Frequency of Neck and Upper Extremity Musculoskeletal Disorders in Dentists

2020 ◽  
Vol 9 (3) ◽  
pp. 207-211
Author(s):  
Sidra Sarwar ◽  
Sara Khalid ◽  
Tahir Mahmood ◽  
Hadeeqa Jabeen ◽  
Shahid Imran

Background: Musculoskeletal disorders are not only becoming prevalent among health care professionals in our country but are affecting their health and performance adversely. They are caused by poor ergonomics and awkward posture during work activities. The purpose of this study was to determine the frequency of neck and upper limb musculoskeletal disorders in dentists of Lahore, Pakistan. Material and Methods: This cross-sectional study was conducted during October 2017 to March 2018. The data was collected using convenient sampling technique from 162 Dentists including 52 males and 110 females of Children hospital Lahore, Punjab Dental hospital and Fatima Memorial Hospital, Lahore. Data was collected by using Mangalore Questionnaire for identification of musculoskeletal disorders. Descriptive analysis of the data was done using SPSS version 22.0. Results: Of 162 dentists, 115 (71%) suffered from musculoskeletal disorders. Shoulder was the most commonly affected region (30.9%) followed by neck (25.9%), arm (6.2%), wrist (4.3%), elbow (3.1%) and forearm (0.6%). Pain (45.7%) was found to be the most common complaint followed by muscle weakness (20.4%), paraesthesia (3.7%) and swelling (1.2%). Conclusions: It was concluded that majority of the dentists were suffering from musculoskeletal disorders with shoulder as the most affected region and pain as the most frequent complaint. Key words: Dentists, Musculoskeletal disorders, Neck pain, Upper extremity

2019 ◽  
Vol 2019 ◽  
pp. 1-9
Author(s):  
Tesfaye Hambisa Mekonnen ◽  
Giziew Abere ◽  
Shalema Wedajo Olkeba

Background. Work-related upper extremity musculoskeletal disorders (WUEDs) often present remarkable health and economic burdens on society. Occupational barbers are usually neglected both in research and policy actions, mainly in developing countries, and hence are likely subjected to the conditions. So far, information about factors that influence WUEDs among barbers in Ethiopia is inconclusive. Therefore, this study aimed to evaluate prevalence and factors associated with WUEDs among barbers in Gondar town, Ethiopia. Methods. We conducted a cross-sectional study from March to April 2018. A sample of 424 participants were recruited using systematic random sampling technique. A standardized Nordic Musculoskeletal Questionnaire was pretested and interviewer-administered for data collection. The data were analyzed by SPSS version 20 software. We set statistical significances at <0.05 p value with 95% confidence intervals (CI) and computed odds ratios to evaluate strength of associations. Results. The response rate was 98.3% (N=417). The mean age was 26.39 (SD + 4.805) years. The prevalence of upper extremity musculoskeletal disorders over the past 12 months was 56.8% (N=237). Upper back pain was observed in 38.8% (N=162) participants, whereas shoulder (27.1% (N=113)), neck pain and elbow/forearms (each 29.3% (N=122)), and wrists/hand disorders (32.4% (N=135)) were the common body sites indicated. Age (AOR: 2.614; 95% CI (1.287, 5.307)), alcohol use (AOR: 3.556; 95% CI (2.212, 5.717)), frequent standing (AOR: 1.536; 95% CI (1.006, 2.346)), physical exercises (AOR: 1.938; 95% CI (1.216, 3.089)), and low monthly salary (AOR: 3.125; 95% CI (1.157, 5.441)) were factors associated with work-related upper extremity disorders. Conclusions. Work-related upper extremity disorder is common among hairdressing professionals. Worksite health promotions targeted to lifestyle behaviors, like physical exercise and alcohol consumption require urgent public health actions in Ethiopia. Moreover, adaption of flexible work postures and proper management of workplace conditions related to aging workforces are also imperative to trace the complaints.


2000 ◽  
Vol 44 (30) ◽  
pp. 5-557-5-560
Author(s):  
Alfred Franzblau ◽  
Robert A. Werner ◽  
Thomas J. Armstrong ◽  
Sheryl S. Ulin

