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A forward-head posture also can lead to muscle imbalances, contributing to a rounded shoulder posture. This posture can predispose the operator to impingement of the supraspinous tendon in the shoulder (rotator cuff impingement) when reaching for items.
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Mechanisms Leading To Musculoskeletal Disorders In Dentistry 2

Jan 21, 2015

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Health & Medicine

mahdi salari

 
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Page 1: Mechanisms Leading To Musculoskeletal Disorders In Dentistry  2

A forward-head posture also can lead to muscle imbalances, contributing to a rounded shoulder posture.

This posture can predispose the operator to impingement of the supraspinous tendon in the shoulder (rotator cuff impingement) when reaching for items.

Page 2: Mechanisms Leading To Musculoskeletal Disorders In Dentistry  2

Additionally, static posture of the arms in an elevated or abducted state of more than 30 degrees impedes the blood flow to the supraspinous muscle and tendon. Prolonged arm abduction also can lead to trapezius myalgia—chronic pain and trigger points in the upper trapezius muscle.

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Thoracic outlet syndrome

Page 4: Mechanisms Leading To Musculoskeletal Disorders In Dentistry  2

Bad Posture can result in:

Headaches, TMJ, Headaches, TMJ, Neck pain, Neck pain, Shoulder Pain, Shoulder Pain, Mid-Back Pain, Mid-Back Pain, Low Back Pain, Low Back Pain, Hip Pain, Knee Hip Pain, Knee Pains, Sciatica,  Pains, Sciatica,  Fatigue, Fatigue, Osteoarthritis, Osteoarthritis, Allergies, Allergies, Asthma, Ear Asthma, Ear Infections and Infections and many more many more conditions.conditions.

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MUSCLE iskemia dan nekrosis

Ischemic areas are especially susceptible to the development of trigger points, They feel like a knot or small pea.

active )painful) or latent (causing stiffness and restricting range of motion).

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Necrosis muscle (nekrosis otot)

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Page 8: Mechanisms Leading To Musculoskeletal Disorders In Dentistry  2

ketidakseimbangan ototketidakseimbangan otot muscles stabilize and those that move

Page 9: Mechanisms Leading To Musculoskeletal Disorders In Dentistry  2

The forward-head-and-rounded-shoulder posture also increases forces on the upper neck muscles (upper trapezius and levator scapulae) and spinal vertebral disks

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Frequent relaxing and stretching of the neck muscles, strengthening of the deep postural cervical muscles and preservation of the cervical lordosis in proper posture (ear over the shoulder) with all activities, including sleeping and driving, is essential for optimal musculoskeletal health of the neck.

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Page 12: Mechanisms Leading To Musculoskeletal Disorders In Dentistry  2

Mampatan tulang

spinal compression

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MUSCULOSKELETAL DISORDERS

Tension neck syndrome: pain, stiffness and muscle spasms in the cervical musculature, often referring pain between shoulder blades or the occiput, and sometimes numbness or tingling into one arm or hand.

Forward head posture may precede this syndrome, precipitating muscle imbalances, ischemia, trigger points, or cervical disk degeneration or herniation.

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Page 15: Mechanisms Leading To Musculoskeletal Disorders In Dentistry  2

The muscle imbalance between the abdominal and low back muscles

Repeatedly leaning toward a patient

transversus abdominus tends to become weaker

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Page 17: Mechanisms Leading To Musculoskeletal Disorders In Dentistry  2

SPINAL DISK HERNIATION AND DEGENERATION

In unsupported sitting, pressure in the lumbar spinal disks increases 40 percent over pressure from standing.

During forward flexion and rotation—a position often assumed by dental operators—the pressure increases 400 percent,

Page 18: Mechanisms Leading To Musculoskeletal Disorders In Dentistry  2

This flattening of the lumbar curve also causes the nucleus in the spinal disk to migrate posteriorly toward the spinal cord.

Over time, the posterior wall of the disk becomes weak, and disk herniation can occur

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