DOI QR코드

DOI QR Code

Association between indirect vision skills and musculoskeletal pain in dental hygienists

임상치과위생사에서 간접시진 능력과 근골격계 통증과의 연관성

  • Jeong, Yeo-Jin (Department of Dental Hygiene, Graduate School of Gachon University) ;
  • Choi, Jun-Seon (Department of Dental Hygiene, College of Health Science, Gachon University)
  • 정여진 (가천대학교 일반대학원 치위생학과) ;
  • 최준선 (가천대학교 보건과학대학 치위생학과)
  • Received : 2019.08.02
  • Accepted : 2019.08.30
  • Published : 2019.10.30

Abstract

Objectives: The purpose of the study was to analyze the association between indirect vision skills and neck, shoulder, and back pain in dental hygienists. Methods: This cross-sectional study included 85 dental hygienists working full-time at dental clinics. A survey was performed for musculoskeletal symptoms in the neck, shoulders, and back of the subjects. The O'Connor tweezer dexterity test was performed using a mirror to evaluate their indirect vision skills. For statistical analyses, the t-test and one-way analysis of variance were performed. Results: The neck was the most common region of musculoskeletal pain (89.4%). The most intense pain was experienced in the neck (70.6%) and right shoulder (60.0%). Neck pain (20.0%) caused the most interference with clinical practice. Indirect vision skills were lower in the group with severe pain in the left shoulder or with high interference in work due to the left shoulder pain (p=0.026 and p= 0.017, respectively) or right shoulder pain (p=0.004). Conclusions: In this study, neck pain was a major musculoskeletal symptom among dental hygienists, and poor indirect vision skills were associated with the development of shoulder pain. Therefore, to prevent such musculoskeletal symptoms, dental hygienists should become proficient in indirect visualization, which enables a balanced and neutral posture.

