Ergonomics in oral health professions: a mapping review protocol
Background: Ergonomics is a multidisciplinary science that studies how humans and other system elements interact and a profession that uses theory, concepts, data, and methodologies to improve human well-being and overall system performance. Oral health professionals need good working ergonomics to preserve their work competence, efficiency, and high clinical level of treatment throughout their careers. For various working practices, clinical procedures, and patient types, they must adjust and ensure proper working postures, adequate illumination, and easy access to essential apparatus and materials. Although some systematic studies and original research have been conducted about different aspects of “ergonomics in oral health professions,” no mapping review has been shown. The authors believe a broad overview of existing literature is required to map existing research, determine research gaps, and guide future research.
Methods: The protocol for this mapping review has been designed by the Preferred Reporting Items for Systematic reviews and Meta-Analysis extension for scoping studies (PRISMA-SCR) and the Joanna Briggs Institute (JBI) guidelines. A comprehensive search strategy developed with an experienced liaison librarian for health will be used to search four databases and eight sources of unpublished literature. JBI’s proposed search approach will be used. A PRISMA-SCR flowchart will be used to track the number of recognised, screened, and excluded sources. A data extraction table will be used to collate critical information, supplemented with a narrative explanation, and presented in a tabular style.
Conclusions: This mapping review will identify research gaps in this field and guide further studies.
Das SK. Integrating ergonomic tools in physical therapy for musculoskeletal risk assessment and rehabilitation - A review. Int J Eng Scientific Res. 2014;(2)10:136-54.
Gupta A, Bhat M, Mohammed T, Bansal N, Gupta G. Ergonomics in dentistry. Int J Clin Pediatric Dentistry. 2014;7(1):30-4.
Leggat PA, Smith DR. Musculoskeletal disorders self-reported by dentists in Queensland, Australia. Aust Dent J. 2006;51(4):324-7.
Alexopoulos EC, Stathi IC, Charizani F. Prevalence of musculoskeletal disorders in dentists. BMC Musculoskeletal Disord. 2004;(5):16.
Valachi B, Valachi K. Mechanisms are leading to musculoskeletal disorders in dentistry. J Am Dent Assoc. 2003;134(10):1344-50.
Droeze EH, Jonsson H. Evaluation of ergonomic interventions to reduce musculoskeletal disorders of dentists in the Netherlands. Work. 2005;25(3):211-20.
Rolander B, Bellner AL. Experience of musculoskeletal disorders, the intensity of pain, and general conditions in work: the case of employees in non-private dental clinics in a county in southern Sweden. Work. 2001;17(1):65-73.
Åkesson I, Johnsson B, Rylander L, Moritz, S Skerfving 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.
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(12):e0208628.
Garcia PP, Gottardello AC, Wajngarten D, Presoto CD, Campos JADB. Ergonomics in dentistry: experiences of the practice by dental students. Eur J Dent Educ. 2017;21(3):175-9.
Ng A, Hayes M, Polster A. Musculoskeletal disorders and working posture among dental and oral health students. Healthcare. 2016;4(1):13.
Barry RM, Spolarich AE, Weber M, Denise Krause, William D Woodall, Jessica H Bailey Impact of operator positioning on musculoskeletal disorders and work habits among Mississippi dental hygienists. J Dent Hyg. 2017;91(6):6-14.
Gandavadi A, Ramsay JR, Burke FJ. Assessment of dental student posture in two seating conditions using RULA methodology - a pilot study. Br Dent J. 2007;203(10):601-5.
Shirzaei M, Mirzaei R, Khaje-Alizade A, Mohammadi M. Evaluation of ergonomic factors and postures that cause muscle pains in dentistry students’ bodies. J Clin Exp Dent. 2015;7(3):e414-8.
Morse T, Bruneau H, Michalak-Turcotte C, Sanders M, Warren N, Dussetschleger J, et al. Musculoskeletal disorders of the neck and shoulder in dental hygienists and dental hygiene students. J Dent Hyg. 2007;81(1):10.
