scholarly journals Ergonomic risk and preventive measures of musculoskeletal disorders in the dentistry environment: an umbrella review

PeerJ ◽  
2018 ◽  
Vol 6 ◽  
pp. e4154 ◽  
Author(s):  
Simone De Sio ◽  
Veronica Traversini ◽  
Francesca Rinaldo ◽  
Valerio Colasanti ◽  
Giuseppe Buomprisco ◽  
...  
Keyword(s):  
Systematic Review ◽  
Musculoskeletal Disorders ◽  
Preventive Measures ◽  
Lower Limbs ◽  
Cochrane Library ◽  
Professional Activity ◽  
Trunk Inclination ◽  
Dental Practitioners ◽  
Dental Professionals ◽  
Ergonomic Risk

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.

scholarly journals Effectiveness of workplace exercise interventions in the treatment of musculoskeletal disorders in office workers: a protocol of a systematic review

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e038854
Author(s):  
Carlos Tersa-Miralles ◽  
Roland Pastells-Peiró ◽  
Francesc Rubí-Carnacea ◽  
Filip Bellon ◽  
Esther Rubinat Arnaldo
Keyword(s):  
Systematic Review ◽  
Musculoskeletal Disorders ◽  
Exercise Intervention ◽  
Meta Analysis ◽  
Office Workers ◽  
Cochrane Library ◽  
Exercise Interventions ◽  
Physical Strength ◽  
Prolonged Sitting ◽  
Randomised Controlled

IntroductionPhysical inactivity due to changes in our society towards more sedentary behaviours is leading to health problems. Increasing physical activity might be a good strategy to improve physical strength and reduce the prevalence of illnesses associated with prolonged sitting. Office workers exhibit a sedentary lifestyle with short rest periods or even without pauses during the workday. It is important to perform workplace interventions to treat musculoskeletal disorders caused by prolonged sitting and lack of movement adopted on the office setting. This article describes a protocol for a systematic review to evaluate the effectiveness of exercise interventions on office workers in their work environment.Methods and analysisA literature search will be performed in the PubMed, CINAHL Plus, Cochrane Library, Scopus, ISI WoS and PeDRO databases for randomised controlled trials and studies published from 1 January 2010 to 31 July 2020 in English or Spanish. The participants will be office workers who spend most of their work time in a sitting position. The interventions performed will include any type of exercise intervention in the workplace. The outcome measures will vary in accordance with the aim of the intervention observed. The results of the review and the outcomes from the studies reviewed will be summarised with a narrative synthesis. The review protocol was developed according to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines.Ethics and disseminationEthical approval is not required. The review outcomes and the additional data obtained will be disseminated through publications and in scientific conferences.PROSPERO registration numberCRD42020177462.

Regorafenib-associated adverse event management in colorectal and gastrointestinal stromal cancer patients: A systematic review and meta-analysis.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e15181-e15181
Author(s):  
Ganfeng Xie ◽  
Yuzhu Gong ◽  
Shuang Wu ◽  
Chong Li ◽  
Songtao Yu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Initial Dose ◽  
Preventive Measures ◽  
Meta Analysis ◽  
Pearson Correlation ◽  
Management Strategies ◽  
Cochrane Library ◽  
Delayed Treatment ◽  
Comprehensive Search

e15181 Background: Adverse events (AEs) observed in regorafenib treated metastatic colorectal cancer (mCRC) and gastrointestinal stromal tumors (GIST) often require treatment modification. However, due to dearth of literature reporting AE management, we performed a systematic review and meta-analysis to assess the success of different methods of managing regorafenib-associated AEs and also determined risk factors of the AEs. Methods: A comprehensive search was conducted in PubMed, Embase and Cochrane Library, to retrieve RCTs and observational studies published from inception to May 2018, discussing the management methods of AEs with rate of improvement and risk factors of the AEs. The success rate for each method was evaluated as percentage and compared using chi2-test. Risk factors were presented using Pearson correlation. Results: We identified 28 studies for this analysis (N = 3120 patients; 305 GIST and 2,815 mCRC). Methods used for management included intermittent dose withdrawal (66.7%), delayed treatment schedules (54%), dose reductions (41%), complete drug withdrawal (19%) and preventive measures like dexamethasone and lactose administration or surgery (63.7%). Reduction or improvement in AEs was observed in 57%, 17% and 100% patients after lowering the initial dose, intermittent withdrawal of regorafenib and using other preventive measures, respectively. Patients aged < 65 years had significantly higher occurrence of AEs compared with patients aged ≥65 years (27.6% vs. 71.3%, p = 0.001). A significant positive correlation was observed between the occurrence of all and grade 3AEs with 160mg dose (r = 0.967 and 0.746 respectively; p = 0.001 for both) with no significant correlation observed for 120-mg and 80-mg doses and any gender. Conclusions: Initiating dose of 160mg is a major risk factor for regorafenib associated AEs in mCRC and GIST patients; with intermittent dose reduction, withdrawal, and delayed treatment being the commonly used management strategies. To allay the risk of AEs and maintain the efficacy, 120mg initial dose is recommended for mCRC and GIST patients. However, further studies are required to confirm the results.

