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MS 2020; 6: 70-76.
Ryszard Górski, Grzegorz Benke, Renata Górska, Mateusz Pieniak, Paweł Małdyk, Radosław Górski
Wstęp. Celem badania jest ocena czynników ryzyka oraz stopnia nasilenia dolegliwości bólowych w odcinku szyjnym i lędźwiowym kręgosłupa wśród lekarzy dentystów i studentów kierunku lekarsko-dentystycznego. W artykule zostały przedstawione wyniki dotyczące części szyjnej kręgosłupa.
Materiał i metody. Ankieta badania składała się z pięciu kwestionariuszy: Neck Pain and Disability Scale (NPDS), The JOA Back Pain Evaluation Questionnaire (JOABPEQ), The Occupational Role Questionnaire, The 12-Item Short Form Health Survey (SF-12) oraz własny zaprojektowany kwestionariusz. Ankieta była dostępna online oraz wysyłana do klinik stomatologicznych w Polsce. W badaniu wzięło udział 101 studentów i 169 lekarzy dentystów. Wyniki Około 86% studentów i lekarzy dentystów wykazywało pewne dolegliwości w okolicy szyi w kwestionariuszu NPDS. Z analizy danych wynika, że czynniki jak: pozycja i warunki pracy, stosowanie przerw, aktywność fizyczna w wieku rozwojowym, stres, spożycie alkoholu mają istotną statystycznie korelację ze stopniem nasilenia bólów kręgosłupa szyjnego. W badaniu wykazano zależność liniową między parametrami Body Mass Index (BMI), wzrostem i wiekiem a wynikiem osiąganym w NPDS.
Wnioski. Wyższe BMI i większy wzrost korelują ze zmniejszeniem nasilenia dolegliwości występujących w obrębie kręgosłupa szyjnego. Starsi lekarze dentyści wykazują większe dolegliwości w okolicy szyi, a u starszych studentów są one mniejsze. Wśród stomatologów wykazano bardziej intensywne bóle kręgosłupa szyjnego u kobiet niż u mężczyzn. Badanie sugeruje, że bóle kręgosłupa w okolicy szyjnej są znaczącym obciążeniem wśród polskiej populacji lekarzy dentystów i mają charakter wieloczynnikowy.
Abstract
Introduction The aim of this study was to investigate the risk factors and symptoms of low neck pain and back pain dentists and in students of dentistry. In article were presented the results of neck disorders.
Materials and methods. The survey of study consists of 5 questionnaires: “Neck Pain and Disability Scale” assessing disorders in neck, “The JOA Back Pain Evaluation Questionnaire” (JOABPEQ) evaluating low back, “The Occupational Role Questionnaire” for dental professionals, “The 12-Item Short Form Health Survey (SF-12)” assessing the quality of life and own projected questionnaire. The survey was available online and sent to various public and private dental clinics in Poland. In this study 101 students and 169 dentists participated. Results Approximately 86% of students and dentists complain about musculoskeletal disorders in neck (NPDS questionnaire). The factors: position and environment of working, taking break, physical activity in developing age, stress, using an alkohol have a correlation to pain in neck. In research was presented correlation between Body Mass Index (BMI), height, age and the results of NPDS questionnaire.
Conclusions. Higher BMI and greater height correlate to lower musculoskeletal disorders in neck. Older dentists have more complaints in neck, but older students have less of them. Among dentists women have more pain in neck than men. Research suggests that neck pain is a significant problem among Polish groups of dentists and is multifactorial. Hasła indeksowe: bóle kręgosłupa, bóle szyi, dentyści, stomatolodzy, studenci kierunku lekarsko-dentystycznego, ergonomia, dolegliwości mięśniowo-szkieletowe Key words: neck pain, back pain, dentists, students of dentistry, ergonomics, musculoskeletal disorders.
PIŚMIENNICTWO
1) Kierklo A i wsp. Work-related musculoskeletal disorders among dentists – a questionnaire survey. Ann Agric Environ Med. 2011; 18(1): 79-84.
2) Hayes M, Cockrell D, Smith DR. A systematic review of musculoskeletal disorders among dental professionals. Int J Dent Hyg. 2009; 7(3): 159-65.
3) Ohlendorf D i wsp. Kinematic analysis of work-related musculoskeletal loading of trunk among dentists in Germany. BMC Musculoskelet Disord. 2016; 17(1): 427.
4) Phedy P, Gatam L. Prevalence and Associated Factors of Musculoskeletal Disorders among Young Dentists in Indonesia. Malays Orthop J. 2016; 10(2): 1-5.
5) Ísper Garbin AJ i wsp. Musculoskeletal disorders and perception of working conditions: A survey of Brazilian dentists in São Paulo. Int J Occup Med Environ Health. 2017; 30(3): 367-377.
6) Wheeler AH i wsp. The development of the Neck Pain and Disability Scale. Item analysis, face, and criterion-related validity. Spine. 1999; 24(13): 1290-1294.
