Alborz University Medical Journal

fa تاثیر آموزش ارگونومی درکاهش شیوع اختلالات اسکلتی- عضلانی دندانپزشکان شهرستان کرج The Effect of Ergonomics Training on Reducing the Prevalence of Musculoskeletal Disorders in Dentists in Karaj تخصصي Special پژوهشي Research زمینهوهدف: اختلالات اسکلتی- عضلانی ناشی از کار یکی از شایعترین بیماریهای شغلی است.این عارضه در بین دندانپزشکان درسطح جهان از شیوع بالایی برخورداراست. هدف ازاین مطالعه بررسی تاثیر آموزش دراصلاح پوسچر وکاهش این اختلالات اسکلتی- عضلانی ناشی ازکار بوده است . مواد و روش‌ها: دراین مطالعه توصیفی –تحلیلی 60 نفر از دندانپزشکان شهرستان کرج در سه گروه آموزش چهره به چهره،گروه پمفلت وگروه شاهد مورد بررسی قرارگرفتند.شیوع اختلالات اسکلتی- عضلانی با استفاده از پرسشنامه نوردیک و ریسک فاکتورهای شغلی با استفاده از تکنیک ارزیابی سریع بدن( (REBA  مورد بررسی قرار گرفته و با استفاده ازآزمون تی زوج و ANOVA ارزیابی شدند. یافتهها: 60% افرادی که دراین تحقیق شرکت کردهاند در طی12ماه گذشته در گردن خود احساس ناراحتی داشتهاند.گردن درد بر روی فعالیت 7/41% دندانپزشکان اثر منفی داشته است.40% شرکت کنندگان در این پژوهش از مشکلات و اختلالات مربوط به شانه و 75% نیز از کمر درد رنج می‌بردند .4/70% علت اصلی آن را شغل خود میدانند. 50% دندانپزشکان از مچ درد رنج برده که به طبع این درد درمچ راست دارای شیوع بیشتری بوده است. در تحلیل واریانس بین سه گروه، اختلاف معنیداری وجود نداشت( 321/0p= ). همچنین سن و سابقه کاری سه گروه آموزشی با هم اختلاف معنیداری نداشت(21/0 p= ). آموزش حضوری(چهره به چهره) و آموزش به روش پمفلت در دو گروه آموزش چهره به چهره و گروه آموزش با پمفلت ( 014/0 p-value=) اثر گذار بوده و توانسته در نوع پوسچر دندانپزشکان اثر مثبت داشته باشد. <div dir="RTL"></div> <div><a name="_ENREF_1">1.</a>   Spielholz P B, Silvestein M. Morgan. Compartion of self-report, video observation and direct measurement methods for upper extermity musceloskeletal disorder physical risk factor. Ergonomics  2001;44(6):588-613. <a name="_ENREF_2">2.</a>   Chobineh A, Soleimani E, Daneshmandi H, Mohamadbeigi A, ezadi Kh. The prevalence of musculoskeletal disorders and postural assessment dentists in Shiraz in Rula method. . Journal of Dental Dentists  2013;24(4):310-7. <a name="_ENREF_3">3.</a>   ARTÊNIO JOSÉ ÍSPER GARBIN, GABRIELLA BARRETO SOARES, RENATO MOREIRA ARCIERI, CLÉA ADAS SALIBA GARBIN, CARLOS EDUARDO SIQUEIRA. Musculoskeletal Disorders and Perception of working condition. A survey of brazilian Dentists in SA~O PAULO. International Journal of Occupational Medicine and Environmental Health  2017;30(3):367 - 77. <a name="_ENREF_4">4.</a>   A. S. Arthisri, Ashish R. Jain, Jacob Mathew Philip, C. J. Venkata Krishnan, Chitraa R. Chandran. 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BMC musculoskeletal disorders. 2013;14(1):118.</div>   <div dir="RTL"> </div>   <table cellpadding="0" cellspacing="0" width="100%"> <tbody> <tr> <td> <div>Fatemeh Zarei1 , Seyedeh Azar Mousavifard1*, Tayebeh Mahmoudi2, Vajiah Allah Alvandian2   <ol> <li>MSc of Occupational Health, Department of Occupational Health Engineering, Faculty of Health, Alborz University of Medical Sciences, Karaj, Iran</li> <li>Health, Safety and Environment Research Center (RCHSE), Alborz University of Medical Sciences, Karaj, Iran</li> <li>Expert of Occupational Health, Deputy of Health of Alborz University of Medical Sciences, Karaj, Iran</li> </ol>                                                                                   *Corresponding Author: MSc of Occupational Health, Department of Occupational Health Engineering, Faculty of Health, Alborz University of Medical Sciences, Karaj, Iran Health, Safety and Environment Research Center (RCHSE), Alborz University of Medical Sciences, Karaj, Iran   Tel: 09123617470 E-mail: parszad@gmail.com Fatemeh zarei1,Azar mousavifard4* 1.  MSc of Occupational Health, Department of Occupational Health Engineering, Faculty of Health, Alborz University of Medical Sciences, Karaj, Iran 2. Health, Safety and Environment Research Center (RCHSE), Alborz University of Medical Sciences, Karaj, Iran 3. Expert of Occupational Health, Deputy of Health of Alborz University of Medical Sciences, Karaj, Iran Fatemeh zarei1,Azar mousavifard4* 1.  