Enter your email address
Submit
Write your message
Volume 12, Issue 1 (Iranian Journal of Ergonomics 2024)
Iran J Ergon 2024, 12(1): 68-79 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Sadati S H, Asghari M, Moradi Farahani M. Investigation of Posture Assessment Methods in Dentists and Dental Students: A Systematic Review. Iran J Ergon 2024; 12 (1) :68-79
URL: http://journal.iehfs.ir/article-1-1004-en.html
URL: http://journal.iehfs.ir/article-1-1004-en.html
1- Department of Ergonomics, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Department of Occupational Health Engineering, School of Public Health, Arak University of Medical Sciences, Arak, Iran
3- Student Research Committee, School of Public Health, Shiraz University of Medical Sciences, Shiraz, Iran ,maedemoradi@yahoo.com
2- Department of Occupational Health Engineering, School of Public Health, Arak University of Medical Sciences, Arak, Iran
3- Student Research Committee, School of Public Health, Shiraz University of Medical Sciences, Shiraz, Iran ,
Abstract: (1194 Views)
Objectives: Awkward posture is a primary cause of musculoskeletal disorders (MSDs) in the dental profession due to the nature of dental activities. This study aimed to examine both observational and device-assisted posture assessment methods used to study dental professionals as well as the reported prevalence of MSDs among them.
Methods: A search was conducted in Scopus, PubMed, and Google Scholar databases for studies performed from 2000 to 2021 using specified keywords. In total, 31 out of the 541 articles found in the initial search were finally included in this study after the exclusion of ineligible articles, duplicates, conference presentations, systematic reviews, and letters to the editor.
Results: Based on the findings, the neck (58%), back and waist (54.9%), and shoulder and hand (29%) areas had the highest reported pain and disorder. Several posture evaluation methods, namely Rapid Upper Limb Assessment (19.4%), Rapid Entire Body Assessment (19.4%), Electromyography (EMG, 13.8%), and Quick Exposure Check (QEC, 8.3%), were the most frequently used methods among all 17 methods employed in the studies.
Conclusion: Among the observational methods, the QEC method was the most practical one as it considered the experiences of dentists and various dimensions of dental tasks. Moreover, the EMG method was the most suitable device-assisted method for the assessment of posture in dentists. The use of questionnaires in conjunction with evaluation methods appears to enhance the understanding and effectiveness of posture assessment.
Methods: A search was conducted in Scopus, PubMed, and Google Scholar databases for studies performed from 2000 to 2021 using specified keywords. In total, 31 out of the 541 articles found in the initial search were finally included in this study after the exclusion of ineligible articles, duplicates, conference presentations, systematic reviews, and letters to the editor.
Results: Based on the findings, the neck (58%), back and waist (54.9%), and shoulder and hand (29%) areas had the highest reported pain and disorder. Several posture evaluation methods, namely Rapid Upper Limb Assessment (19.4%), Rapid Entire Body Assessment (19.4%), Electromyography (EMG, 13.8%), and Quick Exposure Check (QEC, 8.3%), were the most frequently used methods among all 17 methods employed in the studies.
Conclusion: Among the observational methods, the QEC method was the most practical one as it considered the experiences of dentists and various dimensions of dental tasks. Moreover, the EMG method was the most suitable device-assisted method for the assessment of posture in dentists. The use of questionnaires in conjunction with evaluation methods appears to enhance the understanding and effectiveness of posture assessment.
