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The ergonomic impact of patient body mass index on surgeon posture during simulated laparoscopy.
Appl Ergon. 2021 Nov; 97:103501.AE

Abstract

Laparoscopy is a cornerstone of modern surgical care, with clear advantages for the patients. However, it has also been associated with inducing upper body musculoskeletal disorders amongst surgeons due to their propensity to assume non-neutral postures. Further, there is a perception that patients with high body mass indexes (BMI) exacerbate these factors. Therefore, surgeon upper body postures were objectively quantified using inertial measurement units and the LUBA ergonomic framework was used to assess posture during laparoscopic training on patient models that simulated BMIs of 20, 30, 40 and 50 kg/m2. In all surgeons the posture of the upper body significantly worsened during simulated laparoscopic surgery on the BMI 50 kg/m2 model as compared to the baseline BMI model of 20 kg/m2. These findings suggest that performing laparoscopic surgery on patients with high BMIs increases the prevalence of non-neutral posture and may further increase the risk of musculoskeletal disorders in surgeons.

Authors+Show Affiliations

Wolfson School of Mechanical, Electrical and Manufacturing Engineering, Loughborough University, UK.Wolfson School of Mechanical, Electrical and Manufacturing Engineering, Loughborough University, UK.Wolfson School of Mechanical, Electrical and Manufacturing Engineering, Loughborough University, UK.Wolfson School of Mechanical, Electrical and Manufacturing Engineering, Loughborough University, UK.Leicester Cancer Research Centre, University of Leicester, UK. Electronic address: em321@le.ac.uk.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

34167015

Citation

Sers, Ryan, et al. "The Ergonomic Impact of Patient Body Mass Index On Surgeon Posture During Simulated Laparoscopy." Applied Ergonomics, vol. 97, 2021, p. 103501.
Sers R, Forrester S, Zecca M, et al. The ergonomic impact of patient body mass index on surgeon posture during simulated laparoscopy. Appl Ergon. 2021;97:103501.
Sers, R., Forrester, S., Zecca, M., Ward, S., & Moss, E. (2021). The ergonomic impact of patient body mass index on surgeon posture during simulated laparoscopy. Applied Ergonomics, 97, 103501. https://doi.org/10.1016/j.apergo.2021.103501
Sers R, et al. The Ergonomic Impact of Patient Body Mass Index On Surgeon Posture During Simulated Laparoscopy. Appl Ergon. 2021;97:103501. PubMed PMID: 34167015.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The ergonomic impact of patient body mass index on surgeon posture during simulated laparoscopy. AU - Sers,Ryan, AU - Forrester,Steph, AU - Zecca,Massimiliano, AU - Ward,Stephen, AU - Moss,Esther, Y1 - 2021/06/22/ PY - 2020/12/23/received PY - 2021/06/02/revised PY - 2021/06/08/accepted PY - 2021/6/25/pubmed PY - 2021/8/25/medline PY - 2021/6/24/entrez KW - Ergonomics KW - Inertial measurement units KW - Laparoscopic surgery KW - Posture SP - 103501 EP - 103501 JF - Applied ergonomics JO - Appl Ergon VL - 97 N2 - Laparoscopy is a cornerstone of modern surgical care, with clear advantages for the patients. However, it has also been associated with inducing upper body musculoskeletal disorders amongst surgeons due to their propensity to assume non-neutral postures. Further, there is a perception that patients with high body mass indexes (BMI) exacerbate these factors. Therefore, surgeon upper body postures were objectively quantified using inertial measurement units and the LUBA ergonomic framework was used to assess posture during laparoscopic training on patient models that simulated BMIs of 20, 30, 40 and 50 kg/m2. In all surgeons the posture of the upper body significantly worsened during simulated laparoscopic surgery on the BMI 50 kg/m2 model as compared to the baseline BMI model of 20 kg/m2. These findings suggest that performing laparoscopic surgery on patients with high BMIs increases the prevalence of non-neutral posture and may further increase the risk of musculoskeletal disorders in surgeons. SN - 1872-9126 UR - https://www.unboundmedicine.com/medline/citation/34167015/The_ergonomic_impact_of_patient_body_mass_index_on_surgeon_posture_during_simulated_laparoscopy_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-6870(21)00148-4 DB - PRIME DP - Unbound Medicine ER -