Numerous investigators have performed cross-sectional studies of upper extremity musculoskeletal disorders (UEMSDs) among industrial workers, and modeled the prevalence of these conditions in relation to potential ergonomic exposures and other covariates. However, prospective studies have been rare for a variety of reasons. Results of a cross-sectional study of UEMSDs based on data collected approximately 5 years ago were published in 1999 (Latko et al., 1999). A subset of the workers from this study were available for re-examination approximately 5 years after the first investigation. The survey tools and clinical examination protocols used in the follow-up examinations were largely identical to the baseline procedures, thus permitting direct comparison of results between rounds. Workers from 2 of the 3 employers in the original study were available for the follow-up investigation. Just over 50% of available and eligible workers participated in the follow-up examinations (152 out of 267, or 57%). The mean age at follow-up was almost 48 years (standard deviation = 9.5 years). The mean body mass index (BMI) was 28.9 at follow-up, and just over half of the study participants were male (53%). Most subjects were still employed by the same employer, and most were still in the same jobs. The prevalence and severity of upper extremity symptoms declined significantly in most body regions between baseline and follow-up. In contrast, the prevalence of most upper extremity diagnoses (tendinitis and carpal tunnel syndrome based on symptoms, standardized physical examinations, and/or nerve conduction tests) increased slightly, though not significantly. Relative median-minus-ulnar peak latency differences increased slightly, and significantly, between rounds. There are almost no studies for comparison of results. More prospective studies are needed to better understand the natural history of upper extremity musculoskeletal disorders among workers.


2009 ◽  
Vol 24 (3) ◽  
pp. 113-118
Author(s):  
Cecilia Wahlström Edling ◽  
Anncristine Fjellman-Wiklund

To play a musical instrument, such as the violin or flute, requires controlled, adequate movements performed by the arm, hand, and fingers in an asymmetric playing posture. The movements are monotonous and often of long duration, involving static and repetitive muscle work of the upper extremity and neck-shoulder muscles. This situation may lead to an increased risk of contracting musculoskeletal problems. The aim of this cross-sectional study was to investigate the relationship between physical workload, defined as playing posture and playing time per week, and musculoskeletal disorders in music teachers. A questionnaire was distributed, with items based on work-related musculoskeletal disorders and physical working conditions. The study population consisted of music teachers employed at a Swedish municipal music school. Out of 61 music teachers, 47 (77%) agreed to participate, including 28 women and 19 men. The study group was divided into two groups depending on if they had an asymmetric or symmetric upper extremity/back playing position. Of the total participants, 77% reported musculoskeletal disorders during the preceding 12 months. Female teachers reported significantly more symptoms in the neck, shoulders, and upper back than male teachers. Music teachers with an asymmetric playing posture had significantly more musculoskeletal disorders than music teachers with a symmetric playing posture. This study demonstrates that an asymmetric playing position may affect the amount of musculoskeletal disorders in the upper extremity and back.


2018 ◽  
Vol 5 (3) ◽  
pp. 92-97
Author(s):  
Nayeema Binti Karim ◽  
Aklima Chowdhury Asha ◽  
Md. Aminul Islam ◽  
Anup Mandal ◽  
Taslima Islam ◽  
...  

Background and aims: The prevalence of cervical spondylosis is rising. The objective of this study was to figure out the various features and their related factors among cervical spondylosis patients in Dhaka, Bangladesh. Methods: A descriptive cross-sectional study was conducted enrolling 40 patients from NITOR (National Institute of Traumatology and Orthopedic Rehabilitation) in Dhaka, Bangladesh. Data were collected from the physiotherapy department of NITOR using convenient sampling technique. A structured questionnaire was used for data collection. Patients who were diagnosed with cervical spondylosis were included in this study. Data were analyzed using SPSS version 22.0. Descriptive analysis was done using frequency measures, mean and percentages. Results: Among our respondents, the majority of them were female (62.5%). Majority of the participants were in the age group of 35 to 50 years (62.5%). Many of them were urban population engaged in service or housewives. Stressful job (55%), duration of working hour >8 hours (62.5%) were the most common characteristics among patients. The main location of pain was in the shoulder (82.5%) followed by the neck (77.4%) and forearm (70%). Most patients had intermittent pain (57.5%), numbness (55%), tingling sensation (47.5%) and paresthesia (42.5%). Moderate type of pain (65%), the involvement of both upper limbs (35%) and radiating pain to shoulder (72.5%) were the most reported features by patients. No response to medication was also observed. Conclusion: Being female, middle age group, stressful occupation, location and radiation of pain to shoulder are some of the common features revealed in this study. The findings will help the practitioner to plan their treatment goals and techniques considering the characteristics of patients.


