Sukirti Mohun

Associate Professor, Physiotherapist in MSK and Sports, Harsha Institute of Physiotherapy, RGUHS, Bengaluru, Karnataka, India

*Corresponding Author: Sukirti Mohun, Associate Professor, Physiotherapist in MSK and Sports, Harsha Institute of Physiotherapy, RGUHS, Bengaluru, Karnataka, India.

Received: November 06, 2023; Published: November 27, 2023

Abstract

Background and objective: Dentists are more prone to various work-related musculoskeletal disorders. These affect the neck, shoulder, wrist, upper back, lower back and lower extremities. In previous studies, working posture of a dentists was assessed by using Branson’s posture assessment scale. The PAI is most likely more effective with real-time situations where limited visibility is not an issue when observing postures. Branson’s posture assessment scale has a potential utility in the dentistry to evaluate and monitor the dentist posture during work. Musculoskeletal disorders was assessed using standardized Nordic questionnaire. To our knowledge none of the studies have been done to correlate Branson’s posture assessment as a postural assessment tool and standardized Nordic questionnaire as a tool to assess musculoskeletal disorder. So our aim is to recognize the compromised posture adapted by the dentists and correlate them with musculoskeletal disorders. In this cross sectional survey, 66 subjects were contacted for study purpose. Data were collected through, using Standardized Nordic Questionnaire for the analysis of musculoskeletal symptoms and Branson’s posture assessment scale for Analysis of working posture of a dentists. The dynamic working posture will be assessed by using Branson’s posture assessment instrument, while the dentist is treating their patients. Branson’s posture assessment scale assess posture as it occur. Our study predicts about the site and duration of pain and correlation between the posture and musculoskeletal disorders. Results showed When assessed working posture of a dentists by using BPAI scale 3.13% of dentists were in acceptable category, 96.88% of dentists were in compromised category. In our study none of the dentists were in harmful category. When we compared the Standardised Nordic questionnaire with BPAI the total of 83% of dentists is having musculoskeletal symptoms at least in one or the other body parts and these dentists coming under compromised category which is 96.88%. Hence we came to the conclusion that There is 83% of prevalence of work related musculoskeletal disorders. Among professionals dentists with neck being the most affected area and with ankle being the least. There are associations with age, gender differences, Dominance, Height, Weight, Body Mass Index, Working Experience, fitness and activity level of a professional dentists.

Keywords: Professional Dentists; Musculoskeletal Disorders; Pain; Nordic Questionnaire; Branson’s Posture Assessment Scale; Survey

