Alborz University Medical Journal
نشریه علمی پژوهشی دانشگاه علوم پزشکی البرز
aumj
Medical Sciences
http://aums.abzums.ac.ir
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10.61186/aums
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2019
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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
<strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">زمینه­وهدف:</span></span></strong> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">اختلالات اسکلتی- عضلانی ناشی از کار</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> یکی از</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> شایعترین بیماری­های شغلی </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">است.این عارضه در بین </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">دندانپزشکان درسطح جهان از شیوع بالایی برخورداراست. هدف ازاین مطالعه بررسی تاثیر آموزش دراصلاح پوسچر وکاهش این اختلالات اسکلتی- عضلانی ناشی ازکار بوده است .</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;"></span></span><br>
<strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">مواد و روشها:</span></span></strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> دراین مطالعه توصیفی </span></span><span style="font-family:sakkal majalla;"><span style="font-size:10.0pt;">–</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">تحلیلی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">60</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">نفر</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">دندانپزشکان</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">شهرستان کرج در سه گروه آموزش چهره به چهره،گروه پمفلت وگروه شاهد</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">مورد بررسی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">قرارگرفتند.شیوع</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">اختلالات</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">اسکلتی- عضلانی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">با</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">استفاده</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">پرسشنامه</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">نوردیک</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> و</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">ریسک</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">فاکتورهای</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">شغلی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">با</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">استفاده</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">تکنیک</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">ارزیابی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">سریع</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">بدن( </span></span><span dir="LTR"><span style="color:#222222;"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">(REBA</span></span></span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;"> مورد بررسی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">قرار گرفته و</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">با</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">استفاده</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">ازآزمون تی</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> زوج و</span></span><span dir="LTR"><span style="color:#222222;"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;"> ANOVA</span></span></span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> ارزیابی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">شدند.</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;"></span></span><br>
<strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">یافته</span></span></strong><strong><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">­</span></span></span></strong><strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">ها:</span></span></strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> 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.<span style="color:black;">40% شرکت کنند­گان در این پژوهش از مشکلات و اختلالات مربوط به شانه و</span></span></span> <span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">75% نیز از کمر درد رنج میبردند</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;"> .</span></span></span></span><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">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( 321/0</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">p=</span></span></span></span><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> ). همچنین سن و سابقه کاری سه گروه آموزشی با هم اختلاف معنی­داری نداشت(21/0 </span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">p=</span></span></span></span><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> ). آموزش حضوری(چهره به چهره) و آموزش به روش پمفلت در دو گروه آموزش چهره به چهره و گروه آموزش با پمفلت ( 014/0</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;"> p-value=</span></span></span></span><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">) اثر گذار بوده و توانسته در نوع پوسچر دندانپزشکان اثر مثبت داشته باشد</span></span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">.</span></span><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:10.0pt;"></span></span></span>
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<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.<span dir="RTL"></span><br>
<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.<span dir="RTL"></span><br>
<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.<span dir="RTL"></span><br>
<a name="_ENREF_4">4.</a> A. S. Arthisri, Ashish R. Jain, Jacob Mathew Philip, C. J. Venkata Krishnan, Chitraa R. Chandran. Site Predilection of Occupational Musculoskeletal Complaints among Dental Practitioners in Chennai City. Biol Med (Aligarh). 2017;9(1):1-6.<span dir="RTL"></span><br>
<a name="_ENREF_5">5.</a> Ahmad Alghadir, Hamayun Zafar, Zaheen A. Iqbal. Work-related musculoskeletal disorders among dental professionals in Saudi Arabia. J Phys Ther Sci. 2015;27 1107-12.<span dir="RTL"></span><br>
