The interplay of stress and work-related musculoskeletal disorders in dental practitioners.

IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Anke-Marei Thies, Joy Backhaus, Manuel Olmos, Stephan Eitner
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引用次数: 0

Abstract

Objectives: Prevalence of work-related musculoskeletal disorders (WRMSDs) among general dental practitioners and orthodontists is approximated to range between 64% and 93%. Etiology of WRMSDs in the mentally and physically demanding occupation remains unclear, for which reason the aim of the study was to clarify the interplay of physical, psychological, and mental factors on WRMSDs.

Method and materials: Of 94 orthodontists and 187 general dental practitioners (mean age = 35 years) questioned using an online survey, 84% reported persisting tension or pain in the back, neck, or shoulders. While 71% of females were employed (29% self-employed), only 39% of male participants were employed. Cluster analysis was used to characterize dental practitioners according to their movement profile and the moderating effect of stress on certain WRMSDs.

Results: Three movement profiles of general dental practitioners and orthodontists were significantly predictive of WRMSD. The minority could be characterized as healthy (n = 45), whereas twice as many reported nearly twice as much pain (n = 90). Stress proved to be a strong, significant moderator of WRMSDs in relation to sex, employment status, and body mass index.

Conclusion: The prevalence of WRMSDs found was alarming. Given the feminization of dentistry, and that being female, stressed, and an employee (rather than self-employed) is a significant predictor of WRMSDs, this represents a danger to the German health system.

牙科医生压力与工作相关肌肉骨骼疾病的相互作用。
目的:在牙医和正畸医生中,与工作相关的肌肉骨骼疾病(WRMSDs)的发病率大约在 64%-93% 之间。因此,本研究旨在阐明生理、心理和精神因素对与工作有关的肌肉骨骼疾病的影响:通过在线调查询问了 94 名正畸医师和 187 名牙医(年龄=35 岁),其中 84% 的人表示背部、颈部或肩部持续紧张或疼痛。71%的女性有工作(29%为自营职业者),只有39%的男性参与者有工作。研究人员根据牙医的运动特征进行了聚类分析,并仔细研究了压力对 WRMSDs 的调节作用:结果:牙医和正畸医生的三种运动特征对 WRMDS 有明显的预测作用。少数人可以被描述为健康(45 人),而两倍的人报告的疼痛几乎是前者的两倍(90 人)。事实证明,与性别、就业状况和体重指数相比,压力是WRMDs的一个强有力的重要调节因素:本研究发现的 WRMSDs 患病率令人震惊。鉴于牙科的女性化趋势,女性、压力大和雇员(而非自营职业者)是WRMSDs的重要预测因素,这对德国医疗系统构成了严重威胁。
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来源期刊
Quintessence international
Quintessence international 医学-牙科与口腔外科
CiteScore
3.30
自引率
5.30%
发文量
11
审稿时长
1 months
期刊介绍: QI has a new contemporary design but continues its time-honored tradition of serving the needs of the general practitioner with clinically relevant articles that are scientifically based. Dr Eli Eliav and his editorial board are dedicated to practitioners worldwide through the presentation of high-level research, useful clinical procedures, and educational short case reports and clinical notes. Rigorous but timely manuscript review is the first order of business in their quest to publish a high-quality selection of articles in the multiple specialties and disciplines that encompass dentistry.
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