Type of Study: Systematic Review |
Subject:
Musculoskeletal Disorders
Received: 2024/02/13 | Accepted: 2024/04/29 | ePublished: 2024/04/29
Received: 2024/02/13 | Accepted: 2024/04/29 | ePublished: 2024/04/29
References
1. Kamal AM, Ahmed DRM, Habib SFK, Al-Mohareb RA. Ergonomics of preclinical dental students and potential musculoskeletal disorders. J Dent Educ. 2020;84(12):1438-46. [DOI: 10.1002/jdd.12369]
2. Ergonomics and Musculoskeletal Disorders [Available from: https://www.cdc.gov/niosh/topics/ergonomics/default.html.
3. Amjad Sardroudi H, Sarsangi V, Nurmohammadi M, Zareei A, Dermohammadi A, Asghari M. Assessing the risk of musculoskeletal disorders of the upper limbs of computer users of an electric company using the RULA method and the Nordic questionnaire in 2013 .[in Persian]. Journal of Sabzevar University of Medical Sciences. 2014;20(4):521-9.
4. Asghari M, Omidiyani Doust A, Farvaresh E. Evaluation of the musculoskeletal disorders in the workers of a food manufacturing plant in Tehran. Occupational Medicine Quarterly Journal. 2012;3(4):49-54. [Link]
5. Zakerian S, Monazzam M, Farhang Dehghan S, Habibi Mohraz M, Mohraz, Safari H, et al. Relationship between knowledge of ergonomics and workplace conditions with musculoskeletal disorders among nurses: A questionnaire survey. World Appl Sci J. 2013;24:227-33. [Link]
6. Carini F, Mazzola M, Fici C, Palmeri S, Messina M, Damiani P, et al. Posture and posturology, anatomical and physiological profiles: overview and current state of art. Acta Biomed. 2017;88(1):11-6. [DOI: 10.23750/abm.v88i1.5309] [PMID]
7. Hayes M, Cockrell D, Smith DR. A systematic review of musculoskeletal disorders among dental professionals. Int J Dent Hyg. 2009;7(3):159-65. [DOI: 10.1111/j.1601-5037.2009.00395.x] [PMID]
8. Rafeemanesh E, Jafari Z, Kashani FO, Rahimpour F. A study on job postures and musculoskeletal illnesses in dentists. Int J Occup Med Environ Health. 2013;26(4):615-20. [DOI: 10.2478/s13382-013-0133-z] [PMID]
9. Maryam R, Maryam S, Habibolah D-S, Mohammad T. Musculoskeletal Disorders in Dentists. International Journal of Occupational Hygiene. 2015;4(1). [Link]
10. Dabaghi-Tabriz F, Bahramian A, Rahbar M, Esmailzadeh M, Alami H. Ergonomic Evaluation of Senior Undergraduate Students and Effect of Instruction Regarding Ergonomic Principles on It. Maedica (Bucur). 2020;15(1):81-6. [DOI: 10.26574/maedica.2020.15.1.81] [PMID]
11. NHS.How much will I pay for NHS dental treatment?.2024. [Link]
12. Hong QN, Fàbregues S, Bartlett G, Boardman F, Cargo M, Dagenais P, et al. The Mixed Methods Appraisal Tool (MMAT) version 2018 for information professionals and researchers. Education for Information. 2018;34:285-91. [Link]
13. Pace R, Pluye P, Bartlett G, Macaulay AC, Salsberg J, Jagosh J, et al. Testing the reliability and efficiency of the pilot Mixed Methods Appraisal Tool (MMAT) for systematic mixed studies review. Int J Nurs Stud. 2012;49(1):47-53. [DOI: 10.1016/j.ijnurstu.2011.07.002] [PMID]
14. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. [DOI: 10.1136/bmj.n71]
15. Blume KS, Holzgreve F, Fraeulin L, Erbe C, Betz W, Wanke EM, et al. Ergonomic Risk Assessment of Dental Students-RULA Applied to Objective Kinematic Data. Int J Environ Res Public Health. 2021;18(19). [DOI: 10.3390/ijerph181910550] [PMID]
