脊柱疼痛,弯曲,根据脊柱区域比较牙医在危险的姿势工作

IF 2.5 2区 工程技术 Q2 ENGINEERING, INDUSTRIAL International Journal of Industrial Ergonomics Pub Date : 2023-11-01 DOI:10.1016/j.ergon.2023.103518
Merve Keskin , Mehmet Irfan Karadede , Derya Ozer Kaya
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引用次数: 1

摘要

目的确定脊柱疼痛的存在,并根据牙医在危险姿势下工作的脊柱区域比较脊柱弯曲、活动性和能力。方法年龄在18 ~ 40岁之间的122名牙医(男52名,女70名;年龄:25.94±3.40岁),根据快速全身评估(REBA)至少属于中等风险组。使用扩展北欧肌肉骨骼疼痛问卷和皮肤表面Valedo®Shape装置(Idiag, Fehraltorf,瑞士)测量脊柱弯曲度、重心倾角、活动性和姿势能力。结果REBA风险等级为中等(36.1%)、高(56.6%)和极高(7.4%)。至少一个区域的脊柱疼痛率为79.5%,所有区域的脊柱疼痛率为34.4%。疼痛以颈部(62.3%)、中背部(60.7%)、腰背部(53.3%)为主,强度分别为4.00±1.64、4.05±1.89、4.09±2.11。在矢状面,腰痛组活动倾斜度降低(p = 0.045)。在额平面上,中背痛组胸椎弯曲角增加(p = 0.023),活动倾斜度减少(p = 0.044),腰痛组骶区姿势能力差异(p = 0.037)。经历中背部疼痛和下背部疼痛的牙医显示胸椎弯曲角增加(p = 0.020),额骨面骶骨能力差异(p = 0.044)。结论高危体位牙医局部脊柱疼痛发生率约为80%。在中背部和下背部疼痛的牙科医生中观察到活动能力和姿势能力随胸曲度增加的变化。
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Spinal pain, curvature, and mobility comparisons according to spine region in dentists working in risky postures

Aim

To identify the presence of spinal pain and compare spine curvatures, mobility, and competency according to spine region in dentists working in risky postures.

Methods

One hundred twenty-two dentists aged between 18 and 40 years (52 males, 70 females; age: 25.94 ± 3.40 years), who at least in a medium risk group according to the Rapid Entire-Body Assessment (REBA) were included. The Extended Nordic Musculoskeletal Questionnaire for pain and skin-surface Valedo®Shape device (Idiag, Fehraltorf, Switzerland) for spinal curvature, inclination from the center of gravity, mobility, and postural competency were used.

Results

The REBA risk classification was medium (36.1%), high (56.6%), and very high (7.4%). The spinal pain rate in at least one region was 79.5%, and in all regions was 34.4%. The pain was in the neck (62.3%), mid-back (60.7%), and low back (53.3%) with the following intensities 4.00 ± 1.64, 4.05 ± 1.89, and 4.09 ± 2.11, respectively. In the sagittal plane, inclination in mobility decreased in the low back pain group (p = 0.045). In the frontal plane, the thoracic curvature angle increased (p = 0.023), and inclination in mobility decreased (p = 0.044) in the mid-back pain group, and postural competency differences in sacral region in the low back pain group were observed (p = 0.037). Dentists experiencing both mid and low back pain showed increased thoracic curvature angle (p = 0.020) and differences in sacral competency (p = 0.044) in the frontal plane.

Conclusion

The regional spinal pain rate with moderate intensity was about 80% in dentists working in risky postures. The mobility and postural competency changes with thoracic curvature increase were observed in dentists who had pain in the mid-back and low back regions.

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来源期刊
International Journal of Industrial Ergonomics
International Journal of Industrial Ergonomics 工程技术-工程:工业
CiteScore
6.40
自引率
12.90%
发文量
110
审稿时长
56 days
期刊介绍: The journal publishes original contributions that add to our understanding of the role of humans in today systems and the interactions thereof with various system components. The journal typically covers the following areas: industrial and occupational ergonomics, design of systems, tools and equipment, human performance measurement and modeling, human productivity, humans in technologically complex systems, and safety. The focus of the articles includes basic theoretical advances, applications, case studies, new methodologies and procedures; and empirical studies.
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