MSc of Occupational Health, Department of Occupational Health Engineering, Faculty of Health, Alborz University of Medical Sciences, Karaj, Iran 2. Health, Safety and Environment Research Center (RCHSE), Alborz University of Medical Sciences, Karaj, Iran 3. Expert of Occupational Health, Deputy of Health of Alborz University of Medical Sciences, Karaj, Iran                                                                                                           *Corresponding Author:     Tel: 021- E-mail:                                                   *Corresponding Author:     -    Email: <a href="mailto:Dr.hashemi@sbmu.ac.ir">researchgroups@yahoo.com</a>                                                                           *Corresponding Author: Department of Internal Medicine, Shaid Beheshti Medical University, Tehran, Iran   Tel:  0-   E-mail:                                                         *Corresponding Author: Mona Pourghaderi       Tel:02632558934 E-mail: pourghaderi2601@yahoo.com  </div> </td> </tr> </tbody> </table> The Effect of Ergonomics Training on Reducing the Prevalence of Musculoskeletal Disorders in Dentists in Karaj   Received: 12 Feb. 2018; Accepted: 20 Aug. 2018     <table cellpadding="0" cellspacing="0" width="100%"> <tbody> <tr> <td> <div>Abstract      </div> </td> </tr> </tbody> </table> Background: The most common work-related disorders are Musculoskeletal disorders. This disorder have a high incidenceamong dentists in the world . The purpose of this study was to evaluate the effect of education in correction posture and reduce work-related musculoskeletal disorders. Methods: 60 dentists from Karaj city were examined In this Cross - sectional study in three groups(control ،traning with pamphlet، training face to face ). Musculoskeletal disorders investigated  with Nordic Questioner and REBA method. Data evaluated with paired t- test and ANOVA . Results: 60% of those who participated in this study have discomfort in your neck in the last 12 months. Neck pains have had a negative effect on 7/41% of dentist's activities. 40% of participants in the study suffered from shoulder disorders and 75% of participants suffered from back pain.70.4% of participate says the main cause of these disorders are their job. 50% of dentists suffering from wrist pain and the pain have been more common in the right wrist naturally. Conclusion: There was no significant difference between groups in the analysis of variance, As well Age and work experience of the three groups showed no significant difference. Training (face to face) and Education Pamphlet groups have been influential in face to face training and education with pamphlet and able to have a positive effect on the posture of Dentists a little. دردهای اسکلتی عضلانی, دندانپزشکان, اختلالات مربوط به کار ,آموزش, ارگونومی WMSDs, Dentists, Musculoskeletal pain, Work - related disorders 177 184 http://aums.abzums.ac.ir/browse.php?a_code=A-10-348-1&slc_lang=fa&sid=1 Fatemeh Zarei فاطمه زارعی 10031947532846006394 10031947532846006394 No MSc of Occupational Health, Department of Occupational Health Engineering, Faculty of Health, Alborz University of Medical Sciences, Karaj, Iran 1کارشناس ارشد بهداشت حرفه ای، گروه مهندسی بهداشت حرفه ای، دانشکده بهداشت، دانشگاه علوم پزشکی البرز، کرج، ایران Seyedeh Azar Mousavifard سیده آذر موسوی فرد parszad@gmail.com 10031947532846006395 10031947532846006395 Yes MSc of Occupational Health, Department of Occupational Health Engineering, Faculty of Health, Alborz University of Medical Sciences, Karaj, Iran 2مرکزتحقیقات بهداشت، ایمنی ومحیط (RCHSE) ،دانشگاه علوم پزشکی البرز، کرج، ایران Tayebeh Mahmoudi طیبه محمودی 10031947532846006396 10031947532846006396 No Expert of Occupational Health, Deputy of Health of Alborz University of Medical Sciences, Karaj, Iran 3کارشناس بهداشت حرفه ای، معاونت بهداشتی دانشگاه علوم پزشکی البرز، کرج، ایران Vajiah Allah Alvandian وجیه الله الوندیان 10031947532846006397 10031947532846006397 No Expert of Occupational Health, Deputy of Health of Alborz University of Medical Sciences, Karaj, Iran کارشناس بهداشت حرفه ای، معاونت بهداشتی دانشگاه علوم پزشکی البرز، کرج، ایران