Determinants of upper extremity functions in dentists with chronic neck pain

Abstract

Dentistry is a profession that requires mental and physical attention due to the nature of the work performed. Especially manual dexterity, psychomotor skills and long-term static stay in the same position due to procedures in a small area can disrupt the symmetry of the body and cause neck pain and disability in upper extremity functions over time. The aim of this study was to identify the determinants of upper extremity functions in dentists with chronic neck pain. A total of sixty dentists with chronic neck pain were included in the study. The sociodemographic characteristics of participants were recorded. Right and left upper trapezius pain pressure threshold (PPT), neck disabilities, upper extremity functions of the participants were evaluated by algometry, neck disability index (NPI) and the disabilities of arm, shoulder and hand (DASH), respectively. The mean age of the participants was 35.30±4.16 and the number of women and men was 45 and 15, respectively. A significant relationship was found between DASH and NDI (r=0.449, p=0.009), right trapezius PPT (r=-0.470, p=0.005) and left trapezius PPT (r=-0.354, p=0.043) of the participants. After regression analysis, only NDI was found to be significant as a determinant of upper extremity functions. This can be explained by the fact that disabilities of the proximal parts of the body can be a determining factor in the development of disabilities in the distal parts. In this context, giving these patients exercises that will reduce neck region disability will improve upper extremity functions.

Keywords

• dentist
• upper extremity functions
• chronic neck pain

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