References

1. Bethany Valachi and Keith Valachi. “Mechanisms leading to musculoskeletal disorder in dentistry”. American Dental Association 134 (2003).
2. Bethany Valachi and Keith Valachi. “Preventing musculoskeletal disorder in clinical dentistry”. American Dental Association 134 (2003).
3. Bethany valachi and Keith Valachi. “Ergonomics in dentistry and prevention of musculoskeletal disorders in dentists (2003).
4. Lance M Rucker and DDS Susanne. “Ergonomics risk factors associated with clinical dentistry”. Journal of the California Dental Association2 (2002): 139-148.
5. Naidoo RN and Atiqul HS. “Occupational Use Syndromes”. Best Practice and Research Clinical Rheumatology 4 (2008): 677-691.
6. Razan Abdul Samat., et al. “Prevalence and associated factors of back pain among dental personnel in North -Eastern state of Malaysia”. International Journal of Collaborative Research on Internal Medicine and Public Health 3.7 (2011).
7. Nicola H Barghout., et al. “Risk factors and prevalence of musculoskeletal disorders among Jordanian Dentists”. Journal Med J 2 (2011): 195-204.
8. PA Leggat and DR Smith. “Musculoskeletal disorders self- reported by dentist in Queensland, Australia”. Australian Dental Journal 51 (2006): 4.
9. KMS Ayers., et al. “Self- reported occupational health of general dental practitioners”. Occupational Medicine 59 (2009): 142-148.
10. Anna Kierklo., et al. “Work-related musculoskeletal disorder among dentist- A QUESTIONNAIRE SURVEY”. Annals of Agricultural and Environmental Medicine 18 (2008): 79-84.
11. Sumit Moradia and Prakash Patel. “A study on occupational pain among dentist of Surat city”. National Journal of Community Medicine1 (2011).
12. Singaraju Gowri Sankar., et al. “The prevalence of work related musculoskeletal disorders among Indian Orthodontists”. The Journal of Indian Orthodontic Society 4 (2012): 264-268.
13. Senthil P Kumar., et al. “Work related musculoskeletal disorder among dental professionals: an evidence-based update”. Indian Journal of Dental education1 (2012).
14. Adedoyin RA., et al. “Musculoskeletal Pain Associated with dentistry”. The Internet Journal of Pain, Symptom Control and Palliative Care2 (2004): 125-130.
15. Klussmann A., et al. “Musculoskeletal symptoms of the upper extremities and the neck: A cross-sectional study on prevalence and musculoskeletal symptoms among dentists”. BMC Musculoskeletal Disorders 96 (2008).
16. Trombly CA. “Occupational Therapy for Physical Dysfunction”. Williams and Wilkins (1995): 767.
17. Corrigan B and Maitland GD. “Musculoskeletal and Sports Injuries”. Butterworth Heinemann (2008): 10-11.
18. Lesh SG. “Clinical Orthopaedics for the Physical Therapists Assistant”. FA Davis (200.).
19. Gulati R and Irani A. “Sports Medicine, Paras Medical Publisher (2008).
20. Sethi J. “Effect of body mass index on posture and flexibility of professionals in a developed ergonomic setup”. Indian Journal of Physiotherapy and Occupational Therapy2 (2008).
21. Peter A Leggat., et al. “Occupational Health Problems in Modern Dentistry: A Review”. Industrial Health 45 (2007): 611-621.
22. CI Udoye and EN Aguwa. “Musculoskeletal symptoms a survey amongst a selected Nigerian dentist”. The Internet Journal of Dental Science 1 (2007).
23. Crawford JO. “The Nordic Musculoskeletal Questionnaire”. Occupational Medicine 57 (2007): 300-301.
24. I Kuorinka., et al. “Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms”. Applied Ergonomics3 (1987): 233-237.
25. Alexis Descatha., et al. “Validity of Nordic style questionnaire in the surveillance of upper limb work related musculoskeletal disorder”. Scandinavian Journal of Work, Environment and Health 1 (2007): 58-65.
26. Palmer K., et al. “Repeatibility and validity of an upper limb and neck discomfort questionnaire: the utility of the standardized Nordic questionnaire”. Occupational Medicine 49 (1999): 171-175.
27. Bonnie G Branson., et al. “Validity and reliability of a dental operator posture assessment instrument (PAI)”. Journal of Dental Hygiene4 (2002).
28. BG Branson., et al. “Validity and reliability of a dental operator posture assessment instrument”. Journal of Dental Hygiene (2002): 1-6.
29. BG Branson., et al. “Effect of magnification lenses on student operator posture”. Journal of Dental Education3.
30. J Peggy Maill., et al. “Effect of magnification loupes on Dental Hygiene student posture”. Journal of Dental Education1 (2008).
31. Maryam Rabiei., et al. “Musculoskeletal Disorders in Dentists”. International Journal of Occupational Hygiene 1 (2012).
32. Thomas Ka- Lun Li., et al. “Self- reported occupation- related health problems in Hong Kong dentist”. Hong Kong Dental Journal1 (2006): 39-44.
33. ED Marshall., et al. “Musculoskeletal symptoms in New South Wales dentist”. Australian Dental Journal4 (1997): 240-246.
34. Evangelos C Alexopoulos., et al. “Prevalence of musculoskeletal disorders in dentist”. BMC Musculoskeletal Disorders 5 (2004): 16.
35. Z Polat., et al. “Musculoskeletal symptoms of dentist from South-East Turkey”. Biotechnology 21 (2007): 1.
36. N Pargali and N Jowkar. “Prevalence of musculoskeletal pain among dentist in Shiraz”. Southern Iran2 (2010).
37. Ayman Ekram Fahim. “Factors affecting musculoskeletal disorders among final year dental students in Ismailia”. The Egyptian Journal of Community Medicine 29 (2011): 1.
38. Alina Puriene., et al. “Self- reported occupational health issues among Lithuanian dentists”. Industrial Health 46 (2008): 369-374.

Citation

Citation: Sukirti Mohun. “A Study to Identify the Relationship between Posture and Musculoskeletal Disorders using Branson’s Posture Assessment Scale and Nordic Musculoskeletal Questionnaire Scale among Dentists- Research Article".Acta Scientific Orthopaedics 6.12 (2023): 96-110.

Copyright

Copyright: © 2023 Sukirti Mohun. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.