<a name="_ENREF_6">6.</a> N. Dehghan, AR. Choobineh, J. Hasanzadeh. Interventional ergonomic study to correct and improve working postures and decrease discomfort in assembly workers of an electronic industry. Iran Occupational Health 2012-2013; 9( 4):71-9.<span dir="RTL"></span><br>
<a name="_ENREF_7">7.</a> A quantitative assessment of low back pain in dentistry Regina Pope-Ford. 6th International Conference on Applied Human Factors and Ergonomics (AHFE 2015) and the Affiliated Conferences. 2015:4761 - 8.<span dir="RTL"></span><br>
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<a name="_ENREF_9">9.</a> Sartorio Faea. Work-related musculoskeletal diseases in dental professionals.Prevalence and risk factors. G Ital Med Lav Ergon. 2005;27(2):165-9.<span dir="RTL"></span><br>
<a name="_ENREF_10">10.</a> Rucker LaSS. Ergonomic risk factors associated with clinical dentistry. 2009.<span dir="RTL"></span><br>
<a name="_ENREF_11">11.</a> Nasl sersgei J, Hoseini MH, Shahtaheri SJ, Golbabaei F, Ghasemkhani M. Ergonomic posture Dental Practitioners in city of Birjand. Journal of Dentistry Tehran University of Medical Sciences 2005;18(1):61-7.<span dir="RTL"></span><br>
<a name="_ENREF_12">12.</a> Nasl sersgei J MH. Check the status of the work in the manner Birjand Dental Practitioners with REBA method. Thesis No 3376 Master of Occupational Health Faculty of Health, Tehran University of Medical Sciences 1.<span dir="RTL"></span><br>
<a name="_ENREF_13">13.</a> Lahmi M, Saremi M. Assessment of Musculoskeletal Disorders Dentistry, Shahed University with REBA method and by providing the right solution. MS Thesis N1704320, University of Medical Sciences, Tarbiat Modarres university.<span dir="RTL"></span><br>
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<a name="_ENREF_17">17.</a> Mohammad Ali Mohseni-Bandpei, Nahid Rahmani, Faezeh Halimi, Muhammad Nazim Farooq. The prevalence of low back pain in Iranian dentists: An epidemiological study. Pak J Med Sci. 2017;33( 2):280-5.<span dir="RTL"></span><br>
<a name="_ENREF_18">18.</a> Hamed Nadri, Amir Nadri, Bita Rohani, Fatemeh Fasih Ramandi, Mohsen Amin Sobhani, Iman Naseh. Assessment of Musculoskeletal Disorders Prevalence and Body Discomfort among Dentists by Visual Analog Discomfort Scale. j Dent of Mashhad UMS. 2015;39(4):363-72.<span dir="RTL"></span><br>
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<div><strong>Fatemeh Zarei1 , Seyedeh Azar Mousavifard<sup>1*</sup></strong><strong>, </strong><strong>Tayebeh Mahmoudi<sup>2</sup>, </strong><strong>Vajiah Allah Alvandian<sup>2</sup></strong><br>
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<li><em>MSc of Occupational Health, Department of Occupational Health Engineering, Faculty of Health, Alborz University of Medical Sciences, Karaj, Iran</em></li>
<li><em>Health, Safety and Environment Research Center (RCHSE), Alborz University of Medical Sciences, Karaj, Iran</em></li>
<li><em>Expert of Occupational Health, Deputy of Health of Alborz University of Medical Sciences, Karaj, Iran</em></li>
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<strong>*Corresponding Author: </strong><br>
MSc of Occupational Health, Department of Occupational Health Engineering, Faculty of Health, Alborz University of Medical Sciences, Karaj, Iran<br>
Health, Safety and Environment Research Center (RCHSE), Alborz University of Medical Sciences, Karaj, Iran<br>
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Tel: 09123617470<br>
E-mail: parszad@gmail.com<br>
<strong>Fatemeh zarei1,Azar mousavifard4* 1.</strong><br>
<strong> 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</strong><strong><span dir="RTL"></span></strong><br>
<strong>Fatemeh zarei1,Azar mousavifard4* 1.</strong><br>
<strong> 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</strong><strong><span dir="RTL"></span></strong><br>
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<strong>*Corresponding Author: </strong><br>
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Tel: 021-<span dir="RTL"></span><br>
E-mail: <span dir="RTL"></span><br>
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<strong><span dir="LTR">*Corresponding Author:</span></strong><br>
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<span dir="LTR">- </span> <span dir="LTR"></span><br>
<span dir="LTR">Email: </span><span dir="LTR"><a href="mailto:Dr.hashemi@sbmu.ac.ir">researchgroups@yahoo.com</a></span><em><span dir="LTR"></span></em><br>
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<strong><span dir="LTR">*Corresponding Author:</span></strong><em><span dir="LTR"></span></em><br>
<span dir="LTR">Department of Internal Medicine, Shaid Beheshti Medical University, Tehran, Iran</span><span dir="LTR"></span><br>
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<span dir="LTR">Tel: </span> <span dir="LTR">0- </span><br>
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<strong><span dir="LTR">*Corresponding Author: Mona Pourghaderi </span></strong><br>
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<span dir="LTR">Tel:02632558934 </span><br>
<span dir="LTR">E-mail: pourghaderi2601@yahoo.com </span><br>
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<strong>The Effect of Ergonomics Training on Reducing the Prevalence of Musculoskeletal Disorders in Dentists in Karaj</strong><br>
<strong> </strong><br>
Received: 12 Feb. 2018; Accepted: 20 Aug. 2018
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<div><strong>Abstract</strong><br>
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<strong><em>Background:</em></strong> 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.<br>
<strong><em>Methods:</em></strong> 60 dentists from Karaj city were examined In this Cross - sectional study in three groups(control<span dir="RTL"> ،</span>traning with pamphlet<span dir="RTL">،</span> training face to face ). Musculoskeletal disorders investigated with Nordic Questioner and REBA method. Data evaluated with paired t- test and ANOVA .<br>
<strong><em>Result</em></strong><strong><em>s:</em></strong> 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.<br>
<strong><em>Conclusion:</em></strong> 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