The effect of anti-fatigue floor mat on pain and fatigue levels of surgical team members: A crossover study

Ünver, Seher; Orğan, Esra Makal

doi:10.1016/j.apergo.2023.104017

Cited by 8 publications

(1 citation statement)

References 32 publications

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“…Certain equipment interventions have already been shown to improve posture in otolaryngological surgery such as surgical stools, foot mats, and table height adjustments. 34 , 35 Cultural interventions have also been studied in other specialties; in a multicenter cohort study, incorporation of 1.5 to 2 minute multijoint stretching breaks at 20 to 40 minute intervals during surgical cases demonstrated improvements in postprocedure pain, mental focus, and physical performance. 36 None of these studies have used validated ergonomic tools such as REBA or RULA.…”

Section: Discussionmentioning

confidence: 99%

Ergonomic Assessment of Septorhinoplasty Maneuvers During Simulated Pregnancy

Bhethanabotla,

Ledgister,

Soriano

et al. 2024

OTO Open

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ObjectiveWomen represent an increasing proportion of the otolaryngology workforce. Work‐related musculoskeletal disorders (WRMSD) are a little‐studied yet important impediment to career completion. Scant attention has been directed to study the impact of pregnancy on surgeon posture and ergonomics. We piloted the use of a pregnancy simulation suit (Empathy Belly) to assess the risk of ergonomic compromise when performing open septorhinoplasty.Study DesignSurgical simulation.SettingSingle session, training simulation lab at academic medical center.MethodsMedical students and surgical residents performed the initial steps of a rhinoplasty procedure without and with a pregnancy simulation suit and were filmed with an artificial intelligence‐based video analysis app from Kinetica Labs that calculates joint angles and categorizes the ergonomic risk factors. Still images from videos were taken and analyzed using validated posture‐based analysis rubrics. Participants were asked to complete a qualitative questionnaire after the session.ResultsTwelve medical students and surgical residents participated in the study. Posture‐based analysis indicated increased ergonomics risk factors among trainees when performing a rhinoplasty while wearing the pregnancy suit. Video analysis indicated trends of worsening back angle and shoulder postures. Trainees reported experiencing pain in the neck, suprapubic area, and lower back. They acknowledged the importance of ergonomics in otolaryngology and desired further education about workplace injury risk mitigation.ConclusionPregnancy impacts the ergonomics of performing septorhinoplasty and further investigation is required into interventions to reduce risk of WRMSDs.

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Section: Discussionmentioning

confidence: 99%

Ergonomic Assessment of Septorhinoplasty Maneuvers During Simulated Pregnancy

Bhethanabotla,

Ledgister,

Soriano

et al. 2024

OTO Open

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Ergonomics in Facial Plastic and Reconstructive Surgery: A Clinical Evaluation

Garg,

Xu,

Mandloi

et al. 2024

The Laryngoscope

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ObjectivesSurgeons experience a risk for physical strain and injury secondary to physical demands in the workplace. To minimize injury and maximize career longevity, physicians should be aware of ergonomics pitfalls and postural correction methods. This study investigates ergonomic trends in Facial Plastic and Reconstructive Surgery (FPRS) clinic by quantifying surgeons' and trainees' cervicothoracic spine posture.MethodsParticipants completed a 22‐item questionnaire to evaluate current ergonomic practices. A lightweight device was calibrated and attached to the mid‐scapular region of participants, providing real‐time posture feedback. The percentage of time in upright posture was recorded during clinical and operative workdays. Upright posture was defined as neutral spine positioning with acceptable mild to moderate deviations.ResultsTwo FPRS attending surgeons, 1 FPRS fellow, and 11 otolaryngology residents participated over 12 months. Discomfort was most commonly reported in the neck, shoulders, and upper back during clinic. Symptoms were self‐treated by changing body position, wearing specialized footwear, adjusting height of the chair or examination table, or ignoring discomfort. Eighty‐two percent were unaware of ergonomic guidelines or appropriate considerations. Time spent in upright posture was significantly higher in clinic (84.9%) than in the OR (53.5%) (p < 0.001). Upright posture declined after reaching 6 work hours (p = 0.029); no such patterns were observed in the OR (p = 0.946).ConclusionAlthough time spent in upright posture was objectively poorer in the OR, these data suggest ergonomics are an important consideration in the outpatient setting, with surgeons experiencing discomfort during and after clinic. Further investigation is warranted to identify actionable changes and promote healthy ergonomics.Level of EvidenceN/A Laryngoscope, 2024

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