Clinical Findings Related to Musculoskeletal Disorders (MSDs) in a Group of Orthodontists
Year 2023,
, 235 - 241, 29.09.2023
Martha Yojana Gómez-arias
Karina Andrea Ramírez-sepúlveda
Diana M. Ramírez-ossa
Andrés Agudelo-suárez
Abstract
Aim: Orthodontists could be exposed to different occupational risks and be affected by different pathologies such as Musculoskeletal Disorders (MSDs). Prevention strategies are required to identify risk factors at different levels. Through an objective clinical evaluation, this study aimed to identify the factors related to the presence of MSDs in a group of orthodontists from Medellín (Colombia).
Methods: A cross-sectional study was conducted. A clinical evaluation, focused on orthodontics-related occupational aspects, was carried out by an occupational health practitioner, that was standardized for research purposes. Sociodemographic and clinical variables were collected. Descriptive and bivariate analyses were conducted on the prevalence of MSDs according to the study variables and Chi-square tests was carried out to observe statistically significant differences. Ethical approval was obtained.
Results: The prevalence of MSDs was 58.7% (95%CI 44.3- 71.7). The frequency of Upper body MSDs was 45.7% (Females: 51.4%) and in the case of Spine Area MSDs was 23.9% (Males: 45.5%). The prevalence of MSDs was higher in males, those people ≤ 44 years, Single/Separate, from middle socioeconomic status, with other medical previous conditions. Labor conditions were related to the presence of MSDs. The agreement percentage in the case of Upper body MSDs and Clinical Spine Area MSDs considering positive cases was 50% and 29.2% respectively.
Conclusions: The orthodontists participating in the study manifested various MSDs and other pathologies related to their professional practice. Sociodemographic and clinical factors were related to the presence of MSDs. Epidemiological surveillance systems in occupational health and strategies in health and safety at work are requested.
Thanks
The authors would like to thank all members of the Association of Orthodontists of the University of Antioquia in Medellín, Colombia, for their cooperation with this research.
References
- 1. Pandis N, Pandis BD, Pandis V, Eliades T. Occupational hazards in orthodontics: a review of risks and associated pathology. Am J Orthod Dentofacial Orthop 2007;132:280-292.
- 2. Meisha DE, Alsharqawi NS, Samarah AA, Al-Ghamdi MY. Prevalence of work-related musculoskeletal disorders and ergonomic practice among dentists in Jeddah, Saudi Arabia. Clin Cosmet Investig Dent 2019;11:171-179.
- 3. Luttmann A, Jäger M, Griefahn B, Caffier G, Liebers F. Protecting Workers' Health Series No. 5. Preventing musculoskeletal disorders in the workplace. Geneva: World Health Organization, 2003.
- 4. Ramírez-Sepúlveda KA, Gómez-Arias MY, Agudelo-Suárez AA, Ramírez-Ossa DM. Musculoskeletal disorders and related factors in the Colombian orthodontists' practice. Int J Occup Saf Ergon 2021:1-10.
- 5. Kumar M, Pai KM, Vineetha R. Occupation-related musculoskeletal disorders among dental professionals. Med Pharm Rep 2020;93:405-409.
- 6. Haas Y, Naser A, Haenel J, et al. Prevalence of self-reported musculoskeletal disorders of the hand and associated conducted therapy approaches among dentists and dental assistants in Germany. PLoS One 2020;15:e0241564.
- 7. Roll SC, Tung KD, Chang H, et al. Prevention and rehabilitation of musculoskeletal disorders in oral health care professionals: A systematic review. J Am Dent Assoc 2019;150:489-502.
- 8. Sakzewski L, Naser-ud-Din S. Work-related musculoskeletal disorders in dentists and orthodontists: a review of the literature. Work 2014;48:37-45.
- 9. Pejčić N, Petrović V, Marković D, et al. Assessment of risk factors and preventive measures and their relations to work-related musculoskeletal pain among dentists. Work 2017;57:573-593.
- 10. Rafie F, Zamani Jam A, Shahravan A, Raoof M, Eskandarizadeh A. Prevalence of Upper Extremity Musculoskeletal Disorders in Dentists: Symptoms and Risk Factors. J Environ Public Health 2015;2015:517346.
- 11. Lindfors P, Von Thiele U, Lundberg U. Work Characteristics and Upper Extremity Disorders in Female Dental Health Workers. J Occup Health 2006;48:192-197.
