature, we analyzed specific ergonomic risk factors and preventive measures of musculoskeletal disorders in professional dental activity.MethodsThis systematic review is coherent with the PRISMA statement. The scientific research on the major online databases was based on the following keywords: dentist, prevention, ergonomic, dentistry, musculoskeletal, neck pain, posture, ergonomics, work and occupational. The studies included in this review focus on disorders related to ergonomics and on the most effective preventive measures to be adopted. No restrictions were applied for language or publication type. We excluded reports not related to ergonomic prevention in dentistry, reports of minor academic significance, editorial articles, individual contributions, and studies published in scientific conferences.ResultsOnline research indicated 4188 references: PubMed (2919), Scopus (1257) e Cochrane Library (12). We excluded 3012 of these, because they were unrelated to ergonomics theme and 187 due to duplication. From the remaining 989 studies, 960 papers did not meet inclusion criteria and they were excluded. Therefore, we analyzed 29 articles, including 16 narrative reviews and 13 original article. The main risk factor for the development of musculoskeletal disorders found in our analysis is static posture adopted during work, highlighted in 87.5% of reviews and 84% of original articles. With regard to preventive measures, 75% of the reviews highlighted the importance of stretching after each working session and at the end of the working day, while 61.5% of the original articles emphasized the use of modern and ergonomic instruments.DiscussionThis review showed that static postures are strongly responsible in the etiology of musculoskeletal disorders. The awkward postures more frequently identified among dental professionals are: extreme forward-head and neck flexion; trunk inclination and rotation towards one side; lifting one or both shoulders; increased curvature of the thoracic vertebral column; incorrect positioning of the lower limbs with thigh-leg angle of less than 90°. It is really important to use of a modern workstation with appropriate ergonomic supports. Among the preventive ergonomic measures, literature has widely recognized the role of physical activity and of a neutral and balanced posture. The present review has some limits: a large part of the selected studies did not have a high methodological quality score and an inadequate statistical analysis.


2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Tsiwaye Gebreyesus ◽  
Kalkidan Nigussie ◽  
Moges Gashaw ◽  
Balamurugan Janakiraman

Abstract Background Work-related musculoskeletal disorders impose a significant and most often underappreciated burden to the individual, nation, healthcare system, and society as a whole. To the best of our knowledge, there is a lack of reliable estimates on the prevalence of work-related musculoskeletal disorders in Ethiopia. The objective of this study will be to assess the existing literature on the prevalence rates and determinant factors of work-related musculoskeletal disorders in Ethiopia. Method We will search PubMed/MEDLINE, Embase, SCOPUS, PsycINFO, PEDro, and Ebsco (from January 2000 onwards). Gray literature will be identified through searching Google Scholar and dissertation databases. Observational studies reporting on the prevalence of work-related musculoskeletal disorders among adult Ethiopians will be included. The primary outcome will be the prevalence of work-related musculoskeletal disorders. Secondary outcomes will be the prevalence of any risk factors in association with work-related musculoskeletal disorders. Two reviewers will independently screen all citations, full-text articles, and abstract data. The study methodological quality (or bias) will be appraised using an appropriate tool. If feasible, we will conduct random effects meta-analysis of observational data. Subgroup analyses will be conducted to explore the potential sources of heterogeneity (e.g., gender, sample size, type of occupation). Publication bias and heterogeneity between the included studies will also be assessed and reported. Discussion This systematic review will provide a synthesis of the literature on the prevalence of work-related musculoskeletal disorders and their risk factors in Ethiopia. The results of this review could help the policymakers in occupational health and healthcare sectors in identifying priority areas for interventions in work-related musculoskeletal disorders and will also serve as a baseline for the decision-making processes of musculoskeletal health promotion, work exposure implementations, and prevention programs in workplaces. Systematic review registration PROSPERO, CRD42020164240


2016 ◽  
Vol 66 (8) ◽  
pp. 614-622 ◽  
Author(s):  
V. A. E. Baadjou ◽  
N. A. Roussel ◽  
J. A. M. C. F. Verbunt ◽  
R. J. E. M. Smeets ◽  
R. A. de Bie

Author(s):  
Shada M. Alharbi ◽  
Abdullah K. Alghanem ◽  
Hanan A. Alessa ◽  
Raghad S. Aldoobi ◽  
Fatimah A. Busayli ◽  
...  

In the different healthcare settings, evidence shows that healthcare workers can be exposed to various work-related hazards, which might be ergonomics, biological, psychological, and physical hazards. Work-related musculoskeletal disorders are frequently reported among the different healthcare workers, and estimates indicate that surgeons are the most commonly affected. Disorders and injuries related to the backbone, shoulders, wrist, and knees are mainly reported by healthcare workers as relevant ergonomic hazards. In the present literature review, we have discussed the commonest ergonomics that have been reported in the literature among healthcare workers. Musculoskeletal disorders as back, knee, and wrist pain are the most frequently reported among the different settings. We have also assessed the different reasons that might attribute to the development of such events, and increased workload and working hours, in addition to the harmful postures are the main reasons that have been reported in the literature. Each clinical and surgical setting might be associated with significant risk factors over others, and therefore, specific interventions should be applied within these settings to enhance satisfaction among healthcare workers. Healthcare authorities are mainly responsible to achieve this. However, further epidemiological investigations are still needed to adequately plan the righteous interventional programs.


