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An Objective Ergonomic Risk Assessment of Surgeons in Real Time While Performing Endoscopic Sinus Surgery.
Indian J Otolaryngol Head Neck Surg. 2020 Sep; 72(3):342-349.IJ

Abstract

There are increased reports of high prevalence of work related musculoskeletal symptoms in surgeons performing otolaryngology procedures. However, real time ergonomic risk assessment in the OR is difficult due to issues related to sterility, cooperation and acceptance from surgeons. Although such analyses can provide valid risk estimate and guide corrective actions, they are scarce. Hence, this study was undertaken to assess the postural ergonomic risk on RULA in otolaryngologists while performing Functional Endoscopic Sinus Surgery in OR, in real time. A cross sectional, observational multi-centric study was conducted in tertiary referral hospitals. Spinal, shoulder and elbow movements of 10 surgeons performing FESS were measured intraoperatively using orientation sensor-based, motion-analysis system (Noraxon myomotion). Postural ergonomic risk on RULA was computed using the motion analysis data. RULA is a method of quantifying the physical postural risk of the trunk and upper limb based on the postures adopted by an individual during work. 10 surgeons (9 males and 1 female) with the mean (± SD) age of 38 ± 7.5 years participated in the study. The motion analysis data results indicate that the surgeons often adopt awkward spinal and upper extremity postures during the surgery. All the surgeons scored higher than the acceptable RULA score (1 or 2) with the mean RULA scores being in the range of 6-7. The physical ergonomic risk in surgeons performing FESS is high (> 6 on RULA). There is a need for urgent ergonomic attention to the working environment of FESS surgeon.

Authors+Show Affiliations

School of Physiotherapy, D.Y. Patil University, Navi Mumbai, India.Department of ENT, School of Medicine, D.Y. Patil University, Navi Mumbai, India.School of Physiotherapy, D.Y. Patil University, Navi Mumbai, India.School of Physiotherapy, D.Y. Patil University, Navi Mumbai, India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32728545

Citation

Dabholkar, Twinkle, et al. "An Objective Ergonomic Risk Assessment of Surgeons in Real Time While Performing Endoscopic Sinus Surgery." Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India, vol. 72, no. 3, 2020, pp. 342-349.
Dabholkar T, Dabholkar YG, Yardi S, et al. An Objective Ergonomic Risk Assessment of Surgeons in Real Time While Performing Endoscopic Sinus Surgery. Indian J Otolaryngol Head Neck Surg. 2020;72(3):342-349.
Dabholkar, T., Dabholkar, Y. G., Yardi, S., & Sethi, J. (2020). An Objective Ergonomic Risk Assessment of Surgeons in Real Time While Performing Endoscopic Sinus Surgery. Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India, 72(3), 342-349. https://doi.org/10.1007/s12070-020-01840-x
Dabholkar T, et al. An Objective Ergonomic Risk Assessment of Surgeons in Real Time While Performing Endoscopic Sinus Surgery. Indian J Otolaryngol Head Neck Surg. 2020;72(3):342-349. PubMed PMID: 32728545.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An Objective Ergonomic Risk Assessment of Surgeons in Real Time While Performing Endoscopic Sinus Surgery. AU - Dabholkar,Twinkle, AU - Dabholkar,Yogesh G, AU - Yardi,Sujata, AU - Sethi,Jyotika, Y1 - 2020/04/07/ PY - 2020/03/22/received PY - 2020/03/27/accepted PY - 2020/7/31/entrez PY - 2020/7/31/pubmed PY - 2020/7/31/medline KW - Ergonomic risk KW - Functional endoscopic sinus surgery KW - Objective motion analysis KW - RULA SP - 342 EP - 349 JF - Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India JO - Indian J Otolaryngol Head Neck Surg VL - 72 IS - 3 N2 - There are increased reports of high prevalence of work related musculoskeletal symptoms in surgeons performing otolaryngology procedures. However, real time ergonomic risk assessment in the OR is difficult due to issues related to sterility, cooperation and acceptance from surgeons. Although such analyses can provide valid risk estimate and guide corrective actions, they are scarce. Hence, this study was undertaken to assess the postural ergonomic risk on RULA in otolaryngologists while performing Functional Endoscopic Sinus Surgery in OR, in real time. A cross sectional, observational multi-centric study was conducted in tertiary referral hospitals. Spinal, shoulder and elbow movements of 10 surgeons performing FESS were measured intraoperatively using orientation sensor-based, motion-analysis system (Noraxon myomotion). Postural ergonomic risk on RULA was computed using the motion analysis data. RULA is a method of quantifying the physical postural risk of the trunk and upper limb based on the postures adopted by an individual during work. 10 surgeons (9 males and 1 female) with the mean (± SD) age of 38 ± 7.5 years participated in the study. The motion analysis data results indicate that the surgeons often adopt awkward spinal and upper extremity postures during the surgery. All the surgeons scored higher than the acceptable RULA score (1 or 2) with the mean RULA scores being in the range of 6-7. The physical ergonomic risk in surgeons performing FESS is high (> 6 on RULA). There is a need for urgent ergonomic attention to the working environment of FESS surgeon. SN - 2231-3796 UR - https://www.unboundmedicine.com/medline/citation/32728545/An_Objective_Ergonomic_Risk_Assessment_of_Surgeons_in_Real_Time_While_Performing_Endoscopic_Sinus_Surgery_ DB - PRIME DP - Unbound Medicine ER -
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