ASPECTOS ERGONÔMICOS RELACIONADOS AO MOCHO DO TIPO SELA: UMA REVISÃO INTEGRATIVA DA LITERATURA
ERGONOMIC ASPECTS RELATED TO SADDLE DENTAL STOOLS: AN INTEGRATIVE LITERATURE REVIEW
ASPECTOS ERGONÓMICOS RELACIONADOS CON LA LECHUZA DE SILLA: A REVISIÓN INTEGRADORA DE LA LITERATURA.
Bruna de Oliveira Silva, Tânia Adas Saliba, Suzely Adas SalibaMoimaz, Nemre Adas Saliba
Resumo
Posturas inadequadas no ambiente de trabalho são frequentemente associadas a distúrbios ocupacionais. Nesse contexto, o objetivo deste estudo foi investigar a influência do mocho odontológico do tipo sela na manutenção da postura do operador. Uma revisão integrativa da literatura foi realizada, consultando as bases de dados Medline (N=539) e SCOPUS (N=175). Após a exclusão de duplicatas e estudos que não atendiam aos critérios de inclusão, foram selecionados 13 artigos para análise. Embora tenham ocorrido avanços tecnológicos e ergonômicos, cabe destacar que a exposição a longas horas de trabalho, posturas inadequadas e fatores de risco ergonômicos podem levar a distúrbios musculoesqueléticos irreversíveis. No contexto odontológico, os profissionais são frequentemente expostos a posturas dinâmicas e prejudiciais no dia a dia. O mocho do tipo sela foi projetado levando em consideração as necessidades posturais dos operadores. Estudos mostraram que os assentos dinâmicos, como o mocho do tipo sela, favorecem uma postura neutra da coluna lombar e proporcionam melhores níveis de ativação muscular nos músculos inferiores do tronco, o que contribui para a estabilização da área e a redução da sobrecarga nos músculos superiores. O uso do mocho do tipo sela promoveu uma postura mais favorável e neutra para os profissionais da área odontológica.
Palavras-chave
Abstract
Inappropriate postures in the workplace are often associated with occupational disorders. In this context, the aim of this study was to investigate the influence of saddle-type dental stools on operator posture maintenance. An integrative literature review was conducted, consulting the Medline (N=539) and SCOPUS (N=175) databases. After excluding duplicates and studies that did not meet the inclusion criteria, 13 articles were selected for analysis. Despite technological and ergonomic advancements, it is worth noting that prolonged working hours, improper postures, and ergonomic risk factors can lead to irreversible musculoskeletal disorders. In the dental context, professionals are frequently exposed to dynamic and detrimental postures in their daily routines. Saddle-type stools have been designed considering the postural needs of operators. Studies have shown that dynamic seats, such as saddle-type stools, promote a neutral posture of the lumbar spine and provide better levels of muscular activation in the lower trunk muscles, contributing to area stabilization and reducing strain on the upper muscles. Therefore, the use of saddle-type stools can promote a more favorable and neutral posture for dental professionals.
Translated version DOI: https://doi.org/10.4322/rae.v17e202310.en
Keywords
Resumen
Las posturas inadecuadas en el lugar de trabajo suelen estar asociadas a trastornos ocupacional. En este contexto, el objetivo de este estudio fue investigar la influencia del búho Dispositivo dental tipo silla de montar para mantener la postura del operador. Una revisión integradora de la Se realizó literatura consultando las bases de datos Medline (N=539) y SCOPUS (N=175). Después de excluir duplicados y estudios que no cumplieron con los criterios de inclusión, seleccionado 13 artículos para análisis. A pesar de tener ocurrió avances tecnológico Es ergonomía, cabe destacar que la exposición a largas jornadas laborales, posturas inadecuadas y los factores de riesgo ergonómicos pueden provocar trastornos musculoesqueléticos irreversibles. En el contexto dental, los profesionales a menudo están expuestos a posturas dinámicas y perjudicial en la vida cotidiana. El taburete tipo silla de montar fue diseñado teniendo en cuenta la necesidades posturales de los operadores. Los estudios han demostrado que los asientos dinámicos, como el búho del tipo sillín, favor uno postura neutral desde el columna espalda baja Es proporcionar mejores niveles en activación muscular a nosotros músculos más bajo del provenir, oh qué contribuye para El estabilización de la zona y reducción de la sobrecarga en los músculos superiores. El uso del búho tipo sillín promovido uno postura más favorable Es neutral para tú profesionales desde el área dental.
