Ergonomics and musculoskeletal disorders Flashcards
What are musculoskeletal disorders, how are they a major occupational health issue for dental hygienists?
An injury to the body caused by:
- Fast-paced or repetitive movements
- Forceful or awkward movements
- overuse of small muscles and tight grips
- Poor posture
What are the risk factors for musculoskeletal stress? 6
- Fixed working positions (static postures)
- Excessive use of small muscles
- Tight grips
- Repetitive movements
- Positioning challenges
- Confined working space/Equipment limitations
Explain the common musculoskeletal disorders in dental hygienists:
Thoracic Outlet Syndrome and its causes
- Disorder of the fingers, hand, and/or wrist as a result of the compression of the brachial nerve plexus and vessels
- Causes:
*Tilting the head forward
*Hunching the shoulders forward
*Continuously reaching overhead
Explain the common musculoskeletal disorders in dental hygienists:
Rotator Cuff Tendonitis and causes
- Inflammation of the muscle tendons in the shoulder region
- Causes:
*Holding the elbow above waist level
*Holding the upper arm away from the body
Explain the common musculoskeletal disorders in dental hygienists:
Pronator Syndrome and causes
- Disorder of the wrist and hand as a result of the compression of the median nerve by the pronator muscle
- Causes:
*Holding the lower arm away from the torso of the body
Explain the common musculoskeletal disorders in dental hygienists:
Extensor Wad Strain.
- Disorder of the fingers as a result of injury to the extensor muscles
- Causes:
*Extending the fingers independently of each other
Explain the common musculoskeletal disorders in dental hygienists:
Carpal Tunnel Syndrome
- Disorder of the wrist and hand as a result of the compression of the median nerve in the wrist
- Causes:
*Repeatedly bending the hand up, down, or from side to side at the wrist
*Pinch-gripping an instrument without resting the muscles
Explain the common musculoskeletal disorders in dental hygienists:
Ulnar Nerve Entrapment.
- Disorder of the lower arm and wrist as a result of the compression of the ulnar nerve at the wrist
- Causes:
*Repeatedly bending the hand up, down, or from side to side at the wrist
*Holding the little finger a full span away from the hand
Explain the common musculoskeletal disorders in dental hygienists:
Tenosynovitis.
- Inflammation of the tendons on the side of the wrist and base of the thumb
- Causes:
*Hand twisting
*Forceful gripping
*Bending the hand back or to the side
Explain the common musculoskeletal disorders in dental hygienists:
Tendonitis.
- A painful inflammation of the tendons of the wrist
- Causes:
*Repeatedly bending the hand up, down, or from side to side at the wrist
What is ergonomics?
- Considerations for ideal posture, movement and positioning during dental hygiene procedures to avoid discomfort and injuries
By applying ergonomic principles and undertaking regular physical activity, you can
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*Prevent musculoskeletal disorders
*Improve likelihood of career longevity
What should you always be thinking before going into a patients mouth
“Me, my patient, my light, my nondominant hand, my dominant hand”
What is neutral positioning?
- Ideal positioning of the body in a balanced position.
- Results in a decreased risk of musculoskeletal injury.
What is the neutral neck position?
- Goal: head tilt of 0 to 15 degrees
AVOID:
*Head tipped too far forward
*Head tilted to one side
What is the neutral back position?
- Goal: Leaning forward slightly from the waist or hips. between 0-20 degrees.
- AVOID:
Curved back
What is the neutral torso position?
- Goal: Torso in line with long axis
- AVOID: Leaning or twisting torso
What is the neutral shoulder position?
- Goal: Shoulders even
- AVOID: Shoulders hunched up toward ears
What is the neutral upper arm position?
- Goal: elbows at waist level held slightly away from the body. between 0-20 degrees
- AVOID: elbows held above waist level
What is the neutral forearm position?
- Goal: forearm parallel to the floor; between 60-100 degrees
- AVOID: angle between forearm and upper arm of less than 60 degrees
What is the neutral hand position?
- Goal: little finger-side of palm slightly lower than the thumb-side of palm.
- AVOID: palm parallel to floor
What are the 3 curves of a healthy back?
- Cervical (inward curve)
- Thoracic (slight outward
curve) - Lumbar (inward curve)
What is the neutral seated position?
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- Weight evenly distributed
- Seat back about 1 inch higher than front of seat
- Hips slightly higher than knees
- Seat height positioned low enough so that you are able to rest the soles of your feet on the floor
What are the conditions for selecting a clinician stool?
2
- Each clinician should adjust stool height and seat back to his or her own body proportions and height
- Adjust seat tilt and lumbar height of backrest
What is the saddle stool positioning?
4
- Halfway between sitting and standing
- Tripod position
- Feet flat on the floor
- Thighs at a 135 degree angle
What are saddle stool benefits?
4
- Easier to maintain neutral spine
- Able to sit closer to the patient
- Easier to move around
- Easier to go from sitting to standing
What are the 4 neutral positions for the patient?
- Supine
- Upright
- Semi-upright
- Tredelenburg