16. Pispero A, Marcon M, Ghezzi C, Massironi D, Varoni EM, Tubaro S, et al. Posture Assessment in Dentistry for Different Visual Aids Using 2D Markers. Sensors (Basel). 2021;21(22). [DOI: 10.3390/s21227717] [PMID]
17. Eyvazlou M, Asghari A, Mokarami H, Bagheri Hosseinabadi M, Derakhshan Jazari M, Gharibi V. Musculoskeletal disorders and selecting an appropriate tool for ergonomic risk assessment in the dental profession. Work. 2021;68(4):1239-48. [DOI: 10.3233/WOR-213453] [PMID]
18. Ohlendorf D, Fraeulin L, Haenel J, Betz W, Erbe C, Holzgreve F, et al. Ergonomic Comparison of Four Dental Workplace Concepts Using Inertial Motion Capture for Dentists and Dental Assistants. Int J Environ Res Public Health 2021;18(19):10453. [DOI: 10.3390/ijerph181910453] [PMID]
19. Pejčić N, Petrović V, Đurić-Jovičić M, Medojević N, Nikodijević-Latinović A. Analysis and prevention of ergonomic risk factors among dental students. Eur J Dent Educ 2021;25(3):460-79. [DOI: 10.1111/eje.12621] [PMID]
20. Cosoroabă MR, Cirin L, Farkas AZ, Argeşanu V, Talpos-Niculescu IC, Anghel MD, et al. The use of baropodometric analysis in musculoskeletal disorders of dentists working in orthostatic posture - a series of 3 cases. Med Pharm Rep. 2020;93(4):365-73. [DOI: 10.15386/mpr-1461]
21. Muthuraj TS, Raja J, James JR, Raj JPM, Subramnian D, Varatharajan A. Standardized photometric assessment method: A novel approach for the analysis of dental ergonomic posture. J Indian Soc Periodontol. 2020;24(3):227-32. [DOI: 10.4103/jisp.jisp_405_19] [PMID]
22. Cosoroaba MR, Cirin L, Anghel MD, Talpos-Niculescu CI, Argesanu V, Farkas AZ, et al. The use of thermal imaging in evaluating musculoskeletal disorders in dentists. J Med Life. 2019;12(3):247-52. [DOI: 10.25122/jml-2019-0017] [PMID]
23. García-Vidal JA, López-Nicolás M, Sánchez-Sobrado AC, Escolar-Reina MP, Medina-Mirapeix F, Bernabeu-Mora R. The Combination of Different Ergonomic Supports during Dental Procedures Reduces the Muscle Activity of the Neck and Shoulder. J Clin Med. 2019;8(8). [DOI: 10.3390/jcm8081230] [PMID]
24. Hosseini A, Choobine A, Razeghi M, Pakshir HR, Ghaem H, Vojud M. Ergonomic Assessment of Exposure to Musculoskeletal Disorders Risk Factors among Dentists of Shiraz, Iran. J Dent (Shiraz). 2019;20(1):53-60. [DOI: 10.30476/DENTJODS.2019.44564] [PMID]
25. Jahanimoghadam F, Horri A, Hasheminejad N, Hashemi Nejad N, Baneshi MR. Ergonomic Evaluation of Dental Professionals as Determined by Rapid Entire Body Assessment Method in 2014. J Dent (Shiraz). 2018;19(2):155-8. [PMID]
26. McLaren W, Parrott L. Do dental students have acceptable working posture? Br Dent J. 2018;225(1):59-67. [DOI: 10.1038/sj.bdj.2018.520] [PMID]
27. Ambarwati T, Suroto, Wicaksena B, Sopianah Y, Miko H. Posture work to complaint musculoskeletal disorders at the dentist. Journal of International Dental and Medical Research. 2018;11:57-61. [Link]
28. Yazdanian M, Moradi K, Sobhani V, Akbari H, Kazemipour M, Shamsoddini A, et al. Assessing the prevalence of musculoskeletal disorders and posture conditions during work time of dentists in a dentistry clinic affiliated to a military college in Tehran in 2017. Journal of Military Medicine. 2018;20:222-30. [Link]