2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Hana Tesfaye ◽  
Ebissa Negara ◽  
Kenbon Bayisa

Abstract Background Implanon is an effective form of long-acting reversible contraceptive used to prevent conception with a clinical failure rate of less than one per 100 users. However, in sub-Saharan countries the utilization of implanon was very low. Regardless of low utilization; its early discontinuation is very common in most developing countries including Ethiopia. Objectives To assess the prevalence of early implanon discontinuation and associated factors among women ever used implanon in Mettu district. Methods A community based cross-sectional study design was conducted from October 11 to December 4, 2020 G C. A total of 430 women were included in the study by systematic random sampling technique. Data were entered into epi data version 3.1 and analyzed by SPSS version 25.0. Descriptive analysis was computed to describe descriptive results. Logistics regression was computed to see the relative effect of factors on the outcome variable. Adjusted odds ratio was calculated with 95% confidence intervals to show strength of association and p-value < 0.05 was used to declare statistical significance. The finding of the study was presented using narrations, tables and chart. Result The total proportion of early implanon discontinuation among 430 mothers was 19.3%. Women who did not counseled about the presence of alternatives methods [AOR = 2.28: 95% CI (1.22–4.26)], women who experienced dizziness after insertion of implanon [AOR = 1.90: 95% CI (1.06–3.43)] and being having menstrual disturbance after insertion of implanon [AOR = 2.17: 95% CI (1.16–4.08)] were significantly associated with early implanon discontinuation. Women who were counseled about the advantage of implanon [AOR: 0.49: 95% CI (0.28–0.87)] were protective from early implanon discontinuation. Conclusion and recommendation Early implanon discontinuation among mothers was found to be high. Hence, effective counseling on advantages and side effects of implanon and proper management of the side effects should be made to increase implanon retention.


2019 ◽  
Vol 4 (1) ◽  

Background: Musculoskeletal Disorders (MSDs) are the most common and largest category of work-related illness seen both in a developed & developing country. Purpose: The purpose of the study to assess the MSDs of Cycle Rickshaw (CR) Pullers & to find out the significance between MSDs with related variables. Material & Methods: A descriptive cross-sectional study was conducted among 136 CR Pullers residing in the Dhaka Metropolitan city. Purposive sampling technique was used where data were collected by a structure administered questionnaire with face to face interview & data was analyzed by SPSS (Version 20). Results: Results indicated that the prevalence of MSDs was 91% where upper back, lower back, leg & calf muscle, & knee joint was the more prevalent site. Some ergonomics and work related factors are responsible for developing MSDs. However, there was a significant relationship between MSDs with weight bearing (P<0.05) & daily rickshaw pulling time (p<0.05). In addition, an extremely high significant relationship found between MSDs with age (p<0.001) and BMI (p<0.001). Conclusion: It is concluded that MSDs among CR pullers were extremely high. Awareness of ergonomics and work-related factors might help to prevent and reduce the prevalence of MSDs among CR pullers.


2018 ◽  
Vol 25 (11) ◽  
Author(s):  
Naveed Mansoori ◽  
Imran Bakar ◽  
Naveen Shahid ◽  
Syed Muhammad Mubeen

Introduction: Toothbrushes play an essential role in oral hygiene and is commonlypracticed on daily basis to clean the oral cavity. It can serve as a reservoir for microorganismsin healthy and infected person. Objectives: To isolate the bacterial contaminants on usedtoothbrushes and to compare the type of bacterial growth in capped and uncapped toothbrushesamong general population of Karachi. Study Design: Cross-sectional study. Setting: Study wasconducted among general population of Karachi. Hamdard College of Medicine and Dentistry,Hamdard University, Karachi. Period: February to September 2014. Methodology: Usingconvenient sampling technique, data was collected from subjects of different socioeconomicstatus. Toothbrushes for culture was collected under standard precautions to observe asepticconditions. Descriptive analysis was done for all independent variables using SPSS version20. The frequency of various bacterial contaminants on used toothbrushes were determinedand chi square test was used to observe the association of bacterial growth among cappedand uncapped toothbrushes. P-value <0.05 was considered statistically significant. Results:Out of the total 106, 51 (48.1%) were female and 55 (51.9%) male participants. Substantialnumber of toothbrushes 91 (85.8%) were found to have bacterial contamination. Majority ofthe participants (82.1%) were between 19 . 59 years of age, intermediate or above (61.3%),monthly income rupees . 20000 (46%), using same brush >3 months (50.0%), brushing teethtwice a day (62.3%) and keeping toothbrushes uncapped were (66.0%). Statistically significant(P<0.05) difference was found between capped and uncapped toothbrushes and presenceof Klebsiella and Pseudomonas. Conclusion: The study concluded that used toothbrushesare significantly contaminated with bacteria which may cause serious health problems amongindividuals and families.


