A Preventive Program for Work-related Musculoskeletal Disorders Among Surgeons

Giagio, Silvia; Volpe, Giovanni; Pillastrini, Paolo; Gasparre, Giuseppe; Frizziero, Antonio; Squizzato, Francesco

doi:10.1097/sla.0000000000003199

Cited by 53 publications

(59 citation statements)

References 20 publications

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“…However, depending on work schedule and caseload, muscles may need a longer recovery time to regain force capacity. A recent RCT examined the benefits of good ergonomic work practice and non‐resistance stretching exercises before and after surgery. The intervention improved quality of life and reduced lower back pain.…”

Section: Discussionmentioning

confidence: 99%

Surgeons' posture and muscle strain during laparoscopic and robotic surgery

Dalager

Jensen

Eriksen

et al. 2020

British Journal of Surgery

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Background: It is assumed that conventional laparoscopy (LAP) and robotic-assisted laparoscopic surgery (RALS) differ in terms of the surgeon's comfort. This study compared muscle workload, work posture and perceived physical exertion of surgeons performing LAP or RALS.Methods: Colorectal surgeons with experience in advanced LAP and RALS performed one of each operation. Bipolar surface electromyography (EMG) recordings were made from forearm, shoulder and neck muscles, and expressed relative to EMG maximum (%EMG max ). The static, median and peak levels of muscle activity were calculated, and an exposure variation analysis undertaken. Postural observations were carried out every 10 min, and ratings of perceived physical exertion before and after surgery were recorded.Results: The study included 13 surgeons. Surgeons performing LAP showed higher static, median, and peak forearm muscle activity than those undertaking RALS. Muscle activity at peak level was higher during RALS than LAP. Exposure variation analysis demonstrated long-lasting periods of low-level intensity muscle activity in the shoulders for LAP, in the forearms for RALS, and in the neck for both procedures. Postural observations revealed a greater need for a change in work posture when performing LAP compared with RALS. Perceived physical exertion was no different between the surgical modalities.Conclusion: Minimally invasive surgery requires long-term static muscle activity with a high physical workload for surgeons. RALS is less demanding on posture. MethodsColorectal surgeons from two Danish hospitals participated. The surgeons were eligible if certified in both surgical modalities, had performed LAP and RALS almost equally, and had a high weekly caseload. The surgeons gave written informed consent to participate, and the Danish Data Protection Agency approved the study (record number 2015-57-0008). Approval from the regional ethics committee was sought, but the present study was exempted. Measurements were conducted on site during normal work procedures. Each surgeon performed two operations -one with LAP and one with RALS. Each of the procedures

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Section: Discussionmentioning

confidence: 99%

Surgeons' posture and muscle strain during laparoscopic and robotic surgery

Dalager

Jensen

Eriksen

et al. 2020

British Journal of Surgery

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“…3-6 Furthermore, MSK pain can lead to lost productivity, reduced quality of life, and early retirement, making ergonomics both an experiential and an economic problem. 3,4,7-9…”

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confidence: 99%

Quantitative Assessment of Surgical Ergonomics in Otolaryngology

Rodman

Kelly

Niermeyer

et al. 2020

Otolaryngol.--head neck surg.

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Objectives Objective evaluation of the ergonomic risk of common otolaryngology procedures and assessment of work-related musculoskeletal pain and injury. Study Design Cross-sectional intraoperative assessment and survey. Setting Department of Otolaryngology at a tertiary children’s hospital. Subjects and Methods Sixteen otolaryngology attendings, fellows, and residents participated in a blinded study. Intraoperative ergonomics was assessed for tonsillectomies, adenoidectomies, and tympanostomy tube insertions using the Rapid Upper Limb Assessment (RULA). Follow-up surveys were sent to all participating surgeons to determine the prevalence of musculoskeletal pain and formal ergonomic training. Results Zero percent (N = 0/275) of intraoperative observations were found to have a negligible level of ergonomic risk, with 47% low risk, 37% high risk, and 16% very high risk. Tympanostomy tube insertions conferred less risk than tonsillectomy and adenoidectomy, while the use of headlamp or loupes conferred increased risk. Eighty percent of respondents reported having musculoskeletal pain and 40% reported experiencing pain while operating within the past year. The most common area of pain was the cervical spine. No surgeons reported formal ergonomic training. Conclusions Our study demonstrates an unacceptable level of ergonomic risk for common procedures in otolaryngology. Furthermore, most participants reported experiencing musculoskeletal pain despite the duration of examined procedures being relatively short. The high prevalence of work-related musculoskeletal pain and the lack of ergonomic training in our cohort highlight the need for increased awareness of ergonomics as well as the development of formal ergonomic curricula.

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“…Previous studies of stretching programs for the prevention of musculoskeletal disorders have been conducted with surgeons but this is the first to focus more broadly on perioperative staff and the first to incorporate a qualitative component. Workplace stretching programs with surgeons have reported improvements in musculoskeletal discomfort, pain and overall general health [6][7][8] .…”

Section: Discussionmentioning

confidence: 99%

“…Workplace stretching has been shown to reduce musculoskeletal discomfort and injury in office workers, factory workers and firefighters 5 . There has been recent evidence of the benefit of workplace stretching programs for surgeons [6][7][8] but not for other perioperative staff.…”

Section: Introductionmentioning

confidence: 99%

A workplace stretching program for the prevention of musculoskeletal disorders in perioperative staff: A mixed methods implementation study

King¹,

Campbell²,

James³

et al. 2020

Journal of Perioperative Nursing

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Aim: The study aimed to investigate the acceptability, feasibility, use and impact of a workplace stretching program for preventing musculoskeletal disorders in perioperative staff. Method: This was a hybrid effectiveness-implementation study using mixed methods. Data was collected pre-and post-program to evaluate its impact on musculoskeletal disorders, discomfort, sick leave, incidents and compensation claims. A post-program survey and participant interviews were used to ascertain the programs acceptability, feasibility and use.

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A Preventive Program for Work-related Musculoskeletal Disorders Among Surgeons

Cited by 53 publications

References 20 publications

Surgeons' posture and muscle strain during laparoscopic and robotic surgery

Surgeons' posture and muscle strain during laparoscopic and robotic surgery

Quantitative Assessment of Surgical Ergonomics in Otolaryngology

A workplace stretching program for the prevention of musculoskeletal disorders in perioperative staff: A mixed methods implementation study

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