Patient Factors Affect Ergonomic Strain of Endoscopists During Colonoscopy

Shiang, Alexander; Wang, Jean S.; Cho, Daniel H.; Kushner, Bradley S.; Panahi, Ali; Awad, Michael M.

doi:10.1007/s10620-022-07721-3

Cited by 1 publication

(4 citation statements)

References 29 publications

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“…In another study on colonoscopy, sEMG data demonstrated increased muscular activation specifically in the right trapezius, right deltoid, and right posterior forearm 12 .…”

Section: Discussionmentioning

confidence: 87%

“…Notably, colonoscopy technique strongly differs from ERCP technique in regard of forearm muscle involvement and posture load. Indeed, colonoscopists held the body of the endoscope and manipulated the dials with their left hand and advanced the endoscope forward with their right hand [12], therefore high forces are also required in the right forearm and right hand due to the need of the torque applied during insertion or the force required to reduce or overcome loops in the colonoscope while attempting to reach the cecum [1].…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, during ERCP, a lower applied force is generally required for the right forearm and right hand to manipulate the duodenoscope to advance and withdraw the shaft with the scope hooking on the duodenal angle and to place the scope in the right position to correctly visualize the ampulla 13 . Furthermore, high force is required to maintain the scope in unusual stable positioning with the left forearm while static load stress due to protective lead aprons is applied, often for longer procedures than during colonoscopy 12 13 14 .…”

Section: Discussionmentioning

confidence: 99%

“…the left forearm while static load stress due to protective lead aprons is applied, often for longer time procedures than during colonoscopy [12][13][14].…”

Section: Accepted Manuscriptmentioning

confidence: 99%

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Can single-use versus standard duodenoscope improve ergonomics in ERCP? A comparative, simulation-based pilot study

Cennamo,

Botter,

Landi

et al. 2023

Endosc Int Open

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Background and Aims: Musculoskeletal disorders (MSDs) and injuries (MSIs) are frequent in gastrointestinal endoscopy. The aim of this study was to assess potential ergonomic advantages of lighter single-use duodenoscope compared to standard reusable one for endoscopists performing Endoscopic Retrograde Cholangiopancreatography (ERCP). Methods: Three experienced endoscopists performed an ergonomic preclinical comparative protocol-guided simulation study of a single-use and a standard reusable duodenoscopes using an anatomic bench model. Surface EMG signals from left forearm and arm muscles were recorded. A commercial inertial sensor-based motion capture system was applied to record body posture as well. Results: A significant lowering of root mean square amplitude and amplitude distribution of biceps brachii signal (ranging from 13% to 42%) was recorded in all the participants when using single-use duodenoscope if compared to reusable one. An overall reduction of muscle activation amplitude and duration was also associated with the single-use duodenoscope for forearm muscles, with different behaviors among subjects. Participants spent most of the time in wrist extension (>80%) and ulnar deviation (>65%). A consistent pattern of functional range of motion employed for completing all procedures was observed. Conclusions: Our study showed that a lighter scope has a promising effect in reducing upper arm muscle activity during ERCP procedure with potential benefit on musculoskeletal health in the ERCP setting.

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“…In another study on colonoscopy, sEMG data demonstrated increased muscular activation specifically in the right trapezius, right deltoid, and right posterior forearm 12 .…”

Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…the left forearm while static load stress due to protective lead aprons is applied, often for longer time procedures than during colonoscopy [12][13][14].…”

Section: Accepted Manuscriptmentioning

confidence: 99%

See 2 more Smart Citations