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한국 치과의의 근골격계질환 실태 및 원인 조사

Prevalence and Causes of Musculoskeletal Disorders in Korean Dentists

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주제분류산업공학

초록

Dentists are known to be highly exposed to the musculoskeletal disorders (MSD). The present study investigated the prevalence of MSD among Korean dentists and association between their MSD and physical workload. In addition, detailed causes related to the physical workloads were identified in dental operation, and needs for improvement of dental instrument and environment were collected from Korean dentists. The standardized Nordic questionnaire was used to survey body troubles and three types of questionnaires were made to investigate the physical workloads, causes of the physical workloads and improvement priority of dental equipments, respectively. A total of 104 Korean dentists were participated in the survey. Neck trouble (82%) was the most prevalent in Korean dentists, and shoulder (68%) and low back trouble (56%) followed, while low back trouble was reported to be most frequent in previous studies. The body troubles were related to the physical workload of the corresponding body parts, although they were not associated with personal characteristics. Most Korean dentists selected ‘to keep direct view inside patient’s mouth’ and ‘no support of the hand with dental instruments’ as the causes of awkward and strenuous work postures. They wanted design improvement for some equipment in their operating room such as operating light and arrangement of workplace.

Abstract

Dentists are known to be highly exposed to the musculoskeletal disorders (MSD). The present study investigated the prevalence of MSD among Korean dentists and association between their MSD and physical workload. In addition, detailed causes related to the physical workloads were identified in dental operation, and needs for improvement of dental instrument and environment were collected from Korean dentists. The standardized Nordic questionnaire was used to survey body troubles and three types of questionnaires were made to investigate the physical workloads, causes of the physical workloads and improvement priority of dental equipments, respectively. A total of 104 Korean dentists were participated in the survey. Neck trouble (82%) was the most prevalent in Korean dentists, and shoulder (68%) and low back trouble (56%) followed, while low back trouble was reported to be most frequent in previous studies. The body troubles were related to the physical workload of the corresponding body parts, although they were not associated with personal characteristics. Most Korean dentists selected ‘to keep direct view inside patient’s mouth’ and ‘no support of the hand with dental instruments’ as the causes of awkward and strenuous work postures. They wanted design improvement for some equipment in their operating room such as operating light and arrangement of workplace.

참고문헌 (11)

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  2. Finsen, L., "Musculoskeletal disorders among dentists and variation in dental work", Applied Ergonomics, 29(2), pp.119~125 (1998)
  3. Joen, M.J., "Assessment of job related cumulative trauma disorders of dentist in Daegu metropolitan city", Korean Journal of Occupation Environment Medicine, 13(1), pp.55~63 (2001)
  4. Kerosuo, E., "Self-reported health complaints among general dental practitioners, orthodontists, and office employees", Acta Orthodontologica Scandinavica, 58, pp.207~212 (2000)
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  6. Newell, T.M., "Prevalence of musculoskeletal disorders among orthodontists in Alberta", International Journal of Industrial Ergonomics, 33, pp.99~107 (2004)
  7. Palliser, C.R., "Musculoskeletal discomfort and work-related stress in New Zealand dentists", Work and Stress, 19(4), pp.351~359 (2005)
  8. Ratzon, N.Z., "Musculoskeletal symptoms among dentists in relation to work posture", Work, 15(3), pp.153~158 (2000)
  9. Smith, C.A., "An investigation of ergonomic interventions in dental hygiene work", Applied Ergonomics, 33, pp.175~184 (2002)
  10. Szymanska, J., "Disorders of the musculoskeletal system among dentists from the aspect of ergonomics and prophylaxis", Ann. Agric. Environ Med, 9, pp.169~173 (2002)
  11. You, J.H., "A study of the musculoskeletal disorders among dentists", The Journal of Korean Academy of Craniomandibular Disorders, 6(2), pp.103~115 (1994)

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