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Kostno-mišična obolenja pri laboratorijskih zobnih protetikih : diplomsko delo
ID Brezovnik Bunderla, Nuša (Author), ID Kacjan Žgajnar, Katarina (Mentor) More about this mentor... This link opens in a new window, ID Hren, Doroteja (Comentor), ID Gomišček, Gregor (Reviewer)

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Abstract
Uvod: Kostno-mišična obolenja (KMO) predstavljajo pri laboratorijskih zobnih protetikih eno najpogostejših z delom povezanih zdravstvenih težav. Vzroki zanje so predvsem dolgotrajno delo v prisilnih držah, ponavljajoči se gibi ter statična obremenitev. Zaradi narave dela, ki zahteva visoko natančnost, so delavci pogosto izpostavljeni škodljivim dejavnikom. Namen: Raziskati smo želeli kostno-mišična obolenja ter delovne položaje laboratorijskih zobnih protetikov ter analizirati izpostavljenost telesnih segmentov ergonomskim obremenitvam in neudobju pri delu opazovanih oseb. Na podlagi rezultatov želimo predlagati ukrepe za razbremenitev zaposlenih. Metode dela: Uporabili smo deskriptivno kavzalno metodo, modificirano metodo OWAS in metodo CORLETT. Z metodo OWAS smo beležili telesne položaje med delom ter ocenili stopnjo obremenitve posameznih segmentov, z metodo CORLETT smo zabeležili subjektivno izraženo neudobje v dvanajstih telesnih segmentih pri štirih laboratorijskih zobnih protetikih, ki smo jih opazovali med celotnim delovnikom. Rezultati: Največje čezmerne obremenitve so bile zaznane v zatilju, ramenih in spodnjem delu hrbta. Ugotovili smo, da je bila pri nekaterih delovnih nalogah glava pogosto sklonjena nad 30°, nadlahti dvignjene stran od telesa, sedenje pa pogosto nefiziološko. Neudobje se je čez dan stopnjevalo, najvišje vrednosti pa smo zaznali v poznih popoldanskih urah. Razprava: Ugotovitve potrjujejo povezanost ergonomskih obremenitev z razvojem KMO-ja. Razlike med posamezniki kažejo, da nanje vplivajo delovne izkušnje, starost in posamezne naloge. Metodi OWAS in CORLETT sta se izkazali kot primerni pri odkrivanju kritičnih telesnih obremenitev in kot podlaga prilagoditev delovnega okolja. Zaključek: Z ustreznimi ergonomskimi prilagoditvami, uvedbo rednih aktivnih odmorov in razgibalnih vaj ter z uporabo pripomočkov je mogoče bistveno zmanjšati obremenitve in s tem tudi prevalenco za KMO. Rezultati ponujajo konkretna priporočila izboljšanja delovnih pogojev laboratorijskih zobnih protetikov.

Language:Slovenian
Keywords:diplomska dela, laboratorijska zobna protetika, ergonomija, laboratorijski zobni protetiki, kostno-mišična obolenja, modificirana metoda OWAS, metoda CORLETT
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[N. Brezovnik Bunderla]
Year:2025
Number of pages:52 str., [16] str. pril.
PID:20.500.12556/RUL-169854 This link opens in a new window
UDC:616.31
COBISS.SI-ID:239238915 This link opens in a new window
Publication date in RUL:13.06.2025
Views:340
Downloads:42
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Secondary language

Language:English
Title:Musculo-skeletal disorders in laboratory dental prosthetics : diploma work
Abstract:
Introduction: Musculoskeletal disorders (MSD) represent one of the most common work-related health problems in laboratory prosthodontists. They are mainly caused by prolonged work in forced postures, repetitive movements and static loading. Due to the nature of the work, which requires high precision, workers are often exposed to harmful factors. Purpose: The investigation of the musculoskeletal disorders and the working postures of laboratory dental prosthetists, the analysis the exposure of the body segments to ergonomic stresses and the discomfort at work of the subjects observed. To propose measures to relieve the strain on the employees based on the results. Methods: We used the descriptive-causal method, the modified OWAS method and the CORLETT method. The OWAS method was used to record body positions during work and to assess the degree of strain on individual segments, while the CORLETT method was used to record subjectively expressed discomfort in 12 body segments in four laboratory dental prosthetists who were observed throughout the working day. Results: We found that the head was often bent over 30° at some work tasks, the upper arms were raised away from the body, and sitting was often unphysiological. Discomfort increased throughout the day, with peaks in the late afternoon. Discussion: Individual differences suggest that the work experience, the age and the individual tasks also influence the findings. The OWAS and CORLETT methods have been shown to be suitable for the detection of critical physical strains and as a basis for work environment adaptations. Conclusion: With the appropriate ergonomic adaptations, the introduction of regular active breaks, the stretching exercises and the use of assistive devices, it is possible to significantly reduce the workload and thus the prevalence of MSDs. The results offer concrete recommendations for improving the working conditions of laboratory prosthodontists.

Keywords:diploma theses, laboratory dental prosthetics, ergonomics, laboratory dental prosthetists, musculoskeletal disorders, modified OWAS method, CORLETT method

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