Present & Multimedia edition by:
Massoud Amiri Moghaddam
Poor Ergonomics = Musculoskeletal Disorders
Studies show work-related pain in the dental
field is not decreasing
Two Most Common Causes for Musculoskeletal
Over half of Human bodyDental Health Profession to
Disorders in the professionalsfor
all dental was designed continue
experience work-related pain
Prolonged Static Postures
WHEN TO EXERCISE?
Perform these simple exercises at the start of the
day, between patients, or while waiting for patient
to rinse out or the DSA is mixing materials
Exercise THE quot;FIVE TIMESquot; HAND AND WRIST
Make a tight fist, hold for five second and
release, relaxing hand and fingers.
Repeat five wrist extension, flexion or forearm pronation can
increase the risk of repetitive strain injuries, such as
Carpel Tunnel Syndrome.
This set of four exercises should help reduce the
likelihood of this painful condition occurring.
Stretch your fingers wide.
Hold for 5 seconds, and then return hand to relaxed
Repeat five times.
Hold arms out in front at shoulder height ,with
palmsof hands facing downwards.
Rotate your hands 5 times clockwise and 5 times
Hold your arms out to the side of you at 90 degrees to
your trunk at shoulder height
Flap your hands up and down 5 times from the wrist.
Support arms when working
Remember to support forearms as this
produces a reduction in muscle
contraction in erector spinae and
trapezius muscles and helps to prevent
Do this by resting arms on sides of dental
2) TWO NECK EXERCISES
Neck and backstretches for use whilst working in a
Exercise 1) Horizontal turns computer or writing at a
dental surgery chair or at a
Keeping the chin up and in the horizontal plane turn
head from side to side, 90 degrees in each direction,
keeping cervical spine straight.
Make smooth gliding movements.
Exercise 2)Chin tucks (quot;Doing the chickenquot;)
Keeping the head level (keep looking straight
Tuck in chin and then lengthen back of neck
Exercise 1) Shoulder lifts
3) TWO STRETCHES TO TRY WHILST SITTING IN THE
Raise shoulders towards your ears and
then lower and relax shoulders.
Breath in deeply whilst raising shoulders,
breathe out on relaxing shoulders.
Exercise 2) Backward Arching
Stretch backward over the edge of the backrest.
Remember to stretch the neck at the same time: you can
combine this exercise with 'Chin tucks'.
Hold arms at 45 degrees to the trunk; stretch arms at the
Hold three seconds and return to the vertical position and
Exercise 1) Pelvic rocking
4) END forward and SESSION STRETCHES
Rock pelvisOF CLINICAL backward whilst sitting in
the chair. Practice THE LOWER BACK
FOR initially siting on your hands to
feel the upward and then forward and downward
movements of your hipbones. Once you have
mastered this movement place your hands on your
1) Pelvic rocking.
2) At the end of a working session.
3) Whilst walking out through the door.
Exercise 2) At the end of a working session
Stand up with feet slightly apart. Place hands on
either side of the lower spine, gently push hips
forward, and then lean the body backwards from the
hips. Return to vertical position, relax and repeat five
Exercise 3)whilst walking out through the door
Stand in the doorway. Feet slightly apart. Raise
arms upwards and place hands on each side of the
lintel of the doorway. Supporting your weight with
your hands and arms, press body forward from the
pelvis. Relax and repeat.
It doesn't matter what type of exercise it is. Choose a
sport or walking briskly or running. Anything to make
your heart work a bit harder for 30-40 minutes, 3
In addition to using this occupationally orientated
times a week. General exercise has been shown to be
exercise program we recommend taking aerobic
important for stress relief and feeling of well-being. It
exercise to look after your cardiovascular fitness, as
can have a preventative effect on spinal pain
one of the other major cause of dentist's early
retirement is cardiovascular disease…