Doi de la versión traducida: https://doi.org/10.4322/rae.v12n1.e201710.es
Palabras clave
References
Baldwin, M. L. (2004). Reducing the costs of work-related musculoskeletal disorders: Targeting strategies to chronic disability cases. Journal of Electromyography and Kinesiology, 14(1), 33–41. https://doi.org/10.1016/j.jelekin.2003.09.013
Bertolaccini, G. S., Paschoarelli, L. C., & Medola, F. O. (2015). Ergonomia aplicada ao Design do Mocho do Cirurgião Dentista: análise de Produtos, Patentes e Evidências Científicas. In Anais da IV Conferência Internacional de Design, Engenharia e Gestão para a Ia Inovação - IDEMi 2015 (pp. 1156-1167).
Broome, M. E. (2000). Integrative literature reviews for the development of concepts. In B. L. Rodgers & K. A. Knafl (Eds.), Concept development in nursing: Foundations, techniques, and applications (pp. 231-250). W. B. Saunders Company.
Chrusciak, C., Poncini, C., Yasue, J., Moggio, I., & Bitencourt, R. (2020). Ergonomia e fatores humanos: Um panorama das definições com base na literatura. https://doi.org/10.17648/rea.v14i1-12
Corlett, R. N., & Bishop, R. P. (1976). A technique for assessing postural discomfort. Ergonomics, 19(2), 175–182. https://doi.org/10.1080/00140137608931530
Corlett, E., Madeley, J., & Manenica, I. (1979). Posture targeting: A technique for recording working postures. Ergonomics, 22(3), 357–366. https://doi.org/10.1080/00140137908924619
Corlett, E. N., Wilson, J. R., & Corlett, N. (1995). Evaluation of human work (2a ed.). CRC Press.
Custódio, R., Silva, C., & Brandão, J. (2012). Ergonomics work analysis applied to dentistry - A Brazilian case study. Work, 41, 690–697. https://doi.org/10.3233/wor-2012-0227-690
Dable, R. A., Wasnik, P. B., Yeshwante, B. J., Musani, S. I., Patil, A. K., & Nagmode, S. N. (2014). Postural assessment of students evaluating the need of ergonomic seat and magnification in dentistry. The Journal of Indian Prosthodontic Society, 14(S1), 51–58. https://doi.org/10.1007/s13191-014-0364-0
De Bruyne, M. A. A., Van Renterghem, B., Baird, A., Palmans, T., Danneels, L., & Dolphens, M. (2016). Influence of different stool types on muscle activity and lumbar posture among dentists during a simulated dental screening task. Applied Ergonomics, 56, 220–226. https://doi.org/10.1016/j.apergo.2016.02.014
De Bruyne, M. A. A., Danneels, L., Braet, V., Van De Sijpe, E., Vanwijnsberghe, M., Verhenne, L., & Willems, T. (2021). Do stool types have an influence on cervicothoracic muscle activity and cervicothoracic posture among dentists/dental students? Applied Ergonomics, 97. https://doi.org/10.1016/j.apergo.2021.103519
De Sio, S., Traversini, V., Rinaldo, F., Colasanti, V., Buomprisco, G., Perri, R., & Guerra, F. (2018). Ergonomic risk and preventive measures of musculoskeletal disorders in the dentistry environment: An umbrella review. PeerJ, 6, e4154. https://doi.org/10.7717/peerj.4154
Definição Internacional de Ergonomia. (2008). Revista Ação Ergonômica, 3(2). Recuperado de https://www.revistaacaoergonomica.org/revista/index.php/ojs/article/view/78
Dul, J., Bruder, R., Buckle, P., Carayon, P., Falzon, P., Marras, W. S., & Van der Doelen, B. (2012). A strategy for human factors/ergonomics: Developing the discipline and profession. Ergonomics, 55(4), 377–395. https://doi.org/10.1080/00140139.2012.661087
Fransson-Hall, C., Gloria, R., Kilbom, Å., Winkel, J., Karlqvist, L., & Wiktorin, C. (1995). A portable ergonomic observation method (PEO) for computerized on-line recording of postures and manual handling. Applied Ergonomics, 26(2), 93–100. https://doi.org/10.1016/0003-6870(95)00003-u
Gadge, K., & Innes, E. (2007). An investigation into the immediate effects on comfort, productivity and posture of the Bambach saddle seat and a standard office chair. Work (Reading, Mass.), 29, 189-203.
