Table 2: Suggestions and tips for preventing muscle strain and musculoskeletal disorders in the clinical setting [1,14-16].
Suggestions for prevention of MSD: |
|
Erect Back Posture |
Maintain lower back curve and avoid excessive flexion of the neck. |
Correct Lighting and Magnification |
Enable improved postures. |
Appropriate chair and patient position |
Keep hips approximately 15 degrees above the knees and ensure patients are at the correct height for the procedure being carried out (Note: This may differ for maxillary/mandibular positions). |
Avoid twisting |
To help avoid muscle imbalance and compensatory muscle activity. |
Stretching and strengthening exercises |
May help reverse the strain placed upon muscle groups and reduce muscle ischaemia. Alternating between sitting and standing may help. |
Foot position
|
Keep feet on the ground and reposition regularly to avoid muscle fatigue. |
Balance daily activities |
To avoid extreme movements and utilise automated instruments where possible. |
Four handed dentistry |
Practice four or six handed dentistry with appropriate task delegation. |