Araştırma Makalesi
Diş Hekimliği Fakültesi Öğrencilerinde Kas-İskelet Sistemi Hastalıklarının Prevalansı ve İlişkili Risk Faktörlerinin Değerlendirilmesi
Öz
Amaç: Bu araştırmanın amacı Pamukkale Üniversitesi Diş Hekimliği Fakültesi’nde eğitim gören 4. ve 5.sınıf
öğrencilerinde kas-iskelet sistemi semptomlarının yaygınlığını değerlendirmektir.
Gereç ve Yöntemler: Bu araştırmada katılımcıların kas-iskelet sistemi problemleri, katılımcı beyanına dayalı dokuz anatomik vücut bölümünü resmeden bir şekil üzerinde son on iki ay, son yedi gün ve anket günü ilgili alana ait semptomların mevcudiyetini araştıran “Genişletilmiş Nordic Kas-İskelet Sistemi Anketi’’ ile değerlendirilmiştir. Katılımcıların sosyodemografik özelliklerinin, sağlık durumlarının, kişisel alışkanlıklarının ve çalışma bilgilerinin sorgulanacağı kısımlar ankete dâhil edilmiştir. Verilerin normal dağılımda olup olmadığı “Shapiro Wilk testi” ile belirlenmiş, kategorik değişkenlerin karşılaştırılmasında “Pearson Ki-Kare testi” ve ‘’Fisher’ın Kesin testi’’ kullanılmıştır.
Bulgular: Araştırmamıza, yaş ortalamaları 23,11±1,06 yıl olan 112 kadın, 76 erkek toplam 188 öğrenci katıldı.
Katılımcıların %54,3’ü 4.sınıf, %45,7’si 5.sınıf öğrencisi olup boy ortalaması 170,93±9,37 cm, vücut ağırlığı ortalaması 66,93±14,92 kg olarak tespit edildi. Katılımcıların %11,2’sinin tanı konulmuş kas-iskelet sistemi rahatsızlığı bulunmakta, %43,1’i düzenli fiziksel aktivite yapmaktadır. Araştırmaya katılan 4. ve 5. sınıf öğrencilerinde vücudun en az bir bölümünde kas-iskelet sistemi rahatsızlığı bulunma oranı %88,8 olarak saptanmıştır. Son on iki ayda en sık ağrı hissedilen vücut bölümleri boyun (%72,5), bel (%62,1) ve omuzlar (%57,1) olarak tespit edilmiştir.
Sonuç: Bu araştırmada katılımcılar arasında kas-iskelet sistemi semptomlarının yaygın olduğu, sıklıkla etkilenen vücut bölümlerinin boyun, bel ve omuzlar olduğu tespit edilmiştir.
Anahtar Kelimeler
Kaynakça
- Lee C-Y, Wu J-H, Du J-K. Work stress and occupational burnout among dental staff in a medical center. Journal of Dental Sciences. 2019; 14(3): 295-301.
- Ohlendorf D, Haas Y, Naser A, Haenel J, Maltry L, Holzgreve F, et al. Prevalence of muscular skeletal disorders among qualified dental assistants. International Journal of Environmental Research and Public Health. 2020; 17(10): 3490.
- Gupta A, Bhat M, Mohammed T, Bansal N, Gupta G. Ergonomics in dentistry. International Journal of Clinical Pediatric Dentistry. 2014; 7(1): 30-4.
- Jodalli PS, Kurana S, Ragher M, Khed J, Prabhu V. Posturedontics: How does dentistry fit you? Journal of Pharmacy & Bioallied Sciences. 2015; 7(2): 393-7.
- Hayes MJ, Cockrell D, Smith DR. A systematic review of musculoskeletal disorders among dental professionals. International Journal of Dental Hygiene. 2009; 7(3): 159-65.
- Sakzewski L, Naser-ud-Din S. Work-related musculoskeletal disorders in dentists and orthodontists: A review of the literature. Work. 2014; 48(1): 37-45.
- James SL, Abate D, Abate KH, Abay SM, Abbafati C, Abbasi N, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the global burden of disease study 2017. The Lancet. 2018; 392(10159): 1789-858.