Main types of insoles described in the literature and their applicability for musculoskeletal disorders of the lower limbs: A systematic review of clinical studies

2020 ◽  
Vol 24 (4) ◽  
pp. 29-36
Author(s):  
André Augusto Martines Teixeira Mendes ◽  
Hugo Jário de Almeida Silva ◽  
Ana Rafaella Araújo Costa ◽  
Yago Tavares Pinheiro ◽  
Caio Alano de Almeida Lins ◽  
...  
Keyword(s):  
Systematic Review ◽  
Musculoskeletal Disorders ◽  
Clinical Studies ◽  
Lower Limbs

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
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Musculoskeletal Disorders ◽  
Working Hours ◽  
Large Sample Size ◽  
Dental Equipment ◽  
Dental Practitioners ◽  
Repetitive Movements ◽  
Significant Burden ◽  
Musculoskeletal Problems

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

HIV-Tuberculous Meningitis Co-infection: A Systematic Review and Meta-analysis

2020 ◽  
Vol 21 ◽  
Author(s):  
Ali Purmohamad ◽  
Taher Azimi ◽  
Mohammad Javad Nasiri ◽  
Mehdi Goudarzi ◽  
Moein Zangiabadian ◽  
...  
Keyword(s):  
Systematic Review ◽  
Human Immunodeficiency Virus ◽  
Tuberculous Meningitis ◽  
Preventive Measures ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Analysis Model ◽  
Pooled Prevalence ◽  
Immunodeficiency Virus ◽  
High Prevalence

: Human immunodeficiency virus (HIV)-infected persons are at a higher risk of developing Tuberculous meningitis (TBM). We aimed to estimate the prevalence of TBM-HIV co-infection. We systematically searched Pubmed/Medline, Embase and Cochrane library databases from January 1, 2000, to January 31, 2017, to find relevant studies. We employed the random-effects meta-analysis model to estimate the pooled prevalence of TBM-HIV co-infection. Twenty-six eligible studies showed the prevalence of HIV in TBM patients. In the pooled analyses, the prevalence of HIV was 30% (95% CI: 12-47) in patients with confirmed TBM, and 12.1% (95% CI: 7.3-19.2) in patients with suspected TBM. This study shows a high prevalence of TBM-HIV co-infection. Establishing proper diagnostic criteria and preventive measures for TBM infections could assist in the prevention and management of TBM infection, particularly TBM-HIV co-infection.

Musculoskeletal disorders and selecting an appropriate tool for ergonomic risk assessment in the dental profession

Work ◽  
2021 ◽  
pp. 1-10
Author(s):  
Meysam Eyvazlou ◽  
Arya Asghari ◽  
Hamidreza Mokarami ◽  
Majid Bagheri Hossein Abadi ◽  
Milad Derakhshan Jazari ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Musculoskeletal Disorders ◽  
Occupational Health Services ◽  
Entire Body ◽  
Musculoskeletal Discomfort ◽  
Cross Sectional ◽  
Body Regions ◽  
Dental Practitioners ◽  
Ergonomic Risk Assessment ◽  
Ergonomic Risk

BACKGROUND: Work-related Musculoskeletal Disorders (WMSDs) are major challenges in the occupational health services industry. Dental practitioners are regularly subjected to ergonomic risks, which can cause Musculoskeletal Disorders (MSDs) in various body regions. OBJECTIVE: This comparative cross-sectional study aimed to investigate MSDs and select a proper ergonomic risk assessment method in dental practice. METHODS: This study was conducted on 70 dentists and 70 administrative staff of dental offices (comparison group) from Shahroud, Iran. The Cornell Musculoskeletal Discomfort Questionnaire (CMDQ) and two observational ergonomic risk assessment methods, including Quick Exposure Check (QEC) and Rapid Entire Body Assessment (REBA), were utilized. RESULTS: The results suggested that the mean score of musculoskeletal discomforts was significantly higher in dentists than in the administrative personnel. Additionally, the results of multiple regression analysis technique inferred that job tenure, working hours, and age had a significant impact on total MSDs. Regular exercise was found to significantly reduce neck discomfort complaints. It was also found that QEC was more effective in predicting musculoskeletal discomforts compared to REBA. CONCLUSION: Considering the high incidence of WMSDs in dentists, various interventional measures revolving around ergonomically redesigned workstations, enhanced physical working conditions, and ergonomic training courses are suggested.