Gandavadi, A., & Ramsay, J. (2005). Effect of two seating positions on upper limb function in normal subjects. International Journal of Therapy and Rehabilitation, 12(11), 485–490. https://doi.org/10.12968/ijtr.2005.12.11.20058
Gandavadi, A., Ramsay, J. R. E., & Burke, F. J. T. (2007). Assessment of dental student posture in two seating conditions using RULA methodology – A pilot study. British Dental Journal, 203(10), 601–605. https://doi.org/10.1038/bdj.2007.1047
Garbin, A. J. Í., Garbin, C. A. S., Diniz, D. G., & Yarid, S. D. (2011). Dental students’ knowledge of ergonomic postural requirements and their application during clinical care. European Journal of Dental Education, 15(1), 31–35. https://doi.org/10.1111/j.1600-0579.2010.00629.x
Garbin, A. J. I., Presta, A. A., Garbin, C. A. S., Saliba, O., & de Lima, D. C. (2009). Prevalencia de sintomatología dolorosa recurrente del ejercicio profesional en cirujanos dentistas. Acta Odontológica Venezolana, 47(1), 68–78. Recuperado de http://ve.scielo.org/scielo.php?script=sci_arttext&pid=S0001-63652009000100010
García-Vidal, J. A., López-Nicolás, M., Sánchez-Sobrado, A. C., Escolar-Reina, M. P., Medina-Mirapeix, F., & Bernabeu-Mora, R. (2019). The combination of different ergonomic supports during dental procedures reduces the muscle activity of the neck and shoulder. Journal of Clinical Medicine, 8(8), 1230. https://doi.org/10.3390/jcm8081230
Gouvêa, R. G. (2015). Análise ergonômica da postura sentada the dental clinical practice: Ergonomic analysis of the sitting posture. Universidade Estadual De Campinas Faculdade De Odontologia De Piracicaba. Recuperado de https://core.ac.uk/download/pdf/296891964.pdf
Graham, C. (2002). Ergonomics in dentistry, Part 1. Dentistry Today, 21(4), 98–103. https://pubmed.ncbi.nlm.nih.gov/11957243/
Gunning, J., Callaghan, J. P., & McGill, S. M. (2001). The role of prior loading history and spinal posture on the compressive tolerance and type of failure in the spine using a porcine trauma model. Clinical Biomechanics, 16, 471–480.