Author(s):  
Revati V. Mulay ◽  
Anand Gangwal ◽  
Ashok K. Shyam ◽  
Parag K. Sancheti

Background: Flight attendants are the cabin crew members working in different commercial airlines. Their main job is to ensure safety and comfort of all the passengers. They are exposed to certain ergonomic stressors like long standing, irregular working hours and working in confined spaces and thus are likely to experience work related musculoskeletal disorders. The purpose of this study was to find out the prevalence and risk factors for work related musculoskeletal disorders in flight attendants.Methods: A survey-based study was performed. Self-made questionnaire was used and was validated by 3 experts in the Physiotherapy field. Workplace stress scale was also used to determine the level of mental stress that they experience. Informed consent was taken by each flight attendant participating in the study. Questionnaire was given to flight attendants working for different airlines like Spice Jet, Air India and Jet Airways. Hard copy of the questionnaire and online forms of the questionnaire were used to complete the data collection.Results: A total of 82% flight attendants reported to have work related pain in one or more body regions. Pain was commonly reported in feet and ankle, lower back and neck. Common risk factors were lack of rest breaks, prolonged standing/long working hours, wearing heels and mental stress.Conclusions: Thus, the study shows high prevalence of work-related musculoskeletal disorders in flight attendants.


2020 ◽  
Author(s):  
Tsiwaye Gebreyesus ◽  
Kalkidan Nigussie ◽  
Moges Gashaw Getnet ◽  
Balamurugan Janakiraman

Abstract Background: Work-related musculoskeletal disorders impose a significant and most often underappreciated burden to the individual, nation, healthcare system, and society as a whole. To the best of our knowledge, there is a lack of reliable estimates on the prevalence of work-related musculoskeletal disorders in Ethiopia. The objective of this study will be to assess the existing literature on the prevalence rates and determinant factors of work-related musculoskeletal disorders in Ethiopia.Method: We will search PubMed/MEDLINE, Embase, SCOPUS, PsycINFO, PEDro and Ebsco (from January 2000 onwards). Grey literature will be identified through searching Google Scholar and dissertation databases. Observational studies reporting on the prevalence of work-related musculoskeletal disorders among adult Ethiopians will be included. The primary outcome will be the prevalence of work-related musculoskeletal disorders. Secondary outcomes will be the prevalence of any risk factors in association with work-related musculoskeletal disorders. Two reviewers will independently screen all citations, full-text articles, and abstract data. The study methodological quality (or bias) will be appraised using an appropriate tool. If feasible, we will conduct random effects meta-analysis of observational data. Subgroup analyses will be conducted to explore the potential sources of heterogeneity (e.g. gender, sample size, type of occupation).Publication bias and heterogeneity between the included studies will also be assessed and reported.Discussion: This systematic review will provide a synthesis of the literature on the prevalence of work-related musculoskeletal disorders and their risk factors in Ethiopia. The results of this review could help the policymakers in occupational health and health care sectors in identifying priority areas for interventions in work-related musculoskeletal disorders and will also serve as a baseline for the decision-making processes of musculoskeletal health promotion, work exposure implementations, and prevention programs in workplaces. Systematic review registration: PROSPERO CRD42020164240


2018 ◽  
Vol 33 (4) ◽  
pp. 265-274 ◽  
Author(s):  
Nadine Rensing ◽  
Heike Schemmann ◽  
Christoff Zalpour

BACKGROUND/AIMS: Research in music medicine has reported incidence rates of musculoskeletal disorders of approx. 70% in instrumental musicians. String players have the highest risk, with rates of performance-related musculoskeletal disorders (PRMDs) of 65% to 88%. Playing the violin or viola requires complex neuromusculoskeletal skills, and the high frequency of repetitive movements, dynamic and static muscle load, awkward postures, poor technique, and practice time are factors causing musculoskeletal strain. In ergonomic terms, these disorders can be categorized based on extrinsic and intrinsic loads. Identification of intrinsic loads, such as muscle utilization and joint motion, is necessary to understand factors influencing musculoskeletal disorders associated with violin playing. The aim of this study was to review the literature on musculoskeletal demands in violin and viola playing. METHODS: A literature search was conducted in the PubMed, COCHRANE, and CINAHL electronic databases from 1999 to 2015 using the search terms violin, viola, high strings, movement, posture, and synonyms. A manual search of Medical Problems of Performing Artists was also conducted. Additional references were identified by searching the citations and reference lists of all identified relevant studies. RESULTS: The results suggest that an asymmetric playing posture, the associated muscle activity, and joint mobility may contribute to musculoskeletal problems in violin and viola players. Evidence suggests an increased load of intrinsic factors in violin/viola performance. CONCLUSION: The identification of intrinsic loads in violin and viola playing may facilitate the development of prevention strategies and interventions.


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