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Ergonomic assessment of robotic general surgeons: a pilot study.
J Robot Surg. 2020 Jun; 14(3):387-392.JR

Abstract

Inadequacies exist in the ergonomics of upper body positioning of robotic surgeons; these deficits in biomechanical efficacy predispose surgeons to musculoskeletal injury. Ergonomics and biomechanics may be objectively measured using the Rapid Entire Body Assessment (REBA) and the Rapid Upper Limb Assessment (RULA) to quantify ergonomic efficacy. The purpose of this study is to use validated ergonomic tools to assess the posture of robotic surgeons to examine deficiencies. Four robotic surgeons using the da Vinci model were observed for a minimum of 30 min each. An Xbox connect camera was positioned 10 feet away from the surgeon console. Kinetisense software measured position of the head, shoulders, mid-spine, hips, and knees. One image was captured every 30 s. The software measured the positions in centimeters that deviated from an ideal central postural line (plumb line). RULA and REBA were also employed to assess posture using a still image at 15 min. The average RULA score for the four surgeons was 4.75 (range 3-6). The average REBA score for the four surgeons was 7 (range 5-8). The average RULA score of 4.5/7 and the average REBA of 7/15 qualify as medium risk with the recommendation that action is needed to improve ergonomics. While this pilot study is limited in size, it demonstrates the need for further investigation. With more than half of surgeons reporting musculoskeletal pain after robotic surgery (McDonald et al. in Gynecol Oncol 134:243-247, 2014), poor posture may offer an explanation.

Authors+Show Affiliations

UICOMP, One Illini Drive, Peoria, IL, 61605, USA. Adwyer1@uic.edu. Department of Surgery, OSF Saint Francis Medical Center, 530 NE Glen Oak Ave, Peoria, IL, 61637, USA. Adwyer1@uic.edu.UICOMP, One Illini Drive, Peoria, IL, 61605, USA.UICOMP, One Illini Drive, Peoria, IL, 61605, USA. Department of Surgery, OSF Saint Francis Medical Center, 530 NE Glen Oak Ave, Peoria, IL, 61637, USA.UICOMP, One Illini Drive, Peoria, IL, 61605, USA.UICOMP, One Illini Drive, Peoria, IL, 61605, USA.UICOMP, One Illini Drive, Peoria, IL, 61605, USA. Department of Surgery, OSF Saint Francis Medical Center, 530 NE Glen Oak Ave, Peoria, IL, 61637, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31302826

Citation

Dwyer, Anthony, et al. "Ergonomic Assessment of Robotic General Surgeons: a Pilot Study." Journal of Robotic Surgery, vol. 14, no. 3, 2020, pp. 387-392.
Dwyer A, Huckleby J, Kabbani M, et al. Ergonomic assessment of robotic general surgeons: a pilot study. J Robot Surg. 2020;14(3):387-392.
Dwyer, A., Huckleby, J., Kabbani, M., Delano, A., De Sutter, M., & Crawford, D. (2020). Ergonomic assessment of robotic general surgeons: a pilot study. Journal of Robotic Surgery, 14(3), 387-392. https://doi.org/10.1007/s11701-019-00996-1
Dwyer A, et al. Ergonomic Assessment of Robotic General Surgeons: a Pilot Study. J Robot Surg. 2020;14(3):387-392. PubMed PMID: 31302826.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ergonomic assessment of robotic general surgeons: a pilot study. AU - Dwyer,Anthony, AU - Huckleby,Jeremy, AU - Kabbani,Majid, AU - Delano,Angela, AU - De Sutter,Michelle, AU - Crawford,David, Y1 - 2019/07/13/ PY - 2019/04/22/received PY - 2019/07/02/accepted PY - 2019/7/16/pubmed PY - 2020/9/15/medline PY - 2019/7/15/entrez KW - Ergonomics KW - Human factors KW - Robotic KW - Surgery SP - 387 EP - 392 JF - Journal of robotic surgery JO - J Robot Surg VL - 14 IS - 3 N2 - Inadequacies exist in the ergonomics of upper body positioning of robotic surgeons; these deficits in biomechanical efficacy predispose surgeons to musculoskeletal injury. Ergonomics and biomechanics may be objectively measured using the Rapid Entire Body Assessment (REBA) and the Rapid Upper Limb Assessment (RULA) to quantify ergonomic efficacy. The purpose of this study is to use validated ergonomic tools to assess the posture of robotic surgeons to examine deficiencies. Four robotic surgeons using the da Vinci model were observed for a minimum of 30 min each. An Xbox connect camera was positioned 10 feet away from the surgeon console. Kinetisense software measured position of the head, shoulders, mid-spine, hips, and knees. One image was captured every 30 s. The software measured the positions in centimeters that deviated from an ideal central postural line (plumb line). RULA and REBA were also employed to assess posture using a still image at 15 min. The average RULA score for the four surgeons was 4.75 (range 3-6). The average REBA score for the four surgeons was 7 (range 5-8). The average RULA score of 4.5/7 and the average REBA of 7/15 qualify as medium risk with the recommendation that action is needed to improve ergonomics. While this pilot study is limited in size, it demonstrates the need for further investigation. With more than half of surgeons reporting musculoskeletal pain after robotic surgery (McDonald et al. in Gynecol Oncol 134:243-247, 2014), poor posture may offer an explanation. SN - 1863-2491 UR - https://www.unboundmedicine.com/medline/citation/31302826/Ergonomic_assessment_of_robotic_general_surgeons:_a_pilot_study_ DB - PRIME DP - Unbound Medicine ER -