{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:52:23Z","timestamp":1772160743422,"version":"3.50.1"},"reference-count":49,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T00:00:00Z","timestamp":1762732800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T00:00:00Z","timestamp":1762732800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["001"],"award-info":[{"award-number":["001"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Increased personal protective equipment (PPE) use, working hours and psychological disorders were observed among healthcare workers during the COVID\u201019 pandemic, possibly leading to craniocervical and otological symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to identify factors associated with craniocervical and otological symptoms in healthcare workers during the COVID\u201019 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 147 healthcare workers in the care of patients with COVID\u201019 were included. Craniocervical symptoms (headache, orofacial pain and neck pain), otological symptoms and PPE use before and during the pandemic were assessed. Pearson's chi\u2010square, McNemar's tests, the paired t\u2010test and a binary logistic regression were used for analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The onset of symptoms during the pandemic was 44.2% for headache, 36.7% for orofacial pain, 38.0% for neck pain and 54.4% for otological symptoms. Worsening of pre\u2010existing symptoms was observed for headache (59.5%), orofacial pain (60.8%), neck pain (38.7%), and otological symptoms (29.4%). Depressive symptoms, associated symptoms and co\u2010occurrence of symptoms during the pandemic were associated with the onset of craniocervical symptoms (OR 2.42\u20133.99). The use and duration of surgical masks before the pandemic and face shield and orofacial pain during the pandemic were associated factors to the onset of otological symptoms (OR 2.98\u20133.89). Working in the nursing ward, female sex, lack of physical activity and previous medical history were associated with the worsening of pre\u2010existing craniocervical symptoms (OR 3.25\u20134.72).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Craniocervical and otological symptoms increased among healthcare workers during the COVID\u201019 pandemic. Addressing biopsychosocial factors may mitigate the health burden and improve the quality of care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70099","type":"journal-article","created":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T12:49:47Z","timestamp":1762778987000},"page":"505-514","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Associated With Craniocervical and Otological Symptoms in Healthcare Workers During Covid\u201019 Pandemic: A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1523-5917","authenticated-orcid":false,"given":"Anita Almeida","family":"Gonzaga","sequence":"first","affiliation":[{"name":"Department of Physical Therapy Federal University of Rio Grande do Norte  Natal 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of S\u00e3o Carlos  S\u00e3o Carlos Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8913-7868","authenticated-orcid":false,"given":"\u00c1lvaro Campos Cavalcanti","family":"Maciel","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy Federal University of Rio Grande do Norte  Natal Brazil"},{"name":"Postgraduate Program in Physical Therapy (PPGFST) Federal University of Rio Grande do Norte  Natal Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5935-6760","authenticated-orcid":false,"given":"Karyna Myrelly Oliveira Bezerra","family":"Figueiredo Ribeiro","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy Federal University of Rio Grande do Norte  Natal Brazil"},{"name":"Postgraduate Program in Physical Therapy (PPGFST) Federal University of Rio Grande do Norte  Natal 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