- 12. Vodanović M, Sović S, Galić I. Occupational health problems among dentists in Croatia. Acta stomatol Croat 2016;50:310-320.
- 13. Ohlendorf D, Erbe C, Nowak J, et al. Constrained posture in dentistry - a kinematic analysis of dentists. BMC Musculoskelet Disord 2017;18:291.
- 14. World Health Organization. Obesity and overweight. Fact sheet. Updated 9 June 2021.
- 15. Kerosuo E, Kerosuo H, Kanerva L. Self-reported health complaints among general dental practitioners, orthodontists, and office employees. Acta Odontol Scand 2000;58:207-212.
- 16. Newell TM, Kumar S. Prevalence of musculoskeletal disorders among orthodontists in Alberta. International Journal of Industrial Ergonomics 2004;33:99-107.
- 17. Sankar SG, Reddy PV, Reddy BR, Vanaja K. The prevalence of work-related musculoskeletal disorders among Indian orthodontists. J Ind Orthod Soc 2012;46:264-268.
- 18. Borres RD, Lim JU, Robielos RA, Pacaña MJ. Musculoskeletal Disorders Among Orthodontists: Risk Factors and Ergonomic Intervention. Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018) 2019:709-733.
- 19. Yi J, Hu X, Yan B, Zheng W, Li Y, Zhao Z. High and specialty-related musculoskeletal disorders afflict dental professionals even since early training years. J Appl Oral Sci 2013;21:376-382.
- 20. Leggat PA, Kedjarune U, Smith DR. Occupational health problems in modern dentistry: a review. Ind Health 2007;45:611-621.
- 21. Marshall ED, Duncombe LM, Robinson RQ, Kilbreath SL. Musculoskeletal symptoms in New South Wales dentists. Aust Dent J 1997;42:240-246.
- 22. Rickert C, Fels U, Gosheger G, et al. Prevalence of Musculoskeletal Diseases of the Upper Extremity Among Dental Professionals in Germany. Risk Manag Healthc Policy 2021;14:3755-3766.
- 23. Pope-Ford R, Pope-Ozimba J. Musculoskeletal disorders and emergent themes of psychosocial factors and their impact on health in dentistry. Work 2020;65:563-571.
- 24. Al-Gunaid T, Abdulhai R, Flemban B. Prevalence of Musculoskeletal Disorders among Dentists in Al-Madinah, Kingdom of Saudi Arabia. International Journal of Recent Surgical and Medical Sciences 2017;03:015-019.
- 25. Muñoz-Pino N, Tibaná-Guisao AE, Cardona-Hincapié JD, Hurtado-Aristizábal A, Agudelo-Suárez AA. Factors associated to quality of life of orthodontists graduated from a public university (1993-2016): A mixed-methods approach. Dental Press J Orthod 2020;25:23e21-23e12.
- 26. Roth SF, Heo G, Varnhagen C, Major PW. The relationship between occupational stress and job satisfaction in orthodontics. Am J Orthod Dentofacial Orthop 2004;126:106-109.
- 27. Bateman LE, Collins JM, Cunningham SJ. A qualitative study of work-life balance amongst specialist orthodontists in the United Kingdom. J Orthod 2016;43:288-299.
Year 2023,
, 235 - 241, 29.09.2023
Martha Yojana Gómez-arias
Karina Andrea Ramírez-sepúlveda
Diana M. Ramírez-ossa
Andrés Agudelo-suárez
References
- 1. Pandis N, Pandis BD, Pandis V, Eliades T. Occupational hazards in orthodontics: a review of risks and associated pathology. Am J Orthod Dentofacial Orthop 2007;132:280-292.
- 2. Meisha DE, Alsharqawi NS, Samarah AA, Al-Ghamdi MY. Prevalence of work-related musculoskeletal disorders and ergonomic practice among dentists in Jeddah, Saudi Arabia. Clin Cosmet Investig Dent 2019;11:171-179.
- 3. Luttmann A, Jäger M, Griefahn B, Caffier G, Liebers F. Protecting Workers' Health Series No. 5. Preventing musculoskeletal disorders in the workplace. Geneva: World Health Organization, 2003.
- 4. Ramírez-Sepúlveda KA, Gómez-Arias MY, Agudelo-Suárez AA, Ramírez-Ossa DM. Musculoskeletal disorders and related factors in the Colombian orthodontists' practice. Int J Occup Saf Ergon 2021:1-10.
- 5. Kumar M, Pai KM, Vineetha R. Occupation-related musculoskeletal disorders among dental professionals. Med Pharm Rep 2020;93:405-409.
