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Estimation of surgeons' ergonomic dynamics with a structured light system during endoscopic surgery.
Int Forum Allergy Rhinol. 2019 08; 9(8):857-864.IF

Abstract

BACKGROUND

The purpose of this study was to use motion capture to collect body posture information during simulated endoscopic sinus surgery interventions performed by both specialists and residents in standing and sitting positions and to analyze that information with the validated Rapid Upper Limb Assessment (RULA) tool, which allows calculation of a risk index of musculoskeletal overload.

METHODS

Bilateral endoscopic sinus surgery was performed in 5 cadaver heads by 2 residents, and 4 practicing rhinologists. Musculoskeletal symptoms were evaluated before and after the dissection. Full-body postural data were collected with the help of Kinect and a .NET WPF (Windows Presentation Foundation) software application to record images of the surgical procedures, and then analyzed with the RULA tool to calculate a risk score indicative of the exposure of the individual surgeon to ergonomic risk factors associated with upper extremity musculoskeletal disorders.

RESULTS

All subjects reported physical discomfort after nasal endoscopic procedures. An overall similar RULA score was obtained by the residents and the practicing rhinologists. The RULA score was slightly lower for the sitting position than for the standing position, mostly due to a lower score in group B (neck, trunk, and leg); however, the RULA score for group A (arm and wrist analysis) was higher, denoting a higher risk for the upper back and arms.

CONCLUSION

Significant musculoskeletal symptoms were reported after an endoscopic operation by both the resident and the practicing otolaryngologists. All surgeons obtained a high RULA score, meaning that urgent changes are required in the task.

Authors+Show Affiliations

Hospital Universitario Marqués de Valdecilla, Santander, Spain.Universidad de Cantabria, Santander, Spain.Universidad de Cantabria, Santander, Spain. Centro de Investigación Biomédica en Red (CIBER) de Bioingeniería, Biomateriales y Nanomedicina, Madrid, Spain. Innovation Support Program "InnVal" of the Marques de Valdecilla Research Institute, Santander, Spain.Hospital Universitario Marqués de Valdecilla, Santander, Spain.Hospital Universitario Marqués de Valdecilla, Santander, Spain.Hospital Universitario Marqués de Valdecilla, Santander, Spain.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

31090195

Citation

Lobo, David, et al. "Estimation of Surgeons' Ergonomic Dynamics With a Structured Light System During Endoscopic Surgery." International Forum of Allergy & Rhinology, vol. 9, no. 8, 2019, pp. 857-864.
Lobo D, Anuarbe P, López-Higuera JM, et al. Estimation of surgeons' ergonomic dynamics with a structured light system during endoscopic surgery. Int Forum Allergy Rhinol. 2019;9(8):857-864.
Lobo, D., Anuarbe, P., López-Higuera, J. M., Viera, J., Castillo, N., & Megía, R. (2019). Estimation of surgeons' ergonomic dynamics with a structured light system during endoscopic surgery. International Forum of Allergy & Rhinology, 9(8), 857-864. https://doi.org/10.1002/alr.22353
Lobo D, et al. Estimation of Surgeons' Ergonomic Dynamics With a Structured Light System During Endoscopic Surgery. Int Forum Allergy Rhinol. 2019;9(8):857-864. PubMed PMID: 31090195.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Estimation of surgeons' ergonomic dynamics with a structured light system during endoscopic surgery. AU - Lobo,David, AU - Anuarbe,Pedro, AU - López-Higuera,José Miguel, AU - Viera,Jaime, AU - Castillo,Nathalia, AU - Megía,Roberto, Y1 - 2019/05/15/ PY - 2018/12/20/received PY - 2019/03/29/revised PY - 2019/04/28/accepted PY - 2019/5/16/pubmed PY - 2020/4/24/medline PY - 2019/5/16/entrez KW - RULA KW - endoscopic surgery KW - ergonomics KW - motion tracking KW - musculoskeletal KW - otolaryngologists SP - 857 EP - 864 JF - International forum of allergy & rhinology JO - Int Forum Allergy Rhinol VL - 9 IS - 8 N2 - BACKGROUND: The purpose of this study was to use motion capture to collect body posture information during simulated endoscopic sinus surgery interventions performed by both specialists and residents in standing and sitting positions and to analyze that information with the validated Rapid Upper Limb Assessment (RULA) tool, which allows calculation of a risk index of musculoskeletal overload. METHODS: Bilateral endoscopic sinus surgery was performed in 5 cadaver heads by 2 residents, and 4 practicing rhinologists. Musculoskeletal symptoms were evaluated before and after the dissection. Full-body postural data were collected with the help of Kinect and a .NET WPF (Windows Presentation Foundation) software application to record images of the surgical procedures, and then analyzed with the RULA tool to calculate a risk score indicative of the exposure of the individual surgeon to ergonomic risk factors associated with upper extremity musculoskeletal disorders. RESULTS: All subjects reported physical discomfort after nasal endoscopic procedures. An overall similar RULA score was obtained by the residents and the practicing rhinologists. The RULA score was slightly lower for the sitting position than for the standing position, mostly due to a lower score in group B (neck, trunk, and leg); however, the RULA score for group A (arm and wrist analysis) was higher, denoting a higher risk for the upper back and arms. CONCLUSION: Significant musculoskeletal symptoms were reported after an endoscopic operation by both the resident and the practicing otolaryngologists. All surgeons obtained a high RULA score, meaning that urgent changes are required in the task. SN - 2042-6984 UR - https://www.unboundmedicine.com/medline/citation/31090195/Estimation_of_surgeons'_ergonomic_dynamics_with_a_structured_light_system_during_endoscopic_surgery_ DB - PRIME DP - Unbound Medicine ER -