7) Goolkasian P, Wheeler AH, Gretz SS. The Neck Pain and Disability Scale: Test-Retest Reliability and Construct Validity. Clin J Pain. 2002; 18(4): 245-250.
8) Fukui M i wsp. Japanese Orthopaedic Association Back Pain Evaluation Questionnaire. Part 2. Verification of its reliability: The Subcommittee on Low Back Pain and Cervical Myelopathy Evaluation of the Clinical Outcome Committee of the Japanese Orthopaedic Association. J Orthop Sci. 2007; 12: 526-532.
9) Fukui M i wsp. JOA Back Pain Evaluation Questionnaire: initial report. J Orthop Sci. 2007; 12(5): 443-450.
10) Fukui M i wsp. JOA Back Pain Evaluation Questionnaire (JOABPEQ)/JOA Cervical Myelopathy Evaluation Questionnaire (JOACMEQ). The report on the development of revised versions. April 16, 2007. The Subcommittee of the Clinical Outcome Committee of the Japanese Orthopaedic Association on Low Back Pain and Cervical Myelopathy Evaluation. J Orthop Sci. 2009; 14(3): 348-365.
11) Kopec JA, Esdaile JM. Occupational role performance in persons with back pain. Disabil Rehabil. 1998; 20(10): 373-379.
12) Ware JE Jr, Kosinski M, Keller SD. SF-12: How to Score the SF-12 Physical and Mental Health Summury Scales. Wyd. 2. Boston Massachusetts: The Health Institute, New England Medical Center; 1995.
13) Rice JA. Mathematical Statistics and Data Analysis. Wyd. 3. USA: Thomson Brooks/Cole; 2006.
14) Han J, Kamber M, Pei J. Data Mining: Concepts and Techniques. Wyd. 3. USA: Morgan Kaufmann; 2011.
15) Hodacova L i wsp. Self-reported risk factors related to the most frequent musculoskeletal complaints among Czech dentists. Ind Health. 2015; 53(1): 48-55.
16) Rafie F i wsp. Prevalence of Upper Extremity Musculoskeletal Disorders in Dentists: Symptoms and Risk Factors. J Environ Public Health. 2015; 2015: 517346.
17) Leggat PA, Kedjarune U, Smith DR. Occupational health problems in modern dentistry: a review. Ind Health. 2007; 45(5): 611-621.
18) Varmazyar S. Ergonomic evaluation of work conditions in Qazvin Dentists by REBA method and its associationwithmusculoskeletal disorders in 2008. JIDA. 2012; 24(3): 229-237.
19) Feng B i wsp. Prevalence of work-related musculoskeletal symptoms of the neck and upper extremity among dentists in China. BMJ Open. 2014; 4(12): e006451.
20) Leggat PA, Smith DR. Musculoskeletal disorders self-reported by dentists in Queensland, Australia. Aust Dent J. 2006; 51(4): 324-327.
21) Ratzon NZ i wsp. Musculoskeletal symptoms among dentists in relation to work posture. Work. 2000; 15(3): 153-158.
22) Szymańska J. Disorders of the musculoskeletal system among dentists from the aspect of ergonomics and prophylaxis. Ann Agric Environ Med. 2002; 9: 169-173.
23) Harutunian K i wsp. Ergonomics and musculoskeletal pain among postgraduate students and faculty members of the School of Dentistry of the University of Barcelona (Spain). A cross-sectional study. Med Oral Patol Oral Cir Bucal. 2011; 16(3): e425-429.
24) Oliveira Dantas FF, de Lima KC. The relationship between physical load and musculoskeletal complaints among Brazilian dentists. Appl Ergon. 2015; 47: 93-98.
25) Mostamand J, Lotfi H, Safi N. Evaluating the head posture of dentists with no neck pain. J Bodyw Mov Ther. 2013; 17(4): 430-433.
26) Marshall ED i wsp. Musculoskeletal symptoms in New South Wales dentists. Aust Dent J. 1997; 42(4): 240-246.
27) Puriene A i wsp. Self-Reported Occupational Health Issues among Lithuanian Dentists. Ind Health. 2008; 46(4): 369-374.
28) Thornton LJ i wsp. Perceived musculoskeletal symptoms among dental students in the clinic work environment. Ergonomics. 2008; 51(4): 573-586.
PIŚMIENNICTWO
1) Kierklo A i wsp. Work-related musculoskeletal disorders among dentists – a questionnaire survey. Ann Agric Environ Med. 2011; 18(1): 79-84.
2) Hayes M, Cockrell D, Smith DR. A systematic review of musculoskeletal disorders among dental professionals. Int J Dent Hyg. 2009; 7(3): 159-65.
3) Ohlendorf D i wsp. Kinematic analysis of work-related musculoskeletal loading of trunk among dentists in Germany. BMC Musculoskelet Disord. 2016; 17(1): 427.