Author(s):  
Nur Ulfah ◽  
Siti Harwanti ◽  
Panuwun Joko Nurcahyo

Kelainan otot rangka merupakan gangguan fungsi otot, tendon, saraf, pembuluh darah, tulang dan ligamen yang biasa diderita oleh pekerja dengan aktivitas kerja menggunakan kekuatan otot, seperti pekerja laundry. Penelitian ini bertujuan mengetahui sikap kerja pekerja laundry dan hubungan dengan risiko musculoskeletal disorders di Kecamatan Purwokerto Utara. Penelitian ini menggunakan desain studi potong lintang dengan teknik pengambilan sampel menggunakan quota sampling dengan kriteria inklusi responden bekerja hanya pada satu bagian kerja tertentu dari laundry, tidak memiliki keterbatasan komunikasi dan kriteria eksklusi responden keluar dari pekerjaan dan tidak bersedia dijadikan responden. Sampel sebanyak 150 orang dengan kuota masing-masing bagian diambil sebagai sampel sebanyak 30 orang, meliputi bagian penimbangan, pencucian, pengeringan, penyetrikaan dan pengemasan. Penelitian menemukan sikap kerja yang berhubungan dengan risiko kelainan otot rangka adalah pada bagian pencucian (nilai p = 0,014, nilai p < 0,05). Sedangkan sikap kerja bagian penimbangan (nilai p = 0,77), pengeringan (nilai p = 0,257), penyetrikaan (nilai p = 0,109) dan pengemasan (nilai p =0,370) tidak berhubungan dengan risiko MSDs (nilai p > 0,05). Hanya sikap kerja pada bagian pencucian yang berisiko menimbulkan MSDs, sehingga perlu dilakukan intervensi berupa pelatihan sikap kerja mencuci yang benar.Musculoskeletal disorders (MSDs) are disorders of muscle function, tendons, nerves, blood vessels, bones and ligaments that usually occur in workers with work activities using muscle power, such as laundry workers. The study aimed to determine the attitude of the working relationship with the risk of MSDs in the Nothren Purwokerto district. Type cross-sectional study with a quantitative approach. The sampling technique using quota sampling with inclusion criteria of the respondents worked only on one particular part of the laundry work, they do not have any communication limilimitations and exclusion criteria respondents out of work and not willing to be the respondent. Based on these criteria obtained a sample of 150 people with a quota of each section is taken as a sample of 30 people, which is part of the weighing, washing, drying, ironing and packing. The results showed that the attitude of work-related MSDs are at the risk of leaching (p value= 0.014, p< 0.05). While the attitude of the weighing part employment (p= 0.77), drying (p= 0.257), ironing (p= 0.109), and packaging (p= 0.370) was not associated with risk of MSDs, because the value of p> 0.05. So it is concluded that only work attitude on the part pose a risk of MSDs washing. Therefore, it is necessary to intervene in the form of job training wash right attitude.


2021 ◽  
Vol 28 (08) ◽  
pp. 1101-1106
Author(s):  
Sana Arbab ◽  
◽  
Munawar Aziz Khattak ◽  
Syed Amjad Shah ◽  
◽  
...  

Objective: To find out the frequency of cusp of Carabelli and its association with dental caries in maxillary permanent first molars in both male and female patients of Peshawar. Study Design: Cross Sectional Study. Setting: OPD of Peshawar Dental Hospital, Peshawar. Period: July 2016 to December 2016. Material & Methods: A total of 300 patients (125 males and 175 females) were selected through consecutive sampling technique and the number of teeth examined was 600 (two teeth per patient). Age group selected for the patients was from 13 to 30 years. Both the genders having fully erupted maxillary permanent first molars on both sides of the jaw were included in the study and the teeth were examined usin0g mouth mirror while the presence of caries in Carabelli groove was checked with the help of dental explorer (probe). Results: Of the total 300 patients, 118 (39.3%) presented the cusp of Carabelli on maxillary permanent first molars and the number of teeth having the cusp was 192 (32%) out of the total 600 among them. 24.7% of the patients had cusp present on both right and left MPFM while 10.3% of patients had CC present only on right maxillary molars and in 4.3% of patients, it was located on left molars. Gender differentiation of the cusp did not show a statistically significant difference (p-value 0.140). The frequency of caries associated with the cusp of Carabelli groove was found to be 17.7%. Out these patients, 8 males (34.7%) and 15 females (65.2%) were affected. P value for this distribution was 0.651, which shows no statistically significant difference between genders for the presence of caries. Conclusion: The cusp of Carabelli is a common finding on the palatal surface of mesiolingual cusp of maxillary permanent first molars in a hospital-based population of Peshawar with no statistically significant difference between males and females. Caries in cusp of Carabelli groove is a common association with the cusp having no significant difference between genders.


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