Back and neck musculoskeletal symptoms associated with the level of postural risk experienced by dentists

Autor: Claudia Lorena García, Armando Roa, Adolfo Pérez, Walter Losada, Claudia Patricia Ortiz, Daniel Ricardo Delgado
Rok vydání: 2022
DOI: 10.21203/rs.3.rs-2081436/v1
Popis: Objective Musculoskeletal discomfort is a health problem prevalent among dentists which negatively affects their daily living activities. Dentistry is a profession that requires great precision and concentration, and it is generally associated with a high prevalence of musculoskeletal disorders. The purpose of this study was to determine the musculoskeletal symptomatology of the back and neck associated with the level of postural risk in dentist’s work. Methodology In this cross-sectional observational study, 187 dentistry from the cities of Palmira and Neiva were included. The researchers applied a validated questionnaire, the Nordic Kuorinka questionnaire and the Rapid Entire Body Assessment (REBA) method through recordings and photographs; additional questions were included considering the total duration of work experience in dental practice. Qualitative variables were analysed using proportions to determine the prevalence of neck and back musculoskeletal symptomatology, whereas quantitative variables were analysed using central and dispersion tendency measures. An ordinal logistic regression was applied to show the relationship between musculoskeletal symptomatology and the level of postural risk of the REBA method. Result Results show 71.1% prevalence of back musculoskeletal symptomatology and 60% prevalence of neck symptomatology. Dentists were affected when performing their activities in the last 12 months due to musculoskeletal discomfort in the back (58.2%) and neck (17.2%). The possible causes of these discomforts were distributed as follows: 35.9% was claimed to long working hours and 23.5% to bad posture. The REBA score indicates an average level of postural risk with a prevalence of 59.8%. A statistically significant relationship between prolonged time at the workplace was identified (odd ratio = 1.3; p = 0.03; 95% confidence interval = 1.1–2.9) with the average postural risk level of the REBA method between bad posture (χ2 = 48.41; p = 0.000). Conclusion The study determined a high prevalence of musculoskeletal symptomatology in the neck and back and a score level of the REBA method equivalent to the average risk level; that is why, task changes may be required. Occupational health education programs could be effective in reducing these discomforts.
Databáze: OpenAIRE