scholarly journals Occupational Related Upper and Low Back Pain Among Working Population of Ethiopia: Systematic Review and Meta-Analysis

2021 ◽  
Author(s):  
Dechasa Adare Mengistu ◽  
Yohannes Mulugeta Demmu ◽  
Addisu Alemu
Keyword(s):  
Systematic Review ◽  
Low Back Pain ◽  
Back Pain ◽  
Musculoskeletal Disorders ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Low Back ◽  
Working Population ◽  
Pooled Prevalence ◽  
Study Population

Abstract Background: Occupational-related musculoskeletal disorders (MSDs) are a major public health problem and result in the growing demands for utilization of healthcare services, causing temporary and permanent disability and reduced quality of life. In developing countries, particularly Ethiopia, there is no adequate evidence on the overall prevalence of occupational-related MSDs and remains less prioritized and empirically unrepresented. Thus, this study aimed to determine the pooled prevalence of occupational-related musculoskeletal disorders, particularly low and upper back pain among the working population of Ethiopia.Methods: This systematic review and meta-analysis considered studies conducted in Ethiopia, written in English, and published in 2017-2020. The articles were searched using the following electronic databases such as Web of Science, SCOPUS, PubMed, Google Scholar, CINAHL, Cochrane Library, African Index Medicus, African Journals Online database, and Science directly using a combination of Boolean logic operators, Medical Subject Headings, and main keywords. The quality assessment of the articles was performed using the Joanna Briggs Institute Critical Appraisal tools to determine the relevance of the articles to the study.Results: In the current study, the pooled prevalence of occupational-related upper and lower back pain in the previous year was 27.1% [95% of the CI: 18.4, 37.9%] and 54.2% [95% of the CI: 48.2, 60.0%], respectively. However, the pooled prevalence of occupational-related upper back pain in the previous year according to the publication year, the study population and the study area was 43.8% [95% of CI: 39.3, 47.7%], 34.7%[95% of CI: 33.1, 36.2%] and 36.2% [95% of CI: 33.6, 39.0%] respectively while the prevalence of low back pain in the previous year according to the publication year, the study population and the study area was 61.8% [95% of CI: 58.9, 64.6%], 52.8% [95% of CI: 51.3, 54.3%] and 55.2% [95% of CI: 51.4, 59.0%] respectively.Conclusions: This systematic review and meta-analysis found that more than half of the included study participants had experienced low back pain in the previous year, while more than one-fourth of the included participants had experienced upper back pain. Therefore, the application of occupational health and safety practices in the workplace plays an important role in reducing MSDs related to work and other occupational hazards.

scholarly journals Prevalence of musculoskeletal disorders among perioperative nurses: a systematic review and meta-analysis

2020 ◽  
Author(s):  
Marco Clari ◽  
Alessandro Godono ◽  
Giacomo Garzaro ◽  
Gianluca Voglino ◽  
Maria Rosaria Gualano ◽  
...  
Keyword(s):  
Systematic Review ◽  
Musculoskeletal Disorders ◽  
Health Care Professionals ◽  
Meta Analysis ◽  
Personal Characteristics ◽  
Cochrane Library ◽  
Perioperative Nurses ◽  
Work Related ◽  
Meta Regression ◽  
Event Rates

