Résumé
Background: Musculoskeletal symptoms or disorders among dentists have been major concern in recent years. The most frequent injuries occur in spine (neck and back), shoulders, elbow and hands. In order to summarize, the study describes mainly about the prevalence of work related musculoskeletal disorders among dentists, percentage of affection and prevalence of psychosocial aspects among dentists. Aim and objectives: The aim of the study was to find prevalence of musculoskeletal disorders and psychosocial aspects among dentist and among male and female dentists, among age groups (years) of dentists, between right handed and left handed dentists, between four categories of body mass index among dentists, dentists working in private practice, in academics and in both Private practice and academics, under‑ graduate and post‑ graduate level dentists between three categories of clinically experienced dentists between dentists working with assistant and without assistant and to find the prevalence of psychosocial risks among dentists. Materials and methods: To determine prevalence of musculoskeletal disorders by using standardized Nordic questionnaire for analysis of musculoskeletal symptoms and to determine prevalence of psychosocial aspects by using job content questionnaire. Results: Results of the study revealed that there is prevalence of work related musculoskeletal disorders among dentists. Among 463 dentist’s, total percentage of musculoskeletal affection was Farah Riyazuddin Munshi, Edrish Saifee Contractor, Muzammil Munshi. Prevalence of musculoskeletal disorders and psychosocial aspects among dentists - A survey. IAIM, 2016; 3(8): 185-192. Page 186 90.7%. The percentage of affection in specific body areas are as follows neck pain 73.8%, Low back 70%, shoulder 62.4%, upper back 23%, elbow 16.7%, hips 14%, ankle 11.2%, knee 7.6%. The prevalence of psychosocial risk was 68%. Conclusion: From this survey, it can be concluded that there was high prevalence of musculoskeletal and psychosocial risk factors among dentists. These work related musculoskeletal disorders can be prevented by correcting awkward posture when working and taking appropriate ergonomic measures.
Résumé
Background: Adhesive capsulitis is characterized by a painful, gradual loss of both active and passive glenohumeral motion resulting from progressive fibrosis and ultimate contracture of the glenohumeral joint capsule. Patients with Adhesive capsulitis have difficulties in everyday activities (dressing, grooming, and performing overhead reaching activities and so on for a period of several months to several years) and shoulder pain disturbing sleep at night on the affected side. Muscle energy technique helps in increasing shoulder range of motion. MET is unique in its application as the client provides the initial effort while the practitioner facilitates the process. One of the main uses of this method is to normalize joint range, rather than increase flexibility, and techniques can be used on any joints with restricted Range of Motion (ROM) identified during the passive assessment. So the study was done to evaluate the effect of MET on adhesive capsulitis. Aim: This study was designed to evaluate the effect of Spencer MET on Pain and Functional Disability in Adhesive Capsulitis of Shoulder joint. Materials and methods: An Interventional study was conducted at Out Patient Department of General Hospitals in Ahmedabad. The subjects were selected according to inclusion criteria. The Pretraining outcome of Pain (VAS) and SPADI was taken and then subjects were divided into two groups’ one case and other control. Group A: was given conventional treatment along with MET for adhesive capsulitis. Group B: not getting any additional training for adhesive capsulitis other than Contractor ES, Agnihotri DS, Patel RM. Effect of Spencer Muscle Energy Technique on pain and functional disability in cases of adhesive capsulitis of shoulder joint. IAIM, 2016; 3(8): 126-131. Page 127 conventional treatment. The study was conducted for 6 months and treatment was given for 4 weeks 3 days a week and once a day. After 4 weeks post treatment outcome data were analysed for results. Results: Data was analysed using SPSS software version 20 and Microsoft Excel 2007. In case and control both pain (VAS), SPADI showed significant improvement (p; 0.05). But there was more significant improvement in case as compared to control group in SPADI but not in VAS. Conclusion: The Spencer MET is more effective increasing functional ability in patients with adhesive capsulitis as compared to conventional treatment.