- 6. Haas Y, Naser A, Haenel J, et al. Prevalence of self-reported musculoskeletal disorders of the hand and associated conducted therapy approaches among dentists and dental assistants in Germany. PLoS One 2020;15:e0241564.
- 7. Roll SC, Tung KD, Chang H, et al. Prevention and rehabilitation of musculoskeletal disorders in oral health care professionals: A systematic review. J Am Dent Assoc 2019;150:489-502.
- 8. Sakzewski L, Naser-ud-Din S. Work-related musculoskeletal disorders in dentists and orthodontists: a review of the literature. Work 2014;48:37-45.
- 9. Pejčić N, Petrović V, Marković D, et al. Assessment of risk factors and preventive measures and their relations to work-related musculoskeletal pain among dentists. Work 2017;57:573-593.
- 10. Rafie F, Zamani Jam A, Shahravan A, Raoof M, Eskandarizadeh A. Prevalence of Upper Extremity Musculoskeletal Disorders in Dentists: Symptoms and Risk Factors. J Environ Public Health 2015;2015:517346.
- 11. Lindfors P, Von Thiele U, Lundberg U. Work Characteristics and Upper Extremity Disorders in Female Dental Health Workers. J Occup Health 2006;48:192-197.
- 12. Vodanović M, Sović S, Galić I. Occupational health problems among dentists in Croatia. Acta stomatol Croat 2016;50:310-320.
- 13. Ohlendorf D, Erbe C, Nowak J, et al. Constrained posture in dentistry - a kinematic analysis of dentists. BMC Musculoskelet Disord 2017;18:291.
- 14. World Health Organization. Obesity and overweight. Fact sheet. Updated 9 June 2021.
- 15. Kerosuo E, Kerosuo H, Kanerva L. Self-reported health complaints among general dental practitioners, orthodontists, and office employees. Acta Odontol Scand 2000;58:207-212.
- 16. Newell TM, Kumar S. Prevalence of musculoskeletal disorders among orthodontists in Alberta. International Journal of Industrial Ergonomics 2004;33:99-107.
- 17. Sankar SG, Reddy PV, Reddy BR, Vanaja K. The prevalence of work-related musculoskeletal disorders among Indian orthodontists. J Ind Orthod Soc 2012;46:264-268.
- 18. Borres RD, Lim JU, Robielos RA, Pacaña MJ. Musculoskeletal Disorders Among Orthodontists: Risk Factors and Ergonomic Intervention. Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018) 2019:709-733.
- 19. Yi J, Hu X, Yan B, Zheng W, Li Y, Zhao Z. High and specialty-related musculoskeletal disorders afflict dental professionals even since early training years. J Appl Oral Sci 2013;21:376-382.
- 20. Leggat PA, Kedjarune U, Smith DR. Occupational health problems in modern dentistry: a review. Ind Health 2007;45:611-621.
- 21. Marshall ED, Duncombe LM, Robinson RQ, Kilbreath SL. Musculoskeletal symptoms in New South Wales dentists. Aust Dent J 1997;42:240-246.
- 22. Rickert C, Fels U, Gosheger G, et al. Prevalence of Musculoskeletal Diseases of the Upper Extremity Among Dental Professionals in Germany. Risk Manag Healthc Policy 2021;14:3755-3766.
- 23. Pope-Ford R, Pope-Ozimba J. Musculoskeletal disorders and emergent themes of psychosocial factors and their impact on health in dentistry. Work 2020;65:563-571.
- 24. Al-Gunaid T, Abdulhai R, Flemban B. Prevalence of Musculoskeletal Disorders among Dentists in Al-Madinah, Kingdom of Saudi Arabia. International Journal of Recent Surgical and Medical Sciences 2017;03:015-019.
- 25. Muñoz-Pino N, Tibaná-Guisao AE, Cardona-Hincapié JD, Hurtado-Aristizábal A, Agudelo-Suárez AA. Factors associated to quality of life of orthodontists graduated from a public university (1993-2016): A mixed-methods approach. Dental Press J Orthod 2020;25:23e21-23e12.
- 26. Roth SF, Heo G, Varnhagen C, Major PW. The relationship between occupational stress and job satisfaction in orthodontics. Am J Orthod Dentofacial Orthop 2004;126:106-109.
- 27. Bateman LE, Collins JM, Cunningham SJ. A qualitative study of work-life balance amongst specialist orthodontists in the United Kingdom. J Orthod 2016;43:288-299.