- Lietz J, Kozak A, Nienhaus A. Prevalence and occupational risk factors of musculoskeletal diseases and pain among dental professionals in western countries: A systematic literature review and meta-analysis. PloS One. 2018; 13(12): e0208628.
- Aboalshamat KT. Nordic assessment of occupational disorders among dental students and dentists in saudi arabia. Journal of International Society of Preventive & Community Dentistry. 2020; 10(5): 561-8.
- Khan SA, Yee Chew K. Effect of working characteristics and taught ergonomics on the prevalence of musculoskeletal disorders amongst dental students. BMC Musculoskeletal Disorders. 2013; 14: 1-8.
- Daltaban Ö, Durmuş H, Onur M, Eryılmaz YR, Gökal Y, Karahan Y, et al. Diş hekimliği fakültesi öğrencilerinde kas iskelet sistemi problemlerinin değerlendirilmesi. Akdeniz Diş Hekimliği Derg. 2022; 1(2): 48-54.
- Zorlu I, Gülcan H, Açikgöz B, Ayoğlu FN. Diş hekimlerinde kas-iskelet Sistemi rahatsızlıkları ve etkileyen faktörler. Turkiye Klinikleri Dişhekimligi Bilimleri Derg. 2021; 27(4): 531-8.
- Soylu M, Altındiş S. Diş hekimlerinin çalışma şartlarının mesleki kas-iskelet sistemi hastalıklarına etkisi. SDÜ Saglik Bilimleri Enstitüsü Derg. 2018; 9(1): 46-52.
- Corrocher PA, Presoto CD, Campos JA, Garcia PP. The association between restorative pre-clinical activities and musculoskeletal disorders. European Journal of Dental Education. 2014; 18(3): 142-6.
- Oliveira Dantas FF, de Lima KC. The relationship between physical load and musculoskeletal complaints among brazilian dentists. Applied Ergonomics. 2015; 47: 93-8.
- Feng B, Liang Q, Wang Y, Andersen LL, Szeto G. Prevalence of work-related musculoskeletal symptoms of the neck and upper extremity among dentists in China. BMJ Open. 2014; 4(12): e006451.
- Rickert C, Fels U, Gosheger G, Kalisch T, Liem D, Klingebiel S, et al. Prevalence of musculoskeletal diseases of the upper extremity among dental professionals in germany. Risk Manag Healthc Policy. 2021: 14; 3755-66.
- Kahraman T, Genç A, Göz E. The nordic musculoskeletal questionnaire: cross-cultural adaptation into turkish assessing its psychometric properties. Disability and Rehabilitation. 2016; 38(21): 2153-60.
- Cheikh Y, Aicha O, Zoubair B, Samira B. Prevalence of musculoskeletal disorders among dentists in casablanca’s dental center. Integrative Journal of Medical Sciences. 2020; 7: 7p.
- Shetty A, Yelapure M, Hegde M, Devadiga D, Bhat R, Reddy U. Prevalence of musculoskeletal pain among dentists in dakshina kannada, karnataka: A cross-sectional study. World Journal of Dentistry. 2021; 12(4): 339-44.
- Abduljabbar TA. Musculoskeletal disorders among dentists in saudi arabia. Pakistan Oral & Dental Journal. 2008; 28(1): 135-44.
- Finsen L, Christensen H, Bakke M. Musculoskeletal disorders among dentists and variation in dental work. Applied Ergonomics. 1998; 29(2): 119-25.
- Van Tulder MW, Koes BW, Bouter LM. Conservative treatment of acute and chronic nonspecific low back pain: a systematic review of randomized controlled trials of the most common interventions. Spine. 1997; 22(18): 2128-56.
- Hayes MJ, Smith DR, Cockrell D. An international review of musculoskeletal disorders in the dental hygiene profession. International Dental Journal. 2010; 60(5): 343-52.
- Howarth SJ, Grondin DE, La Delfa NJ, Cox J, Potvin JR. Working position influences the biomechanical demands on the lower back during dental hygiene. Ergonomics. 2016; 59(4): 545-55.
- Kim B, Yim J. Core stability and hip exercises improve physical function and activity in patients with non-specific low back pain: a randomized controlled trial. The Tohoku Journal of Experimental Medicine. 2020; 251(3): 193-206.
