Prevalence and Ergonomic Intervention Strategies for Preventing Musculoskeletal Disorders among Dental Clinicians: A Cross-Sectional Study
Keywords:
Musculoskeletal disorders, Dental clinicians, Ergonomic intervention, Occupational health, Work-related painAbstract
Musculoskeletal disorders (MSDs) are a common occupational health problem among dental clinicians, affecting their physical well-being and work performance. This study aimed to determine the prevalence of MSDs and evaluate the effectiveness of a structured ergonomic intervention. A cross-sectional study was conducted among 487 dental clinicians from 45 practices between January and August 2024. Baseline assessments used the Nordic Musculoskeletal Questionnaire (NMQ) and Rapid Upper Limb Assessment (RULA). Participants then completed a 6-month intervention including workstation modifications, postural training, and exercise programs.The 12-month prevalence of MSDs was 82.3%, with the neck, lower back, and shoulders most frequently affected. Longer years of practice, extended working hours, and poor ergonomic practices were significant risk factors. After the intervention, pain intensity decreased significantly and RULA scores improved (p < .001).These findings indicate that MSDs are highly prevalent among dental clinicians; however, structured ergonomic interventions can effectively reduce symptoms and improve occupational health outcomes.
References
Custodio, R.A.R.; Silva, A.F.D.; Alves, C.M.; Silva, I.A.F.; Ferreira, R.C. Musculoskeletal pain among Brazilian dental assistants. Int. Dent. J. 2021, 71, 235-241. DOI: 10.1111/idj.12620.
Farrar, J.T.; Young, J.P.; LaMoreaux, L.; Werth, J.L.; Poole, R.M. Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale. Pain 2001, 94, 149-158. DOI: 10.1016/S0304-3959(01)00349-9.
Feng, B.; Liang, Q.; Wang, Y.; Andersen, L.L.; Szeto, G. Prevalence of work-related musculoskeletal symptoms of the neck and upper extremity among dentists in China. BMJ Open 2014, 4, e006451. DOI: 10.1136/bmjopen-2014-006451.
Gross, A.; Kay, T.M.; Paquin, J.P.; Blanchette, S.; Lalonde, P.; Christie, T.; Dupont, G.; Graham, N.; Burnie, S.J.; Gelley, G.; et al. Exercises for mechanical neck disorders. Cochrane Database Syst. Rev. 2015, 1, CD004250. DOI: 10.1002/14651858.CD004250.pub5.
Gupta, A.; Ankola, A.V.; Hebbal, M. Dental ergonomics to combat musculoskeletal disorders: A review. Int. J. Occup. Saf. Ergon. 2014, 20, 561-571. DOI: 10.1080/10803548.2014.11077073.
Hansraj, K.K. Assessment of stresses in the cervical spine caused by posture and position of the head. Surg. Technol. Int. 2014, 25, 277-279. PMID: 25393825.
Hayes, M.J.; Cockrell, D.; Smith, D.R. A systematic review of musculoskeletal disorders among dental professionals. Int. J. Dent. Hyg. 2009, 7, 159-165. DOI: 10.1111/j.1601-5037.2009.00395.x.
Hayes, M.J.; Smith, D.R.; Taylor, J.A. Musculoskeletal disorders in a 3 year longitudinal cohort of dental hygiene students. J. Dent. Hyg. 2016, 90, 17-24. PMID: 27121399.
Kuorinka, I.; Jonsson, B.; Kilbom, A.; Vinterberg, H.; Biering-Sørensen, F.; Andersson, G.; Jørgensen, K. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl. Ergon. 1987, 18, 233-237. DOI: 10.1016/0003-6870(87)90010-X.
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, e0208628. DOI: 10.1371/journal.pone.0208628.
McAtamney, L.; Corlett, E.N. RULA: A survey method for the investigation of work-related upper limb disorders. Appl. Ergon. 1993, 24, 91-99. DOI: 10.1016/0003-6870(93)90080-S.
Morse, T.; Bruneau, H.; Dussetschleger, J. Musculoskeletal disorders of the neck and shoulder in the dental professions. Work 2010, 35, 419-429. DOI: 10.3233/WOR-2010-0979.
Partido, B.B.; Stefanac, S. Loupes: Does magnification matter? An investigation of the perceived value and usefulness of loupes in dental hygiene practice. J. Dent. Hyg. 2018, 92, 15-21. PMID: 30093550.
Valachi, B. Practice Dentistry Pain-Free: Evidence-Based Strategies to Prevent Pain and Extend Your Career; Posturedontics Press: Portland, OR, USA, 2008.
Valachi, B.; Valachi, K. Mechanisms leading to musculoskeletal disorders in dentistry. J. Am. Dent. Assoc. 2003, 134, 1344-1350. DOI: 10.14219/jada.archive.2003.0048.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Dentistry, Oral Knowledge, and Therapeutic Education Research (Dokter Gigi)

This work is licensed under a Creative Commons Attribution 4.0 International License.

