Musculoskeletal Disorder Among Oral and Maxillofacial Surgeons and Operating Position

Musculoskeletal disorder among oral and maxillofacial surgeons and operating position

 

Statements of the problem:

- To determine the incidence and severity of musculoskeletal disorder (MSD) among oral and maxillofacial surgeons.

- To determine the effects or relationship of work posture (sitting vs standing) and magnification use on musculoskeletal disorders.

Materials and methods:

- Our study population consisted of 5305 oral and maxillofacial surgeons, members of AAOMS with an active, listed email, who received an electronic survey.  1360 recipients completed the survey which consisted of the standardized Nordic Questionnaire (questionnaire assessing type and severity of various musculoskeletal disorders) as well as questions regarding operating posture when performing dentoalveolar surgery, use of loupes, bio-demographic information, and any work productivity and quality of life changes.  The survey was sent out via Qualtrics and all responses were anonymous. 

Method of data analysis:

- Sample size: 1360 of 5305

- Duration of study: 2 weeks

- Statistical methods: Data analysis is being performed currently.  We are using bivariate and multiple logistic analysis to identify significant factors related to musculoskeletal disorder (MSD). 

Results:

- 81% of respondents reported standing for dentoalveolar surgery, 15% reported sitting, and 4% spend equal time in both operating positions.  16% of oral surgeons have changed their operating position during their career.  In the last 12 months, 34% of all respondents complained of lower back pain while 30% complained of neck pain.  Oral surgeons were more likely, however, to seek medical treatment for lower back pain (15% in the last year) vs neck pain (11%).  45% of oral surgeons received some treatment for MSD in the last 12 months, and 6% had a surgical procedure.  8% report having surgery at some time for a work-related MSD.  17% of oral surgeons reported >50% decline in productivity due to their MSD/MSD's.  11% report some degree of severe pain and discomfort associated with a work-related MSD.    

Conclusions:            

- Final conclusions pending completion of statistical analysis.

References:

- Ratzon, Navah Z., et al. "Musculoskeletal symptoms among dentists in relation to work posture." Work: A Journal of Prevention, Assessment and Rehabilitation, 2000. 15(3): 153-158.

- Leggat PA, Smith DR. Musculoskeletal disorders self-reported by dentists in Queensland, Australia. Australian Dental Journal, 2006. 51(4): 324-327.