Gupta, G., Bhat, M., Gupta, A., Mohammed, T., & Bansal, N. (2014). Ergonomics in dentistry. International Journal of Clinical Pediatric Dentistry, 7(1), 30–34. https://doi.org/10.5005/jp-journals-10005-1229
Haddad, O., Sanjari, M. A., Amirfazli, A., Narimani, R., & Parnianpour, M. (2012). Trapezius muscle activity in using ordinary and ergonomically designed dentistry chairs. The International Journal of Occupational and Environmental Medicine, 3(2), 76–83. Recuperado de https://pubmed.ncbi.nlm.nih.gov/23022854/
Hayes, M., Cockrell, D., & Smith, D. (2009). A systematic review of musculoskeletal disorders among dental professionals. International Journal of Dental Hygiene, 7(3), 159–165. https://doi.org/10.1111/j.1601-5037.2009.00395.x
Hayes, M., Osmotherly, P., Taylor, J., Smith, D., & Ho, A. (2013). The effect of wearing loupes on upper extremity musculoskeletal disorders among dental hygienists. International Journal of Dental Hygiene, 12(3), 174–179. https://doi.org/10.1111/idh.12048
Hernández, G., & Ricardo, A. (2018). Correlação entre os índices de riscos ergonômicos, dor e qualidade de vida no trabalho dos profissionais da odontologia. Recuperado de http://repositorio.utfpr.edu.br/jspui/handle/1/3318
Hignett, S., & McAtamney, L. (2000). Rapid Entire Body Assessment (REBA). Applied Ergonomics, 31(2), 201–205. https://doi.org/10.1016/s0003-6870(99)00039-3
Hokwerda, O., Ruijter, R., & Shaw, S. (2006). Adopting a healthy sitting working posture during patient treatment. Groningen.
Huppert, F., Betz, W., Maurer, C., Grubinger, C., Holzgreve, F., Fraeulin, L., Filman, N., & Ohlendorf, D. (2021). Influence of design of dentist’s chairs on body posture for dentists with different working experience. BMC Musculoskeletal Disorders, 22(1). doi:10.1186/s12891-021-04334-1
Iordache, C., Fatu, A., Beldiman, A., Surlari, Z., Bîrsan, I., Ancuta, C., ... Romania. (2018). Ergonomics and work-related musculoskeletal conditions in dentistry. Romanian Journal of Oral Rehabilitation, 10(2).Recuperado de https://www.rjor.ro/wpcontent/uploads/2018/06/
International Ergonomics Association - IEA. (n.d.). About IEA – Introduction. Recuperado em 4 de outubro de 2022, de http://www.iea.cc/about/index.html
Isper Garbin, A. J., Antoniuk Presta, A., Saliba Garbin, C. A., Saliba, O., & Coelho de Lima, D. (2009). Prevalencia de sintomatología dolorosa recurrente del ejercicio profesional en cirujanos dentistas. Acta Odontológica Venezolana, 47(1), 68–78. Recuperado de http://www.scielo.org.ve/scielo.php?script=sci_arttext&pid=S0001-63652009000100010
Kothiyal, K., & Kayis, B. (2001). Workplace layout for seated manual handling tasks: An electromyography study. International Journal of Industrial Ergonomics, 27, 19-32.
Labbafinejad, Y., Ghasemi, M. S., Bagherzadeh, A., Aazami, H., EslamiFarsani, M., & Dehghan, N. (2019). Saddle seat reduces musculoskeletal discomfort in microsurgery surgeons. International Journal of Occupational Safety and Ergonomics, 25(4), 545-550. doi:10.1080/10803548.2017.1389463
Leggat, P. A., Kedjarune, U., & Smith, D. R. (2007). Occupational health problems in modern dentistry: A review. Industrial Health, 45(5), 611–621. https://doi.org/10.2486/indhealth.45.611
López-Nicolás, M., García-Vidal, J. A., Medina-Mirapeix, F., Sánchez-Onteniente, J. P., Mestre, J. D. B., Agustín, R. M.-S., & Escolar-Reina, M. P. (2019). Effect of different ergonomic supports on muscle activity of dentists during posterior composite restoration. PeerJ, 7, e8028. https://doi.org/10.7717/peerj.8028
Maheler, P. (2003). Estudo das Sobrecargas Posturais em Acadêmicos de Odontologia da Universidade Estadual do Oeste do Paraná – Unioeste –Saúde (pp. 1-3). Cascavel, PR: SBIS.
