Musculoskeletal disorders of the neck and shoulder in dental hygienists and dental hygiene students.

PURPOSE: Dental hygienists have been found to have high rates of neck and shoulder disorders, but there is very limited information on risk factors associated with those disorders, the level of risk for students, and the relationship of prior work as dental assistants for dental hygiene students. Th...

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Published in:Journal of Dental Hygiene Vol. 81; no. 1; pp. 10 - 11
Main Authors: Morse T, Bruneau H, Michalak-Turcotte C, Sanders M, Warren N, Dussetschleger J, Diva U, Croteau M, Cherniack M
Format: research tables/charts Journal Article
Published: American Dental Hygienists Association Winter2007
Online Access:View this record in EBSCOhost
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      pub: American Dental Hygienists Association
      place: Chicago, Illinois
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        atl: Musculoskeletal disorders of the neck and shoulder in dental hygienists and dental hygiene students.
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          Morse T
          Bruneau H
          Michalak-Turcotte C
          Sanders M
          Warren N
          Dussetschleger J
          Diva U
          Croteau M
          Cherniack M
        affil: Department of Community Medicine and Ergonomic Technology Center (ErgoCenter), University of Connecticut Health Center, Farmington, CT, USA. TMorse@uchc.edu
      sug:
        subj:
          Musculoskeletal Diseases
          Neck Pain
          Shoulder Pain
          Chi Square Test
          Confidence Intervals
          Data Analysis Software
          Dental Hygienists
          Descriptive Statistics
          Funding Source
          Logistic Regression
          Musculoskeletal Diseases Risk Factors
          Odds Ratio
          Physical Examination
          Prospective Studies
          Questionnaires
          Sample Size
          Self Report
          Statistical Significance
          Students, Dental Hygiene
          Human
      ab: PURPOSE: Dental hygienists have been found to have high rates of neck and shoulder disorders, but there is very limited information on risk factors associated with those disorders, the level of risk for students, and the relationship of prior work as dental assistants for dental hygiene students. This study examines self-reported and physician-diagnosed neck and shoulder pain. METHODS: A cohort consisting of 27 dental hygiene students with no prior dental occupation experience (mean age 24, 6.2 SD), and 39 dental hygiene students with prior experience as dental assistants (mean age 28, 6.0) and 94 experienced dental hygienists (mean age 46, 8.8) completed a questionnaire on risk factors and self reported pain, and were examined by a physician in reference to upper extremity findings and diagnoses. Analysis included tabular, trend, and logistic regression analysis. RESULTS: There were significant differences for risks, symptoms, and physician findings. Risk factors had a stepwise progression for students, student/assistants, and experienced dental hygienists, including working with a bent neck often or very often (79%, 89%, 96%, respectively, p<.001), static posture (39%, 50%, 63%, p<.001), precise motions (58%, 67%, 90%, p<.001), and repetition (79%, 86%, 98%, p<.001). Neck symptoms were reported by 37%, 43%, and 72%, respectively (p<.001), and 11%, 20%, and 35% for shoulder symptoms (p<.05). Similar patterns were demonstrated in physician findings, particularly for neck disorders (18%, 36%, 50%, p<.01). In regressions, self-reported shoulder pain was significantly associated with working above shoulder height (OR=1.5, CI 1.0-2.4), and neck symptoms with working with a bent neck (OR=2.1, CI 1.3-3.4), with a protective effect from high supervisor support (OR=0.5, CI 0.2-1.0). CONCLUSION: Risk factors and both self-reported and physician-diagnosed neck and shoulder symptoms increase in frequency from students to experienced hygienists, and students have higher prevalence if they are also dental assistants.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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