Physical therapy vs. medical treatment of musculoskeletal disorders in dentistry - a randomised prospective study

• Autorzy: Nemes D. , Amaricai E. , Tanase D. , Popa D. , Catan L. , Andrei D.
• Języki publikacji: EN

Abstrakty

EN

Introduction and objective. Musculoskeletal disorders are frequently met in dentistry. Objectives. To show the efficiency of rehabilitation and to make correlations among patients’ pain levels, their overall health status, and the number of days of work absenteeism. Materials and method. A total of 390 dentists diagnosed with low back pain, scapulohumeral periarthritis, cervicobrachial neuralgia, hand osteoarthritis, tendinitis or tenosynovitis of the upper limb, carpal tunnel syndrome, spinal deformities and fibromyalgia, were followed in a 2-year prospective study. For each ailment the patients were divided into two groups. Group 1 followed both medical and rehabilitation treatment, while group 2 followed medical treatment. The patients were assessed by the visual analogue scale (VAS), the Health Assessment Questionnaire adapted for Dentists (HAQD) and the number of days of absenteeism. Results. VAS scores did not significantly differ between the two groups at the beginning of the study but were significantly lower at final assessment. HAQD scores were significantly lower at one-year and two-year assessments in Group 1. The number of days of absenteeism did not differ significantly between the two groups at the initial assessment. Nevertheless, the number of days of absenteeism was significantly higher for Group 2 patients at the end of the study. For increased values of the visual analogue scale at the beginning and at the end of the study, the significantly increased numbers of days of absenteeism and of health assessment questionnaire scores were associated. Conclusions: Improvements of functional parameters and increase in work productivity were recorded in dentists who followed physical therapy.

Słowa kluczowe

EN

physical therapy; medical treatment; musculoskeletal disorder; dentistry; rehabilitation; assessment; absenteeism; work absenteeism; musculoskeletal disease; human disease

• Wydawca: -
• Czasopismo: Annals of Agricultural and Environmental Medicine
• Rocznik: 2013
• Tom: 20
• Numer: 2
• Opis fizyczny: p.301-306,fig.,ref.

Twórcy

autor

Nemes D.

• Victor Babes’ University of Medicine and Pharmacy, Timisoara, Romania
• Rehabilitation and Rheumatology Department, City University and Emergency Hospital, Timisoara, Romania

autor

Amaricai E.

• Victor Babes’ University of Medicine and Pharmacy, Timisoara, Romania

autor

Tanase D.

• Victor Babes’ University of Medicine and Pharmacy, Timisoara, Romania

autor

Popa D.

• Victor Babes’ University of Medicine and Pharmacy, Timisoara, Romania
• Rehabilitation and Rheumatology Department, City University and Emergency Hospital, Timisoara, Romania

autor

Catan L.

• Victor Babes’ University of Medicine and Pharmacy, Timisoara, Romania

autor

Andrei D.

• Victor Babes’ University of Medicine and Pharmacy, Timisoara, Romania

Bibliografia

• 1. Tefas L, Pop L. Professional diseases of the musculoskeletal system. Cluj-Napoca Medical University Publisher, 2004.
• 2. MacDonald G, Robertson MM, Erickson JA. Carpal tunnel syndrome among California dental hygienists. J Dent Hyg. 1988; 62(7): 322–327.
• 3. Osborn JB, Newell KJ, Rudney JD, Stoltenberg JL. Carpal tunnel syndrome among Minnesota dental hygienists. J Dent Hyg. 1990;64(3): 79–85.
• 4. Osborn JB, Newell KJ, Rudney JD, Stoltenberg JL. Musculoskeletal pain among Minnesota dental hygienists. J Dent Hyg. 1990; 64(3): 132–138.
• 5. Oberg T, Oberg U. Musculoskeletal complaints in dental hygiene: A survey study from a Swedish county. J Dent Hyg. 1993; 67(5): 257–261.
• 6. Lalumandier JA, McPhee SD. Prevalence and risk factors of hand problems and carpal tunnel syndrome among dental hygienists. J DentHyg. 2001; 75(2): 130–134.
• 7. Liss GM, Jesin E, Kusiak RA, White P. Musculoskeletal problems among Ontario dental hygienists. Am J Ind Med. 1995; 28(4): 521–540.
• 8. Akesson I, Johnsson B, Rylander L, Moritz U, Skerfving S. Musculoskeletal disorders among female dental personnel- Clinical examination and a 5-year follow-up study of symptoms. Int Arch Occup Environ Health. 1999; 72(6): 395–403.
• 9. Åkesson I, Schutz A, Horstmann V, Skerfving S, Moritz U. Musculoskeletal symptoms among dental personnel- lack of association with mercury and selenium status, overweight and smoking. Swed Dent J. 2000; 24(1–2): 23–28.
• 10. Kerosuo E, Kerosuo H, Kanerva L. Self-reported health complaints among general dental practitioners, orthodontists and office employees. Acta Odontol Scand. 2000; 58(5): 207–212.
• 11. Milerad E, Ekenvall L. Symptoms of the neck and upper extremities in dentists. Scand J Work Environ Health. 1990; 16(2): 129–134.
• 12. Shugars D, Miller D, Williams D, Fishburne C, Strickland D. Musculoskeletal pain among general dentists. Gen Dent. 1987; 35(4):272–276.
• 13. Rundcrantz BL. Pain and discomfort in the musculoskeletal system among dentists. Swed Dent J Suppl. 1991; 76: 1–102.
• 14. Rundcrantz BL, Johnsson B, Moritz U. Cervical pain and discomfort among dentists. Epidemiological, clinical and therapeutic aspects. Part I. A survey of pain and discomfort. Swed Dent J. 1990; 14(2): 71–80. 15. Rundcrantz BL, Johnsson B, Moritz U. Pain and discomfort in the musculoskeletal system among dentists. A prospective study. SwedDent J. 1991; 15(5): 219–228.
• 16. Shelerud R. Epidemiology of occupational low back pain. Occup Med. 1998; 13(1): 1–22.
• 17. Ekberg K, Bjørkqvist B, Malm P, Bjerre-Kiely B, Karlsson M, Axelson O. Case-control study of risk factors for disease in the neck and shoulder area. Occup Environ Med. 1994; 51(4): 262–266.
• 18. Marshall ED, Duncombe LM, Robinson RQ, Kilbreath SL. Musculoskeletal symptoms in New South Wales dentists. Aust Dent J. 1997; 42(4): 240–246.
• 19. Finsen L, Christensen H, Bakke M. Musculoskeletal disorders among dentists and variation in dental work. Appl Ergon. 1998; 29(2): 119–125.
• 20. Lehto TU, Helenius HY, Alaranta HT. Musculoskeletal symptoms of dentists assessed by a multidisciplinary approach. Community Dent Oral Epidemiol. 1991; 19(1): 38–44.