- Koneru S, Tanikonda R. Role of yoga and physical activity in work-related musculoskeletal disorders among dentists. Journal of International Society of Preventive and Community Dentistry. 2015; 5(3): 199-204.
- Maillet JP, Millar AM, Burke JM, Maillet MA, Maillet WA, Neish NR. Effect of magnification loupes on dental hygiene student posture. Journal of Dental Education. 2008; 72(1): 33-44.
- Rising DW, Bennett BC, Hursh K, Plesh O. Reports of body pain in a dental student population. The Journal of the American Dental Association. 2005; 136(1): 81-6.
- Szymanska J. Disorders of the musculoskeletal system among dentists from the aspect of ergonomics and prophylaxis. Ann Agric Environ Med. 2002; 9(2): 169-73.
- Farrokhnia T, Rezai M, Vaziri M-H, Vaziri F. Investigating the effect of educational intervention on musculoskeletal disorders in dentists. Middle East Journal of Family Medicine. 2018; 16(2): 307-13.
- Cımbız A, Uzgören N, Aras Ö, Öztürk S, Elem E, Aksoy CC. Kas iskelet sisteminde ağrıya ait risk faktörlerinin lojistik regresyon analizi ile belirlenmesi: pilot çalışma. Fizyoterapi Rehabilitasyon. 2007; 18(1): 20-7.
- Ekman A, Andersson A, Hagberg M, Hjelm EW. Gender differences in musculoskeletal health of computer and mouse users in the Swedish workforce. Occupational Medicine. 2000; 50(8): 608-13.
- Al-Mohrej OA, AlShaalan NS, Al-Bani WM, Masuadi EM, Almodaimegh HS. Prevalence of musculoskeletal pain of the neck, upper extremities and lower back among dental practitioners working in riyadh, saudi arabia: a cross-sectional study. BMJ Open. 2016; 6(6): e011100.
- Al-Ali K, Hashim R. Occupational health problems of dentists in the united arab emirates. International Dental Journal. 2012; 62(1): 52-6.
- Alghadir A, Zafar H, Iqbal ZA. Work-related musculoskeletal disorders among dental professionals in saudi arabia. Journal of Physical Therapy Science. 2015; 27(4): 1107-12.
- Bhagat T, Shrestha A, Agrawal SK, Gautam U. Musculoskeletal complaints and associated factors among dental practitioners of nepal: a nationwide survey. International Journal of Occupational Safety and Ergonomics. 2022; 28(4): 2302-7.
Evaluation of the Prevalence of Musculoskeletal Disorders and Associated Risk Factors among Dental Faculty Students
Öz
Aim: The aim of this study is to evaluate the prevalence of musculoskeletal system symptoms among 4th and 5th-year students at Pamukkale University Faculty of Dentistry.
Material and Methods: In this study, participants' musculoskeletal problems were assessed using the "Extended Nordic Musculoskeletal Questionnaire," which investigates the presence of symptoms in nine anatomical body regions over the past twelve months, the past seven days, and on the day of the survey. Sections of the questionnaire included questions about participants' sociodemographic characteristics, health status, personal habits, and work information. The normality of the data was determined using the Shapiro-Wilk test, and the comparison of categorical variables was conducted using the Pearson Chi-Square test and Fisher's Exact test.
Results: A total of 188 students participated in the study, with an average age of 23.11±1.06 years, including 112 female and 76 male. Among the participants, 54.3% were 4th-year students and 45.7% were 5th-year students. The average height was 170.93±9.37 cm, and the average body weight was 66.93±14.92 kg. 11.2% of the participants had a diagnosed musculoskeletal disorder, and 43.1% engaged in regular physical activity. The prevalence of musculoskeletal disorders in at least one body part among 4th and 5th-year students was 88.8%. The most commonly reported areas of pain in the last twelve months were the neck (72.5%), lower back (62.1%), and shoulders (57.1%).
Conclusion: This study found that musculoskeletal symptoms are prevalent among participants, with the body regions most commonly affected being the neck, lower back, and shoulders.