Movahhed, T., Dehghani, M., Arghami, S., & Arghami, A. (2016). Do dental students have a neutral working posture? Journal of Back and Musculoskeletal Rehabilitation, 29(4), 859–864. https://doi.org/10.3233/bmr-160702
Oliveira, A. H. A. de, Saraiva Neto, J. D., Almeida, M. N., & Stefenon, L. (2018). Sintomas Osteomusculares em Cirurgiões-Dentistas: Um Estudo Piloto. J. Health Sci. (Londrina). Retrieved from https://pesquisa.bvsalud.org/portal/resource/pt/biblio-909335
Plessas, A., & Bernardes Delgado, M. (2018). The role of ergonomic saddle seats and magnification loupes in the prevention of musculoskeletal disorders: A systematic review. International Journal of Dental Hygiene, 16(4), 430–440. https://doi.org/10.1111/idh.12327
Pîrvu, C., Pătraşcu, I., Pîrvu, D., & Ionescu, C. (2014). The dentist’s operating posture - ergonomic aspects. Journal of Medicine and Life, 7(2), 177–182. https://pubmed.ncbi.nlm.nih.gov/25184007/
Raman, V., Ramlogan, S., Sweet, J., & Sweet, D. (2020). Application of the rapid entire body assessment (REBA) in assessing chairside ergonomic risk of dental students. British Dental Journal. doi:10.1038/s41415-020-1855-5
Read, G. J. M., Salmon, P. M., Goode, N., & Lenné, M. G. (2018). A sociotechnical design toolkit for bridging the gap between systems‐based analyses and system design. Human Factors and Ergonomics in Manufacturing & Service Industries, 28(6), 327–341. https://doi.org/10.1002/hfm.20769
Rovida, T. A. S., Garbin, A. J. Í., Peruchini, L. F. D., Machado, A. C. B., & Moimaz, S. A. S. (2015). Ergonomia odontológica: integrando teoria e prática para o avanço do ensino. Revista Da ABENO, 15(4), 37–44. https://doi.org/10.30979/rev.abeno.v15i4.230
Sakzewski, L., & Naser-ud-Din, S. (2014). Work-related musculoskeletal disorders in dentists and orthodontists: A review of the literature. Work, 48(1), 37–45. https://doi.org/10.3233/wor-131712
Saliba, T. A., Machado, A. C. B., Garbin, A. J. Í., Peruchini, L. F. D., & Garbin, C. A. S. (2016). Análise ergonômica do atendimento clínico odontológico. Revista Da ABENO, 16(3), 96–105. https://doi.org/10.30979/rev.abeno.v16i3.284
Sirisawasd, S., Taptagaporn, S., Boonshuyar, C., & Earde, P. (2018). Interventions commonly used to prevent work-related musculoskeletal disorders among healthcare workers. Journal of Health Research, 32(5), 371–383. https://doi.org/10.1108/jhr-08-2018-044
Stellman, J. M. (1998). Encyclopaedia of Occupational Health and Safety. Google Books. International Labour Organization.
Tran, V., Turner, R., MacFadden, A., Cornish, S. M., Esliger, D., Komiyama, K., & Chilibeck, P. D. (2016). A dental stool with chest support reduces lower back muscle activation. International Journal of Occupational Safety and Ergonomics, 22(3), 301–304. https://doi.org/10.1080/10803548.2016.1153223
Yi, J., Hu, X., Yan, B., Zheng, W., Li, Y., & Zhao, Z. (2013). High and specialty-related musculoskeletal disorders afflict dental professionals even since early training years. Journal of Applied Oral Science, 21(4), 376–382. https://doi.org/10.1590/1678-775720130165