4) Phedy P, Gatam L. Prevalence and Associated Factors of Musculoskeletal Disorders among Young Dentists in Indonesia. Malays Orthop J. 2016; 10(2): 1-5.
5) Ísper Garbin AJ i wsp. Musculoskeletal disorders and perception of working conditions: A survey of Brazilian dentists in São Paulo. Int J Occup Med Environ Health. 2017; 30(3): 367-377.
6) Wheeler AH i wsp. The development of the Neck Pain and Disability Scale. Item analysis, face, and criterion-related validity. Spine. 1999; 24(13): 1290-1294.
7) Goolkasian P, Wheeler AH, Gretz SS. The Neck Pain and Disability Scale: Test-Retest Reliability and Construct Validity. Clin J Pain. 2002; 18(4): 245-250.
8) Fukui M i wsp. Japanese Orthopaedic Association Back Pain Evaluation Questionnaire. Part 2. Verification of its reliability: The Subcommittee on Low Back Pain and Cervical Myelopathy Evaluation of the Clinical Outcome Committee of the Japanese Orthopaedic Association. J Orthop Sci. 2007; 12: 526-532.
9) Fukui M i wsp. JOA Back Pain Evaluation Questionnaire: initial report. J Orthop Sci. 2007; 12(5): 443-450.
10) Fukui M i wsp. JOA Back Pain Evaluation Questionnaire (JOABPEQ)/JOA Cervical Myelopathy Evaluation Questionnaire (JOACMEQ). The report on the development of revised versions. April 16, 2007. The Subcommittee of the Clinical Outcome Committee of the Japanese Orthopaedic Association on Low Back Pain and Cervical Myelopathy Evaluation. J Orthop Sci. 2009; 14(3): 348-365.
11) Kopec JA, Esdaile JM. Occupational role performance in persons with back pain. Disabil Rehabil. 1998; 20(10): 373-379.
12) Ware JE Jr, Kosinski M, Keller SD. SF-12: How to Score the SF-12 Physical and Mental Health Summury Scales. Wyd. 2. Boston Massachusetts: The Health Institute, New England Medical Center; 1995.
13) Rice JA. Mathematical Statistics and Data Analysis. Wyd. 3. USA: Thomson Brooks/Cole; 2006.
14) Han J, Kamber M, Pei J. Data Mining: Concepts and Techniques. Wyd. 3. USA: Morgan Kaufmann; 2011.
15) Hodacova L i wsp. Self-reported risk factors related to the most frequent musculoskeletal complaints among Czech dentists. Ind Health. 2015; 53(1): 48-55.
16) Rafie F i wsp. Prevalence of Upper Extremity Musculoskeletal Disorders in Dentists: Symptoms and Risk Factors. J Environ Public Health. 2015; 2015: 517346.
17) Leggat PA, Kedjarune U, Smith DR. Occupational health problems in modern dentistry: a review. Ind Health. 2007; 45(5): 611-621.
18) Varmazyar S. Ergonomic evaluation of work conditions in Qazvin Dentists by REBA method and its associationwithmusculoskeletal disorders in 2008. JIDA. 2012; 24(3): 229-237.
19) Feng B i wsp. Prevalence of work-related musculoskeletal symptoms of the neck and upper extremity among dentists in China. BMJ Open. 2014; 4(12): e006451.
20) Leggat PA, Smith DR. Musculoskeletal disorders self-reported by dentists in Queensland, Australia. Aust Dent J. 2006; 51(4): 324-327.
21) Ratzon NZ i wsp. Musculoskeletal symptoms among dentists in relation to work posture. Work. 2000; 15(3): 153-158.
22) Szymańska J. Disorders of the musculoskeletal system among dentists from the aspect of ergonomics and prophylaxis. Ann Agric Environ Med. 2002; 9: 169-173.
23) Harutunian K i wsp. Ergonomics and musculoskeletal pain among postgraduate students and faculty members of the School of Dentistry of the University of Barcelona (Spain). A cross-sectional study. Med Oral Patol Oral Cir Bucal. 2011; 16(3): e425-429.
24) Oliveira Dantas FF, de Lima KC. The relationship between physical load and musculoskeletal complaints among Brazilian dentists. Appl Ergon. 2015; 47: 93-98.
25) Mostamand J, Lotfi H, Safi N. Evaluating the head posture of dentists with no neck pain. J Bodyw Mov Ther. 2013; 17(4): 430-433.
26) Marshall ED i wsp. Musculoskeletal symptoms in New South Wales dentists. Aust Dent J. 1997; 42(4): 240-246.
27) Puriene A i wsp. Self-Reported Occupational Health Issues among Lithuanian Dentists. Ind Health. 2008; 46(4): 369-374.
28) Thornton LJ i wsp. Perceived musculoskeletal symptoms among dental students in the clinic work environment. Ergonomics. 2008; 51(4): 573-586.
