Ergonomic practices and musculoskeletal disorders among ophthalmologists in India: An online appraisal

Kaup, Soujanya; Shivalli, Siddharudha; Kulkarni, Uma; Arunachalam, Cynthia

doi:10.1177/1120672118815107

Cited by 14 publications

(6 citation statements)

References 11 publications

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“…Musculoskeletal disorders have been reported in ophthalmic surgeons, indicating that ergonomic practices are of major importance during surgical training 10 . In this study, ergonomics was assessed using the RULA score, which provides an evaluation of the surgeon’s posture (head, trunk posture, and upper limbs, up to the wrist) while seated 11 .…”

Section: Discussionmentioning

confidence: 99%

Multiple metrics assessment method for a reliable evaluation of corneal suturing skills

Dormegny

Neumann²,

Lejay

et al. 2023

Sci Rep

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This study aimed to evaluate the efficiency of a multiple metrics assessment method to differentiate between surgeons of differing experience while performing a corneal suturing task. Volunteer ophthalmologists were assigned to three groups (senior [SG], junior [JG] and novice [NG]) according to their experience in corneal suturing. All participants performed three sessions of corneal wound closure by three stitches. Suturing and participant posture were recorded with cameras, and assessed by two blind assessors for stitch quality (using Zhang score) and ergonomics (using Rapid Upper Limb Assessment [RULA] score). Task duration was recorded. Objective analyses of stitches geometry and instrument position were carried out. We included 24 participants: 5 in the SG, 8 in the JG and 11 in the NG. Stitch quality was significantly better and time to perform the procedure significantly lower in more experienced groups (p < 0.001 and p = 0.002, respectively). SG participants better respected regular distance and parallelism between stitches compared to others (p = 0.01). Instrument position was similar between groups, although SG participants minimized their back-and-forth movements compared to NG participants. Ergonomics assessment was similar. Multiple metrics assessment efficiently determined how to differentiate between novices and experienced surgeons on corneal suturing skills, providing hints for future training studies.

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Section: Discussionmentioning

confidence: 99%

Multiple metrics assessment method for a reliable evaluation of corneal suturing skills

Dormegny

Neumann²,

Lejay

et al. 2023

Sci Rep

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“…Kaup et al 2020 found that good ergonomic practices in the clinic and OR, such as stretching, maintaining spine neutrality, and ensuring appropriate chair heights, were associated with fewer MSK symptoms. 7 Perhaps the ideal method to establish the effect of volume metrics on MSK symptoms would be to account for lifetime clinic and surgical numbers, and to define the extent of disability longitudinally. However, this approach would be challenging given recall bias and lack of documentation.…”

Section: Discussionmentioning

confidence: 99%

Digital Survey Assessment of Factors Associated with Musculoskeletal Complaints Among US Ophthalmologists

Tan¹,

Wortz²,

Rosenberg³

et al. 2021

OPTH

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Purpose To quantify features of musculoskeletal (MSK) complaints among US ophthalmologists and analyze factors related to symptom severity. Methods Cornea, glaucoma, retina, and comprehensive practitioners were invited to complete a web-based survey via email. Data on demographics, practice and procedural volumes, wellness activities, job stress, MSK health, the Total Disability Index (TDI), and ergonomics were collected. Significance testing was performed to evaluate factors related to TDI score. Results Of the 245 ophthalmologists contacted, 58.8% (n = 144) responded at least in part to the survey. Pain episodes were reported in 81.4% (n = 83) of 102 respondents, with 48.1% (n = 49) experiencing daily or weekly attacks. The neck, low back, and shoulders were commonly affected, yet only 57.1% (n=20) of those with shoulder pain reported a corresponding diagnosis. The mean TDI score was 6.2 ± 7.3%, indicating minimal disability related to the spine. Demographics, volume metrics, and wellness hours were each not significantly associated with TDI score (p > 0.05). Higher job stress ratings were reported by those who experienced more frequent pain attacks (p = 0.02) and those with higher TDI scores (p = 0.001). Greater difficulty with clinic, laser, and surgery job tasks was observed in respondents with higher TDI scores (p < 0.001, p = 0.005, and p < 0.001) and more bodily pain locations (p = 0.002, p = 0.002, and p = 0.001). Respondents who pursued practice modifications (p = 0.03) and treatments (p = 0.01) to reduce or prevent pain had higher mean TDI scores, and 94.2% of respondents (n = 97) were interested in learning more about ergonomics. Conclusion Mild MSK complaints were highly prevalent among the surveyed ophthalmologists, and a similar trend could be expected for other US ophthalmologists. Greater frequency and severity of pain may contribute to physician burnout. There may be underdiagnosis of MSK pathology yet also high demand for ergonomic strategies and MSK treatments, suggesting a need for practical solutions.

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“…Long periods spent in awkward positions can also contribute. [2] Ophthalmologists frequently have debilitating neck pain, numbness in the hands and legs, carpal tunnel syndrome, and debilitating back pain. When doing routine tasks like a slit lamp examination, using an indirect ophthalmoscope, or even sitting in a surgeon's chair, most work-related problems among ophthalmologists are brought on.…”

Section: Introductionmentioning

confidence: 99%

Effects of Ergonomics Among Ophthalmologists on Pain and Function - An Interventional Study

Mewada¹,

Shukla

2022

Int J Res Rev

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Background and objectives: Work-related musculoskeletal disorders (WRMSDs) are musculoskeletal problems that are generally caused in the workspace and may lead to diverse disorders affecting different parts of the musculoskeletal system. Body posture and movement, environmental factors, information and operation, and work organization are all factors that play a role in ergonomics. Hence, the effects of ergonomics on musculoskeletal pain and function among Ophthalmologists were studied. Method: This study consisted of two phases, phase 1 was the screening phase and phase 2 was the intervention phase. The screening was done by a Nordic pain questionnaire and workplace ergonomic risk assessment (WERA). A total of 60 ophthalmologists were included in the intervention phase; they were randomly divided into two groups: The interventional group (ergonomic advice given) and the control group (ergonomic advice not given). Pre-intervention data and post-intervention data were taken for pain and function by numeric pain rating scale and patient-specific functional scale respectively. Post-intervention data were collected after 6 weeks. Result: Within-group analysis of the interventional group and between-group analysis showed a significant difference indicating that there was a statistically significant reduction in the pain (p<0.05) and improvement in function (p<0.05) whereas within-group analysis of the control group did not show a significant difference. Conclusion: Ergonomics is an effective measure for reducing pain and improving function among ophthalmologists. Keywords: Ergonomics, Function, Pain, Ophthalmologists, Pain, Work-related musculoskeletal disorders, WRMSDs.

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Ergonomic practices and musculoskeletal disorders among ophthalmologists in India: An online appraisal

Cited by 14 publications

References 11 publications

Multiple metrics assessment method for a reliable evaluation of corneal suturing skills

Multiple metrics assessment method for a reliable evaluation of corneal suturing skills

Digital Survey Assessment of Factors Associated with Musculoskeletal Complaints Among US Ophthalmologists

Effects of Ergonomics Among Ophthalmologists on Pain and Function - An Interventional Study

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