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Surgeons' muscle load during robotic-assisted laparoscopy performed with a regular office chair and the preferred of two ergonomic chairs: A pilot study.
Appl Ergon. 2019 Jul; 78:286-292.AE

Abstract

Surgeons work in awkward work postures and have high precision demands - well-known risk factors for musculoskeletal pain. Robotic-assisted laparoscopy is expected to be less demanding compared to conventional laparoscopy; however, studies indicate that robotic-assisted laparoscopy is also associated with poor ergonomics and musculoskeletal pain. The ergonomic condition in the robotic console is partially dependent upon the chair provided, which often is a regular office chair. Our study quantified and compared the muscular load during robotic-assisted laparoscopy using one of two custom built ergonomic chairs and a regular office chair. The results demonstrated no differences that could be considered clinically relevant. Overall, the study showed high levels of static and mean muscular activity, increased perceived physical exertion from pre-to-post surgery, and moderate to high risk for musculoskeletal injuries measured by the Rapid Upper Limb Assessment worksheet. Authors advocate for further investigation in surgeons' ergonomics and physical work demands in robotic surgery.

Authors+Show Affiliations

Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230 Odense M, Denmark; Centre for Innovative Medical Technology, Odense University Hospital, Sdr. Boulevard 29, Entrance 101, 3rd Floor, 5000 Odense C, Denmark. Electronic address: tdalager@health.sdu.dk.Department of Gynaecology and Obstetrics, Odense University Hospital, Sdr. Boulevard 29, 5000 Odense C, Denmark; Division of Obstetrics and Gynecology, Karolinska University Hospital, Kvinnokliniken, 17176 Stockholm, Sweden.The Maersk Mc-Kinney Moller Institute, University of Southern Denmark, Campusvej 55, 5230 Odense M, Denmark.The Maersk Mc-Kinney Moller Institute, University of Southern Denmark, Campusvej 55, 5230 Odense M, Denmark.Department of Gynaecology and Obstetrics, Odense University Hospital, Sdr. Boulevard 29, 5000 Odense C, Denmark.Division of Obstetrics and Gynecology, Karolinska University Hospital, Kvinnokliniken, 17176 Stockholm, Sweden; Clinical Institute, University of Southern Denmark, Winsløwparken 19, 3rd Floor, 5000 Odense C, Denmark.Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230 Odense M, Denmark; Department of Clinical Research, University of Southern Denmark, Winsløwparken 19, 5000 Odense C, Denmark.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29650223

Citation

Dalager, T, et al. "Surgeons' Muscle Load During Robotic-assisted Laparoscopy Performed With a Regular Office Chair and the Preferred of Two Ergonomic Chairs: a Pilot Study." Applied Ergonomics, vol. 78, 2019, pp. 286-292.
Dalager T, Jensen PT, Winther TS, et al. Surgeons' muscle load during robotic-assisted laparoscopy performed with a regular office chair and the preferred of two ergonomic chairs: A pilot study. Appl Ergon. 2019;78:286-292.
Dalager, T., Jensen, P. T., Winther, T. S., Savarimuthu, T. R., Markauskas, A., Mogensen, O., & Søgaard, K. (2019). Surgeons' muscle load during robotic-assisted laparoscopy performed with a regular office chair and the preferred of two ergonomic chairs: A pilot study. Applied Ergonomics, 78, 286-292. https://doi.org/10.1016/j.apergo.2018.03.016
Dalager T, et al. Surgeons' Muscle Load During Robotic-assisted Laparoscopy Performed With a Regular Office Chair and the Preferred of Two Ergonomic Chairs: a Pilot Study. Appl Ergon. 2019;78:286-292. PubMed PMID: 29650223.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgeons' muscle load during robotic-assisted laparoscopy performed with a regular office chair and the preferred of two ergonomic chairs: A pilot study. AU - Dalager,T, AU - Jensen,P T, AU - Winther,T S, AU - Savarimuthu,T R, AU - Markauskas,A, AU - Mogensen,O, AU - Søgaard,K, Y1 - 2018/04/09/ PY - 2017/06/01/received PY - 2018/03/17/revised PY - 2018/03/26/accepted PY - 2018/4/14/pubmed PY - 2019/12/18/medline PY - 2018/4/14/entrez KW - Electromyography KW - Ergonomics KW - Robotic-assisted laparoscopy SP - 286 EP - 292 JF - Applied ergonomics JO - Appl Ergon VL - 78 N2 - Surgeons work in awkward work postures and have high precision demands - well-known risk factors for musculoskeletal pain. Robotic-assisted laparoscopy is expected to be less demanding compared to conventional laparoscopy; however, studies indicate that robotic-assisted laparoscopy is also associated with poor ergonomics and musculoskeletal pain. The ergonomic condition in the robotic console is partially dependent upon the chair provided, which often is a regular office chair. Our study quantified and compared the muscular load during robotic-assisted laparoscopy using one of two custom built ergonomic chairs and a regular office chair. The results demonstrated no differences that could be considered clinically relevant. Overall, the study showed high levels of static and mean muscular activity, increased perceived physical exertion from pre-to-post surgery, and moderate to high risk for musculoskeletal injuries measured by the Rapid Upper Limb Assessment worksheet. Authors advocate for further investigation in surgeons' ergonomics and physical work demands in robotic surgery. SN - 1872-9126 UR - https://www.unboundmedicine.com/medline/citation/29650223/Surgeons'_muscle_load_during_robotic_assisted_laparoscopy_performed_with_a_regular_office_chair_and_the_preferred_of_two_ergonomic_chairs:_A_pilot_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-6870(18)30077-2 DB - PRIME DP - Unbound Medicine ER -