Keywords

References

  1. Mueller-Joseph L, Homenko DF, Wilkins EM. Clinical practice of the dental hygienist. Philadelphia: Lippincott Williams & Wilkins; 2005: 3-14.
  2. Fasunloro A, Owotade FJ. Occupational hazards among clinical dental staff. J Contemp Dent Pract 2004;5(2):134-52. https://doi.org/10.5005/jcdp-5-2-134
  3. Johnson CR, Kanji Z. The impact of occupation-related musculoskeletal disorders on dental hygienists. Can J Dent Hyg 2016;50(2):72-9.
  4. Simmer-Beck M, Bray KK, Branson B, Glaros A, Weeks J. Comparison of muscle activity associated with structural differences in dental hygiene mirrors. J Dent Hyg 2006;80(1):1-16.
  5. Hayes M, Smith D, Cockrell D. Prevalence and correlates of musculoskeletal disorders among Australian dental hygiene students. Int J Denl Hyg 2009;7(3):176-81. https://doi.org/10.1111/j.1601-5037.2009.00370.x
  6. Barry RM, Spolarich AE, Weber M, Krause D, Woodall WD, Bailey JH. Impact of operator positioning on musculoskeletal disorders and work habits among Mississippi dental hygienists. J Dent Hyg 2017;91(6):6-14.
  7. Lee KY, Jong AC. Prevalence and risk factors of neck musculoskeletal disorders among dental hygienist. Int J Clin Prev Dent 2018;14(3):190-6. https://doi.org/10.15236/ijcpd.2018.14.3.190
  8. Hoerler SB, Branson BG, High AM, Mitchell TV. Effects of dental magnification lenses on indirect vision: a pilot study. J Dent Hyg 2012;86(4):323-30.
  9. McDonald M, DiBonaventura Md, Ullman S. Musculoskeletal pain in the workforce: the effects of back, arthritis, and fibromyalgia pain on quality of life and work productivity. J Occup Environ Med 2011;53(7):765-70. https://doi.org/10.1097/JOM.0b013e318222af81.
  10. Boyd MA, Rucker LM. Effects of immediate introduction of indirect vision on performance and posture. J Dent Educ 1987;51(2):98-101. https://doi.org/10.1002/j.0022-0337.1987.51.2.tb02083.x
  11. Rau GM, Rau AK. Training device for dental students to practice mirror-inverted movements. J Dent Educ 2011;75(9):1280-4. https://doi.org/10.1002/j.0022-0337.2011.75.9.tb05173.x
  12. Smith CA, Sommerich CM, Mirka GA, George MC. An investigation of ergonomic intervention in dental hygiene work. Appl Ergon 2002;33(2):175-84. https://doi.org/10.1016/s0003-6870(01)00060-6
  13. Ashu MA, Kamo H. Work-related musculoskeletal disorders amongst oral health workers in Cameroon. Oral Health Dent Manag 2016;15(6):1-6.
  14. Jung SI, Lee NK, Kang KW, Kim K, Lee DY. The effect of smartphone usage timeon posture and respiratory function. J Phys Ther Sci 2016;28(1):186-9. https://doi.org/10.1589/jpts.28.186
  15. Lau KT, Cheung KY, Chan KB, Chan MH, Lo KY, Chiu TT. Relationships between sagittal postures of thoracic and cervical spine, presence of neck pain, neck pain severity and disability. Man Ther 2010;15(5):457-62. https://doi.org/10.1016/j.math.2010.03.009
  16. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*power 3.1: tests for correlation and regression analyses. Behav Res Methods 2009;41(4):1149-60. https://doi.org/10.3758/brm.41.4.1149
  17. WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 2004;363(9403):157-63. https://doi.org/10.1016/s0140-6736(03)15268-3
  18. Kreuzfeld S, Seibt R, Kumar M, Rieger A, Stoll R. German version of the Cornell Musculoskeletal Discomfort Questionnaire (CMDQ): translation and validation. J Occup Med Toxicol 2016;11(1):13. https://doi.org/10.1186/s12995-016-0100-2
  19. Lugassy D, Levanon Y, Pilo R, Shelly A, Rosen G, Meirowitz A, et al. Predicting the clinical performance of dental students with a manual dexterity test. PloS One 2018;13(3):e0193980. https://doi.org/10.1371/journal.pone.0193980
  20. Kim YJ, Kim SR, Lee SR, Kim JW, Kang HG, Kwak JS, et al. Oral prophylaxis. Seoul: Daehan Narae Publishing; 2008: 121-7.
  21. O'connor tweezer dexterity test user's manual [Internet]. Lafayette Instruments. [cited 2019 July 01]. Available from: https://www.ncmedical.com/images/pdf/NC70020_ oconnor_tweezer_ dexterity _test_020718.pdf.
  22. Sinha I, Sinha-Hikim AP, Wagers AJ, Sinha-Hikim I. Testosterone is essential for skeletal muscle growth in aged mice in a heterochronic parabiosis model. Cell Tissue Research 2014;357(3):815-21. https://doi.org/10.1007/s00441-014-1900-2
  23. Rafie F, Zamani Jam A, Shahravan A, Raoof M, Eskandarizadeh A. Prevalence of upper extremity musculoskeletal disorders in dentists: symptoms and risk factors. J Environ Public Health 2015;2015:517346. https://doi.org/10.1155/2015/517346
  24. Williamson E, Williams MA, Gates S, Lamb SE. Risk factors for chronic disability in a cohort of patients with acute whiplash associated disorders seeking physiotherapy treatment for persisting symptoms. Physiotherapy 2015;101(1):34-43. https://doi.org/10.1016/j.physio.2014.04.004
  25. Yalcinkaya H, Ucok K, Ulasli AM, Coban NF, Aydin S, Kaya I, et al. Do male and female patients with chronic neck pain really have different health-related physical fitness, depression, anxiety and quality of life parameters? Int J Rheum Dis 2017;20(9):1079-87. https://doi.org/10.1111/1756-185x.12389
  26. Rundcrantz BL, Johnsson B, Moritz U. Cervical pain and discomfort among dentists. Epidemiological, clinical and therapeutic aspects. part 1. a survey of pain and discomfort. Swed Dent J 1990;14(2):71-80.
  27. Valachi B, Valachi K. Mechanisms leading to musculoskeletal disorders in dentistry. J Am Dent Assoc 2003;134(10):1344-50. https://doi.org/10.14219/jada.archive.2003.0048
  28. Nejati P, Lotfian S, Moezy A, Nejati M. The relationship of forward head posture and rounded shoulders with neck pain in Iranian office workers. Med J Islam Repub Iran 2014;28(1):26.
  29. Hayes M, Osmotherly PG, Taylor JA, Smith DR, Ho A. The effect of wearing loupes on upper extremity musculoskeletal disorders among dental hygienists. Int J Dent Hyg 2014;12(3):174-9. https://doi.org/10.1111/idh.12048
  30. Birch S, Ismail AI. Patient preferences and the measurement of utilities in the evaluation of dental technologies. J Dent Res 2002;81(7):446-50. https://doi.org/10.1177/154405910208100702