Evidence map›Paper›PMID 27756271›Full record

ArticleBMC musculoskeletal disorders2016

Kinematic analysis of work-related musculoskeletal loading of trunk among dentists in Germany.

Daniela Ohlendorf, Christina Erbe, Imke Hauck, Jennifer Nowak, Ingo Hermanns, Dirk Ditchen, Rolf Ellegast, David A Groneberg

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
15.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

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  15. Prevalence of Musculoskeletal Disorders among Dentists and Dental Students in Germany.International journal of environmental research and public health · 2020
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  17. Prevalence of Muscular Skeletal Disorders among Qualified Dental Assistants.International journal of environmental research and public health · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Daniela OhlendorfInstitute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-University, Theodor-Stern-Kai 7, Frankfurt am Main, 60590, Germany. ohlendorf@med.uni-frankfurt.de.
Christina ErbeSchool of Dentistry, Department of Orthodontics, University Medical Centre of the Johannes Gutenberg University Mainz, Augustusplatz 2, Main, 55131, Germany.
Imke HauckInstitute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-University, Theodor-Stern-Kai 7, Frankfurt am Main, 60590, Germany.
Jennifer NowakInstitute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-University, Theodor-Stern-Kai 7, Frankfurt am Main, 60590, Germany.
Ingo HermannsInstitute for Occupational Health and Safety (IFA) of the German Social Accident Insurance (DGUV), Alte Herrstraße 111, Sankt Augustin, 53757, Germany.
Dirk DitchenInstitute for Occupational Health and Safety (IFA) of the German Social Accident Insurance (DGUV), Alte Herrstraße 111, Sankt Augustin, 53757, Germany.
Rolf EllegastInstitute for Occupational Health and Safety (IFA) of the German Social Accident Insurance (DGUV), Alte Herrstraße 111, Sankt Augustin, 53757, Germany.
David A GronebergInstitute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-University, Theodor-Stern-Kai 7, Frankfurt am Main, 60590, Germany.
Goethe University Frankfurt · DEInstitut für Arbeitsschutz der Deutschen Gesetzlichen Unfallversicherung · DEJohannes Gutenberg University Mainz · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Germany, about 86.7 % of the dentists have stated to suffer from pain in the neck and shoulder region. These findings are predominantly based on surveys. Therefore the objective of this study is to conduct a kinematic analysis of occupational posture in dentistry.

methodsTwenty one dentists (11 f/10 m; age: 40.1 ± 10.4 years) have participated in this examination. The CUELA-System was used to collect kinematic data of the activities on an average dental workday. A detailed, computer-based task analysis took place parallel to the kinematic examination. Through the synchronization of data collected from both measurements, patterns of posture were arranged chronologically and in conjunction with the tasks performed: (I) "treatment" (II) "office" and (III) "other activities". For the data analysis, characteristic data of joint angular distributions (percentiles P05, P25, P50, P75 and P95) of head, neck and torso at pre-defined tasks were examined and assessed corresponding to ergonomic standards.

resultsForty one percent of tasks executed on an average dental workday can be categorized as the treatment of patients. These tasked are most frequently performed in "straight back" positions (78.7 %), whereas 20.1 % were carried out in a "twisted or inclined" torso posture, 1.1 % "bowed" and only 0.1 % "bowed and twisted/inclined to the side" upper body position. In particular, it can be observed that in the area of the cervical and thoracic spine the 75th and 95th percentile show worse angular values during treatment than during non-dental tasks. For the period of treatment (at a standardized dental chair construction), a seated position with a strong inclination of the thoracic spine to the right while the lumbar spine is inclined towards the left is adopted.

conclusionThe kinematic analysis of dentists illustrates typical patterns of postures during tasks that are essential to the dental treatment of patients. The postures in the area of the cervical and thoracic spine have higher angular values during treatment compared to other dental tasks. Consistently, appropriate ergonomic design measures to optimize the dental chair and equipment as well as integrated training in ergonomics as part of the study of dentistry to prevent musculoskeletal are recommended.

Indexed as

DentistryDentistsErgonomicsPostureAdultBiomechanical PhenomenaFemaleGermanyHumansMaleMiddle AgedMusculoskeletal PainNeckOccupational DiseasesShoulderSpineCUELADentistKinematic analysisMusculoskeletal disorder

Identifiers

PMID27756271
PMCPMC5069924
OpenAlexW2539106872

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.