Anahtar Kelimeler
Kaynakça
- Lee C-Y, Wu J-H, Du J-K. Work stress and occupational burnout among dental staff in a medical center. Journal of Dental Sciences. 2019; 14(3): 295-301.
- Ohlendorf D, Haas Y, Naser A, Haenel J, Maltry L, Holzgreve F, et al. Prevalence of muscular skeletal disorders among qualified dental assistants. International Journal of Environmental Research and Public Health. 2020; 17(10): 3490.
- Gupta A, Bhat M, Mohammed T, Bansal N, Gupta G. Ergonomics in dentistry. International Journal of Clinical Pediatric Dentistry. 2014; 7(1): 30-4.
- Jodalli PS, Kurana S, Ragher M, Khed J, Prabhu V. Posturedontics: How does dentistry fit you? Journal of Pharmacy & Bioallied Sciences. 2015; 7(2): 393-7.
- Hayes MJ, Cockrell D, Smith DR. A systematic review of musculoskeletal disorders among dental professionals. International Journal of Dental Hygiene. 2009; 7(3): 159-65.
- Sakzewski L, Naser-ud-Din S. Work-related musculoskeletal disorders in dentists and orthodontists: A review of the literature. Work. 2014; 48(1): 37-45.
- James SL, Abate D, Abate KH, Abay SM, Abbafati C, Abbasi N, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the global burden of disease study 2017. The Lancet. 2018; 392(10159): 1789-858.
- Lietz J, Kozak A, Nienhaus A. Prevalence and occupational risk factors of musculoskeletal diseases and pain among dental professionals in western countries: A systematic literature review and meta-analysis. PloS One. 2018; 13(12): e0208628.
- Aboalshamat KT. Nordic assessment of occupational disorders among dental students and dentists in saudi arabia. Journal of International Society of Preventive & Community Dentistry. 2020; 10(5): 561-8.
- Khan SA, Yee Chew K. Effect of working characteristics and taught ergonomics on the prevalence of musculoskeletal disorders amongst dental students. BMC Musculoskeletal Disorders. 2013; 14: 1-8.
- Daltaban Ö, Durmuş H, Onur M, Eryılmaz YR, Gökal Y, Karahan Y, et al. Diş hekimliği fakültesi öğrencilerinde kas iskelet sistemi problemlerinin değerlendirilmesi. Akdeniz Diş Hekimliği Derg. 2022; 1(2): 48-54.
- Zorlu I, Gülcan H, Açikgöz B, Ayoğlu FN. Diş hekimlerinde kas-iskelet Sistemi rahatsızlıkları ve etkileyen faktörler. Turkiye Klinikleri Dişhekimligi Bilimleri Derg. 2021; 27(4): 531-8.
- Soylu M, Altındiş S. Diş hekimlerinin çalışma şartlarının mesleki kas-iskelet sistemi hastalıklarına etkisi. SDÜ Saglik Bilimleri Enstitüsü Derg. 2018; 9(1): 46-52.
- Corrocher PA, Presoto CD, Campos JA, Garcia PP. The association between restorative pre-clinical activities and musculoskeletal disorders. European Journal of Dental Education. 2014; 18(3): 142-6.
- Oliveira Dantas FF, de Lima KC. The relationship between physical load and musculoskeletal complaints among brazilian dentists. Applied Ergonomics. 2015; 47: 93-8.
- Feng B, Liang Q, Wang Y, Andersen LL, Szeto G. Prevalence of work-related musculoskeletal symptoms of the neck and upper extremity among dentists in China. BMJ Open. 2014; 4(12): e006451.
- Rickert C, Fels U, Gosheger G, Kalisch T, Liem D, Klingebiel S, et al. Prevalence of musculoskeletal diseases of the upper extremity among dental professionals in germany. Risk Manag Healthc Policy. 2021: 14; 3755-66.
- Kahraman T, Genç A, Göz E. The nordic musculoskeletal questionnaire: cross-cultural adaptation into turkish assessing its psychometric properties. Disability and Rehabilitation. 2016; 38(21): 2153-60.
- Cheikh Y, Aicha O, Zoubair B, Samira B. Prevalence of musculoskeletal disorders among dentists in casablanca’s dental center. Integrative Journal of Medical Sciences. 2020; 7: 7p.