Morse TF, Michalak-Turcotte C, Atwood-Sanders M, Nicholas Warren, Donald R Peterson, Heather Bruneau, et al. A pilot study of hand and arm musculoskeletal disorders in dental hygiene students. J Dent Hyg. 2003;77(3):173-9.
Gandavadi A, Ramsay JRE, Burke FJT. Assessment of dental student posture in two seating conditions using RULA methodology – a pilot study. Br Dent J. 2007;203(10):601-5.
Mulimani P, Hoe VC, Hayes MJ, Idiculla JJ, Abas AB, Karanth L. Ergonomic interventions for preventing musculoskeletal disorders in dental care practitioners. Cochrane Database Syst Rev. 2018;10:CD011261.
Sanderson TR, Kearney RC, Kissell D, Salisbury J. Evaluating student self-assessment through video-recorded patient simulations. J Dent Hyg. 2016;90(4):257-62.
Branson BG, Williams KB, Bray KK, Holt LA, Keselyak NT, Mitchell TV, et al. Validity, and reliability of a dental operator posture assessment instrument. J Dent Hyg. 2002;76(4):255-61.
Sutherland CA, Albert WJ, Wrigley AT, Callaghan JP. The effect of camera viewing angle on posture assessment repeatability and cumulative spinal loading. Ergonomics. 2007;50:877-89.
Watson AW, Mac Donncha C. A reliable technique for the assessment of posture: assessment criteria for aspects of posture. J Sports Med Phys Fitness. 2000;40:260-70.
Ohlendorf D, Erbe C, Hauck I, Nowak J, Hermanns I, Ditchen D, et al. Kinematic analysis of work-related musculoskeletal loading of trunk among dentists in Germany. BMC Musculoskeletal Disorders. 2016;17(1):427.
Andrews N, Vigoren G. Ergonomics: muscle fatigue, posture, magnification, and illumination. Compendium Continuing Educ Dent (Jamesburg, NJ:1995). 2002;23(3):261-70.
Sanders MJ, Turcotte CA. Ergonomic strategies for dental professionals. Work. 1997;8(1):55-72.
Zarra T, Lambrianidis T. Musculoskeletal disorders amongst Greek endodontists: a national questionnaire survey. Int Endod J. 2014;47(8):791.
Peros K, Vodanovic M, Mestrovic S, Rosin-Grget K, Valic M. Physical fitness course in the dental curriculum and prevention of low back pain. J Dent Educ. 2011;75(6):761-7.
Garbin AJ, Garbin CA, Diniz DG, Yarid SD. Dental students’ knowledge of ergonomic postural requirements and their application during clinical care. Eur J Dent Educ. 2011;15(1):31- 5.
AliakbariR, Vahedian-Shahroodi M, Abusalehi A, Jafari A, Tehrani H. A digital-based education to improve occupational health and ergonomic conditions of dentists: An application of theory of planned behaviour. Int J Health Prom Educ. 2020;58(5):268-81.
De Sio S, Traversini V, Rinaldo F, Colasanti V, Buomprisco G, Perri R, Mormone F, La Torre G, Guerra F. Ergonomic risk and preventive measures of musculoskeletal disorders in the dentistry environment: an umbrella review. Peer J. 2018;6:e4154.
Lietz J, Ulusoy N, Nienhaus A. Prevention of Musculoskeletal Diseases and Pain among Dental Professionals through Ergonomic Interventions: A Systematic Literature Review. Int J Environ Res Public Health. 2020;17(10):3482.
Ylippa V, Arnetz BB, Preber H. Predictors of good general health, well-being, and musculoskeletal disorders in Swedish dental hygienists. Acta Odontologica Scandinavica. 1999;57(5):277-82.