29. Ohlendorf D, Erbe C, Hauck I, Nowak J, Hermanns I, Ditchen D, et al. Restricted posture in dentistry - a kinematic analysis of orthodontists. BMC Musculoskelet Disord. 2017;18(1):275.[DOI: 10.1186/s12891-017-1629-7] [PMID]
30. Bozkurt S, Demirsoy N, Günendi Z. Risk factors associated with work-related musculoskeletal disorders in dentistry. Clin Invest Med. 2016;39(6):27527. [PMID]
31. Pejcić N, Jovicić M, Miljković N, Popović DB, Petrović V. Posture in dentists: Sitting vs. standing positions during dentistry work--An EMG study. Srp Arh Celok Lek. 2016;144(3-4):181-7. [PMID]
32. Vakili L, Halabchi F, Mansournia MA, Khami MR, Irandoost S, Alizadeh Z. Prevalence of Common Postural Disorders Among Academic Dental Staff. Asian J Sports Med. 2016;7(2):e29631. [DOI: 10.5812/asjsm.29631] [PMID]
33. Ohlendorf D, Erbe C, Hauck I, Nowak J, Hermanns I, Ditchen D, et al. Kinematic analysis of work-related musculoskeletal loading of trunk among dentists in Germany. BMC Musculoskelet Disord. 2016;17(1):427. [DOI: 10.1186/s12891-016-1288-0] [PMID]
34. Pope-Ford R, Jiang Z. Neck and shoulder muscle activation patterns among dentists during common dental procedures. Work. 2015;51(3):391-9. [DOI: 10.3233/WOR-141883] [PMID]
35. Park HS, Kim J, Roh HL, Namkoong S. Analysis of the risk factors of musculoskeletal disease among dentists induced by work posture. J Phys Ther Sci. 2015;27(12):3651-4. [DOI: 10.1589/jpts.27.3651] [PMID]
36. Bhagwat S, Hegde S, Mandke L. Prevalence of Musculoskeletal Disorders among Indian Dentists: A Pilot Survey with Assessment by Rapid Entire Body Assessment. World J Dent. 2015;6:39-44. [DOI: 10.5005/jp-journals-10015-1310]
37. Kurşun Ş, Evirgen S, Akbulut N, Oztas B, Vaizoglu SA. Work Characteristics and Musculoskeletal Disorders among Postgraduate Dental Students: A Pilot Study. Journal of Musculoskeletal Pain. 2014;22(1):62-7. [DOI: 10.3109/10582452.2014.883010]
38. Blanc D, Farre P, Hamel O. Variability of Musculoskeletal Strain on Dentists: An Electromyographic and Goniometric Study. Int J Occup Saf Ergon. 2014;20(2):295-307. [DOI: 10.1080/10803548.2014.11077044]
39. Thanathornwong B, Suebnukarn S, Songpaisan Y, Ouivirach K. A system for predicting and preventing work-related musculoskeletal disorders among dentists. Comput Methods Biomech Biomed Engin. 2014;17(2):177-85. [DOI: 10.1080/10255842.2012.672565] [PMID]
40. Jonker D, Rolander B, Balogh I. Relation between perceived and measured workload obtained by long-term inclinometry among dentists. Appl Ergon. 2009;40(3):309-15. [DOI: 10.1016/j.apergo.2008.12.002] [PMID]
41. Chaikumarn M. Differences in Dentists’ Working Postures When Adopting Proprioceptive Derivation vs. Conventional Concept. Int J Occup Saf Ergon. 2005;11(4):441-9. [DOI: 10.1080/10803548.2005.11076662] [PMID]
42. Jeong Y-J, Choi J-S. The effect of indirect vision skills on head and shoulder posture amongst Korean dental hygienists. Eur J Dent Educ. 2020;24(1):17-25. [DOI: 10.1111/eje.12463] [PMID]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Copyright Policy
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