- Shetty A, Yelapure M, Hegde M, Devadiga D, Bhat R, Reddy U. Prevalence of musculoskeletal pain among dentists in dakshina kannada, karnataka: A cross-sectional study. World Journal of Dentistry. 2021; 12(4): 339-44.
- Abduljabbar TA. Musculoskeletal disorders among dentists in saudi arabia. Pakistan Oral & Dental Journal. 2008; 28(1): 135-44.
- Finsen L, Christensen H, Bakke M. Musculoskeletal disorders among dentists and variation in dental work. Applied Ergonomics. 1998; 29(2): 119-25.
- Van Tulder MW, Koes BW, Bouter LM. Conservative treatment of acute and chronic nonspecific low back pain: a systematic review of randomized controlled trials of the most common interventions. Spine. 1997; 22(18): 2128-56.
- Hayes MJ, Smith DR, Cockrell D. An international review of musculoskeletal disorders in the dental hygiene profession. International Dental Journal. 2010; 60(5): 343-52.
- Howarth SJ, Grondin DE, La Delfa NJ, Cox J, Potvin JR. Working position influences the biomechanical demands on the lower back during dental hygiene. Ergonomics. 2016; 59(4): 545-55.
- Kim B, Yim J. Core stability and hip exercises improve physical function and activity in patients with non-specific low back pain: a randomized controlled trial. The Tohoku Journal of Experimental Medicine. 2020; 251(3): 193-206.
- Koneru S, Tanikonda R. Role of yoga and physical activity in work-related musculoskeletal disorders among dentists. Journal of International Society of Preventive and Community Dentistry. 2015; 5(3): 199-204.
- Maillet JP, Millar AM, Burke JM, Maillet MA, Maillet WA, Neish NR. Effect of magnification loupes on dental hygiene student posture. Journal of Dental Education. 2008; 72(1): 33-44.
- Rising DW, Bennett BC, Hursh K, Plesh O. Reports of body pain in a dental student population. The Journal of the American Dental Association. 2005; 136(1): 81-6.
- Szymanska J. Disorders of the musculoskeletal system among dentists from the aspect of ergonomics and prophylaxis. Ann Agric Environ Med. 2002; 9(2): 169-73.
- Farrokhnia T, Rezai M, Vaziri M-H, Vaziri F. Investigating the effect of educational intervention on musculoskeletal disorders in dentists. Middle East Journal of Family Medicine. 2018; 16(2): 307-13.
- Cımbız A, Uzgören N, Aras Ö, Öztürk S, Elem E, Aksoy CC. Kas iskelet sisteminde ağrıya ait risk faktörlerinin lojistik regresyon analizi ile belirlenmesi: pilot çalışma. Fizyoterapi Rehabilitasyon. 2007; 18(1): 20-7.
- Ekman A, Andersson A, Hagberg M, Hjelm EW. Gender differences in musculoskeletal health of computer and mouse users in the Swedish workforce. Occupational Medicine. 2000; 50(8): 608-13.
- Al-Mohrej OA, AlShaalan NS, Al-Bani WM, Masuadi EM, Almodaimegh HS. Prevalence of musculoskeletal pain of the neck, upper extremities and lower back among dental practitioners working in riyadh, saudi arabia: a cross-sectional study. BMJ Open. 2016; 6(6): e011100.
- Al-Ali K, Hashim R. Occupational health problems of dentists in the united arab emirates. International Dental Journal. 2012; 62(1): 52-6.
- Alghadir A, Zafar H, Iqbal ZA. Work-related musculoskeletal disorders among dental professionals in saudi arabia. Journal of Physical Therapy Science. 2015; 27(4): 1107-12.
- Bhagat T, Shrestha A, Agrawal SK, Gautam U. Musculoskeletal complaints and associated factors among dental practitioners of nepal: a nationwide survey. International Journal of Occupational Safety and Ergonomics. 2022; 28(4): 2302-7.
Toplam 37 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Diş Hekimliği (Diğer) |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 22 Mayıs 2025 |
| Gönderilme Tarihi | 1 Kasım 2024 |
| Kabul Tarihi | 14 Mart 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 15 Sayı: 2 |
