Evidence Based Analysis on Neck and Low Back Pain among Dental Practitioners- A Systematic Review

AlOtaibi, Fatima; Nayfeh, Farah Muhammed Majed; Alhussein, Jazeel Ibrahem; Alturki, Noura AbdulHamid; Alfawzan, Atheer Abdullah

doi:10.4103/jpbs.jpbs_92_22

Cited by 4 publications

(6 citation statements)

References 19 publications

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“…Studies from top-ranked medical journals report that the low back and hip are areas highly affected by musculoskeletal disorders among dental professionals [ 3 , 4 , 5 , 7 , 10 , 11 , 12 ]. A high prevalence of low-back pain among dentists has been evidenced in several clinical studies [ 3 , 5 , 7 , 10 ], ranging from 48.5% [ 7 ] to 64% [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…An Australian research group reports a low-back pain prevalence ranging from 36.3 to 60.1% (21 studies, dentists, n = 1428) [ 11 ]. A recent systematic review from a Saudi Arabia research group reported a prevalence of 15.7–88.9% (13 studies, n = 3443 dentists) [ 12 ]. Another recent systematic review and meta-analysis from an Indian research group reported a prevalence of 47.7% (6 studies, n = 2098 dentists) [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…The body areas most affected by WMSDs among dental professionals are the low back (34–60%) and hips (15–25%) in addition to the neck and shoulders [ 3 , 5 , 6 , 7 , 8 , 9 ]. Many studies from top-ranked medical journals report that the low back and hip are areas highly affected by musculoskeletal disorders among dental professionals [ 3 , 4 , 5 , 10 , 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

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Āsana for Back, Hips and Legs to Prevent Musculoskeletal Disorders among Dental Professionals: In-Office Yóga Protocol

Gandolfi,

Zamparini,

Spinelli

et al. 2023

JFMK

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Dental professionals are exposed to significant unavoidable physical stress, and theoretical ergonomic recommendations for a sitting workplace are inapplicable in many dental activities. Work-related musculoskeletal disorders (WMSDs) represent a serious health problem among dental professionals (prevalence: 64–93%), showing involvement of 34–60% for the low back and 15–25% for the hips. Muscle stress; prolonged sitting; forward bending and twisting of the torso and head; unbalanced working postures with asymmetrical weight on the hips and uneven shoulders; and others are inevitable for dental professionals. Therefore, the approach for the prevention and treatment of WMSDs must be therapeutic and compensatory. This project was conceived to provide a Yoga protocol for dental professionals to prevent or treat WMSDs from a preventive medicine perspective, and it would represent a Yoga-based guideline for the self-cure and prevention of musculoskeletal problems. Methods: Specific Yoga positions (āsana, such as Virāsana, Virabhadrāsana, Garudāsana, Utkatāsana, Trikonāsana, Anuvittāsana, Chakrāsana, Uttanāsana, Pashimottanāsana) have been selected, elaborated on and adapted to be practiced in a dental office using a dental stool or the dental office walls or a dental unit chair. The protocol is specifically devised for dental professionals (dentists, dental hygienists and dental assistants) and targeted for the low back, hips and legs (including knees and ankles). The protocol includes Visranta Karaka Sthiti (supported positions) in sitting (Upavistha Sthiti) and standing (Utthistha Sthiti) positions, twisting/torsions (Parivrtta), flexions/forward bend positions (Pashima) and extensions/arching (Purva) for musculo-articular system decompression and mobilization. Results: Over 60 Yogāsana—specifically ideated for back detensioning and mobilization, lumbar lordosis restoration, trunk side elongation, hip release and leg stretches and decontraction—are shown and described. The paper provides a meticulous description for each position, including the detailed movement, recommendations and mistakes to avoid, and the breathing pattern (breath control) in all the breath-driven movements (āsana in vinyāsa). An exhaustive analysis of posture-related disorders affecting the lower body among dental professionals is reported, including low-back pain, hip pain and disorders, piriformis syndrome and quadratus femoris dysfunction (gluteal pain), iliopsoas syndrome, multifidus disorders, femoroacetabular and ischiofemoral impingement, spinopelvic mobility, lumbopelvic rhythm, impairment syndromes, lower crossed syndrome, leg pain, knee pain and ankle disorders. Conclusions: A detailed guideline of āsana for low-back decompression, hip joint destress, piriformis and gluteal muscle release, lumbar lordosis recovery and a spinopelvic mobility increase has been elaborated on. The designed Yogāsana protocol represents a powerful tool for dental professionals to provide relief to retracted stiff muscles and unbalanced musculoskeletal structures in the lower body.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Āsana for Back, Hips and Legs to Prevent Musculoskeletal Disorders among Dental Professionals: In-Office Yóga Protocol