Abstract Background To evaluate the prevalence of work-related musculoskeletal disorders (WRMSDs) in perioperative nurses and to explore their association with personal characteristics. Methods Medline, Cumulative Index to Nursing and Allied Health Literature, Scopus, Web of Science, Cochrane Library and Joanna Briggs Institute Database were systematically searched. A meta-analysis calculating event rates, and relative 95% Confidence Intervals (CI) was performed for each musculoskeletal district. The contribution of perioperative nurses’ gender, age, and BMI was assessed trough a meta-regression. Results Twenty-two studies, considering 3405 perioperative nurses, were included in the systematic review. The highest prevalence of WRMSDs was found for the lower-back (61%; 95% CI 0.52–0.70), followed by shoulder (45%; 95% CI 0.38–0.53), waist (45%; 95% CI 0.34–0.57), knee (45%; 95% CI 0.32–0.54), neck (39%; 95% CI 0.27–0.52), upper-back (34%; 95% CI 0.24–0.46), ankle-feet (33%; 95% CI 0.18–0.51), hand-wrist (29%; 95% CI 0.19–0.41), and elbow (18%; 95% CI 0.11–0.27). Meta-regression showed that gender, age, and BMI were not significant predictors of low-back disorders (p = 0.69; R2 = 0). Conclusions WRMSDs represent a high prevalence issue among perioperative nurses. Perioperative nurses, in general, are steadily exposed to both physical and temporal risk factors. Several interventions may be adopted to reduce the burden of WRMSDs, including ergonomic education and physical rehabilitation. Our data could be used in future studies as a reference to assess the risk of WRMSDs in other health-care professionals’ population.

The Musculoskeletal Difficulties in Dental Professionals

2016 ◽  
Vol 1 (1) ◽  
pp. 14
Author(s):  
Lívia Maria Dos Santos Landim ◽  
Jéssica Mariano Uchôa Lopes ◽  
Gledson Fernandes de Sousa ◽  
Sidney Medeiros de Oliveira ◽  
Anny Caroline Costa Vieira ◽  
...  
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Field Study ◽  
Musculoskeletal Disorders ◽  
Signs And Symptoms ◽  
Lower Limbs ◽  
Musculoskeletal Symptoms ◽  
Socially Relevant ◽  
The City ◽  
Dental Professionals

The appearance of musculoskeletal symptoms in dental professionals is increasing worldwide. In Brazil, has already begun acquires expressive and socially relevant numbers. Since the 80's, it has become a problem of public health and social, because of their scope and magnitude. These professionals are constantly subjected to a number of risks for the appearance of injuries attributed to their work. The objective of this study is to determine the prevalence of signs and symptoms in musculoskeletal dental professionals in the city of Barbalha- Ceará, Brasil. This is a quantitative field study, with 25 dentists. The instrument was the Nordic questionnaire for musculoskeletal symptoms and another for verification of professional knowledge about MDRW (Musculoskeletal disorders related to work). The results were worrying because some work more than one shift, and 40% of them showed signs and musculoskeletal symptoms. The superior limbs seemed more affected and 36% was in column dorsal, lumbar and lower limbs. With regard to the procedure with a higher rate of pain, was extracted. For the pathologies, the tendonitis was the most diagnosed. It was concluded that the dental surgeons in Barbalha- Ceará, Brasil,  seemed very exposed to risk factors, with respect to the emergence of MDRW.                                          Keywords: MDRW, musculoskeletal, symptoms, pain.

scholarly journals Prevalence and policy of occupational violence against oral healthcare workers: systematic review and meta-analysis

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Nada O. Binmadi ◽  
Jazia A. Alblowi
Keyword(s):  
Systematic Review ◽  
Workplace Violence ◽  
Healthcare Workers ◽  
Meta Analysis ◽  
Quality Care ◽  
Working Environment ◽  
Cochrane Library ◽  
Occupational Violence ◽  
The Impact ◽  
Dental Professionals

Abstract Background Occupational violence is considered unlawful in professional environments worldwide. In the healthcare industry, including dentistry, the safety of workers is essential, and it is of the utmost importance to ensure patient and employee safety and provide quality care. This study aimed to evaluate the prevalence of violence and associated workplace policies among oral healthcare professionals. Additionally, it aimed to identify the factors associated with violence and their impact on oral healthcare workers. Methods A systematic review and analysis of the literature was conducted using PubMed, ScienceDirect, Scopus, Web of Science, Cochrane Library and ProQuest. Original articles written in English and published between January 1992 and August 2019 were included in the analysis. Results A total of 980 articles were found, and eight were selected for analysis. The violence experienced by healthcare workers included both physical and non-physical forms, such as shouting, bullying, and threatening; it also included sexual harassment. The impact of violence on workers manifested as impaired quality of work, psychological problems, and, although rare, quitting the job. With regard to dental healthcare, awareness of occupational violence policies among dental professionals has not been previously reported in the literature. Conclusions The increasing incidence of occupational violence against oral healthcare workers indicates the need for the implementation of better protective measures to create a safe working environment for dental professionals. There is a current need for increasing awareness of workplace violence policies and for the detection and reporting of aggression and violence at dental facilities.

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