Yamalik N. Musculoskeletal disorders (MSDs) and dental practice. Part 2. Risk factors for dentistry, magnitude of the problem, prevention, and dental ergonomics. Int Dent J. 2007;57(1):45-54.
De Bruyne MAA, Van Renterghem B, Baird A, Palmans T, Danneels L, Dolphens M. Influence of different stool types on muscle activity and lumbar posture among dentists during a simulated dental screening task. Appl Ergon. 2016;56:220-6.
Dable RA, Wasnik PB, Yeshwante BJ, Musani SI, Patil AK, Nagmode SN.Postural assessment of students evaluating the need of ergonomic seat and magnification in dentistry. J Indian Prosthodontic Soc. 2014;14(1):51-8.
Simmer-Beck M, Branson BG, Mitchell TV, Holt L. Comparison of tactile discrimination associated with varying weights of explorers. J Dent Educ. 2007;71(5):687-93.
Simmer-Beck M, Bray KK, Branson B, Glaros A, Weeks J. Comparison of muscle activity associated with structural divergences in dental hygiene mirrors. J Dent Hyg. 2006;80(1):8.
Hayes M, Taylor J, Smith D. Introducing loupes to clinical practice: dental hygienists’ experiences and opinions. Int J Dent Hyg. 2015;13(1):1-5.
Hayes MJ, Osmotherly PG, Taylor JA, D R Smith, A Ho The effect of wearing loupes on upper extremity musculoskeletal disorders among dental hygienists. Int J Dent Hyg. 2014;12(3):174-9.
Hayes MJ, Osmotherly PG, Taylor JA, Derek R Smith, Alan HO. The effect of loupes on neck pain and disability among dental hygienists. Work. 2016;53(4):755-62.
Jennifer R, Thomas FD. Dental hygienists’ opinions about loupes in education. J Dent Hyg. 2007;81(4):82.
Maillet JP, Millar AM, Burke JM, Maillet MA, Maillet WA, Neish NR. Effect of magnification loupes on dental hygiene student posture. J Dent Educ. 2008;72(1):33-44.
Dehghan N, Aghilinejad M, Nassiri-Kashani MH, Amiri Z, Talebi A. The effect of a multifaceted ergonomic intervention program on reducing musculoskeletal disorders in dentists. Med J Islam Repub Iran. 2016;30:472.
Koneru S, Tanikonda R. Role of yoga and physical activity in work-related musculoskeletal disorders among dentists. J Int Soc Prev Comm Dentistry. 2015;5(3):199-204.
Valachi B. Practice dentistry pain-free: evidence-based ergonomic strategies to prevent pain and extend your career. Posturedontics Press, Portland, Oregon. 2008;204.
Verhagen AP, Karels C, Bierma-Zeinstra SM, Feleus A, Dahaghin S, Burdorf A, Koes BW. Exercise proves effective in a systematic review of work-related complaints of the arm, neck, or shoulder. J Clin Epidemiol. 2007;60(2):110-7.
Booth A. Evident Guidance for Reviewing the Evidence: a compendium of methodological literature and websites. The University of Sheffield. 2016.
McAlister FA, Clark HD, van Walraven C, Straus SE, Lawson FM, Moher D, Mulrow CD. The medical review article revisited: has the science improved? Ann Intern Med. 1999;131(12):947-51.
Sutton A, Clowes M, Preston L, Booth A. Meeting the review family: exploring review types and associated information retrieval requirements. Health Info Libr J. 2019;36(3):202-22.
Aromataris E, Munn Z. JBI Manual for Evidence Synthesis: JBI. 2020. Available at: https://jbi-global-wiki.refined.site/space/MANUAL. Accessed on 12 July 2022.
Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Peters MD. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467-73.
The EndNote Team. EndNote. EndNote X9 ed. Philadelphia, PA: Clarivate. 2013.
Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan — a web and mobile app for systematic reviews. Syst Rev. 2016;5.