Gandolfi,

Zamparini,

Spinelli

et al. 2023

JFMK

View full text Add to dashboard Cite

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“…3 The consequences of MSD for the employee and employer are significant, often resulting in reduced productivity, decreased job satisfaction, increased stress levels, higher rates of absenteeism and presenteeism, greater reliance on medication, a reduction in overall quality of life, and early retirement from the profession. 4,5,13,14 Models of MSD causation are numerous and encompass a complex inter-relationship of potential risk factors. Roquelaure et al 15 proposed a multidimensional model of work-related MSD health comprising individual (eg, lifestyle), physical (eg, biomechanical stressors), psychosocial (eg, work demands), and organizational workplace factors (eg, organization and management practices) that are subject to external influences from the economic, social, and political environment.…”

Section: Introductionmentioning

confidence: 99%

“…A preliminary search of PROSPERO, MEDLINE, the Cochrane Database of Systematic Reviews, and JBI Evidence Synthesis identified 9 review articles on MSD in oral health professionals published in 2022 and 2023, 9,10,12,13,16,20,[23][24][25] covering a mix of aims and objectives, and often including more than one domain of interest. Of these, 7 reviewed MSD prevalence rates, 2 investigated risk factors associated with MSD, and 3 evaluated MSD interventions.…”

Section: Introductionmentioning

confidence: 99%

Work-related musculoskeletal disorders in oral health professionals: an umbrella review protocol

Roby,

Morse,

Trevelyan

et al. 2024

JBI Evidence Synthesis

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Objective: The objective of this review is to synthesize the evidence on the prevalence, incidence, risk factors, and preventive and management interventions for work-related musculoskeletal disorders (MSD) in oral health professionals. Introduction: Oral health professionals face a considerable risk of developing work-related MSD due to the nature of their work. These disorders can lead to loss of employment, reduced job quality, increased occupational injuries, and early retirement. They can also lead to significant financial burdens for employers and society. Inclusion criteria: This umbrella review will include systematic reviews and meta-analyses that have oral health professionals as a population group and address at least one of the following topics: the prevalence or incidence, risk factors, and the efficiency or effectiveness of interventions for the prevention or management of work-related MSD. Methods: A systematic search will be conducted across CINAHL Complete (EBSCOhost), Dentistry and Oral Sciences Source (EBSCOhost), MEDLINE (EBSCOhost), Cochrane Library (OVID), Scopus, PsycINFO (Ovid), AMED Allied and Complementary Medicine (Ovid), Epistemonikos, Ergonomics Abstracts Online (EBSCOhost), and Google Scholar (first 200 articles). The search will be limited to articles published in English, with no restrictions on geographical location. Two independent reviewers will screen the titles and abstracts against the inclusion criteria. The studies will be assessed using the JBI critical appraisal instrument for systematic reviews and research syntheses, and data will be extracted from each study using a modified version of the JBI data extraction tool. The GRADE approach will be used to rate the overall quality and strength of the evidence. Review registration: PROSPERO CRD42023388779

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Musculoskeletal Pain in the Neck and Lower Back Regions among PHC Workers: Association between Workload, Mental Disorders, and Strategies to Manage Pain

et al. 2023

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Scientific evidence indicates that workers in the health sector are commonly exposed to work-related musculoskeletal pain. Objectives: We aimed to identify the relationship between the presence and intensity of musculoskeletal pain in the neck and lumbar regions reported by Primary Health Care (PHC) workers with workloads and occupational risks, analyze musculoskeletal pain in the presence and absence of self-reported mental disorders based on a medical diagnosis, and identify workers’ strategies to manage pain. Method: This cross-sectional study addressed 338 health professionals working in PHC outpatient services in the extreme South of Brazil. One questionnaire addressed sociodemographic questions concerning occupation, occupational risks, and mental disorders. The Nordic Musculoskeletal Questionnaire was used to assess self-reported musculoskeletal pain. The National Aeronautics and Space Administration Task Load Index (NASA-TLX) measured the workload. A descriptive and inferential analysis was performed using SPSS version 21.0. Results: Most (55.3%) participants reported neck and (64.5%) lower back pain in the previous 12 months, and 22.5% and 30.5% reported intense neck and lower back pain, respectively, in the previous 12 months. The results showed different independent associations with increased musculoskeletal pain among health workers. Dentists presented the highest prevalence of neck pain, while female workers presented the highest prevalence of lower back pain. Furthermore, the perception of ergonomic risk and virtually all self-reported mental disorders (except panic syndrome for neck pain) were associated with pain in the neck and lower back regions and a higher frustration level (mental demand). Additionally, professionals with graduate degrees, nurses, and professionals working the longest in PHC services reported seeking complementary therapies more frequently, while physicians and those with self-reported mental disorders self-medicated more frequently.

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Evidence Based Analysis on Neck and Low Back Pain among Dental Practitioners- A Systematic Review

Cited by 4 publications

References 19 publications

Āsana for Back, Hips and Legs to Prevent Musculoskeletal Disorders among Dental Professionals: In-Office Yóga Protocol

Āsana for Back, Hips and Legs to Prevent Musculoskeletal Disorders among Dental Professionals: In-Office Yóga Protocol

Work-related musculoskeletal disorders in oral health professionals: an umbrella review protocol

Musculoskeletal Pain in the Neck and Lower Back Regions among PHC Workers: Association between Workload, Mental Disorders, and Strategies to Manage Pain

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