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El Boghdady M, Ewalds-Kvist BM. General surgeons' occupational musculoskeletal injuries: A systematic review. Surgeon 2024:S1479-666X(24)00048-9. [PMID: 38862375 DOI: 10.1016/j.surge.2024.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2024] [Revised: 05/06/2024] [Accepted: 05/07/2024] [Indexed: 06/13/2024]
Abstract
INTRODUCTION Surgeons are expected to work long hours in operating theatres. A high prevalence of work-related musculoskeletal (WRMSK) injuries and pain in healthcare professions exists. We aimed to study WRMSK pain and injuries in general surgeons and study their risk in different surgical techniques comprising open, laparoscopic and robotic-assisted surgery. METHODS A systematic search was performed in compliance with The PRISMA checklist. Search was performed in PubMed and Cochrane library databases for 6 years to 2024. The search terms used were "disability and surgeon", "occupational injuries and surgeon", and "musculoskeletal pain and surgeons", in addition to MESH terms in PubMed database. Risk of bias was calculated among studies. RESULTS The search revealed 3648 citations from which a final list of 24 citations were included after application of inclusion and exclusion criteria. The citations comprised over 1900 surgeons including consultants and surgical trainees from different subspecialities. Incorporated citations consisted of 21 cross-sectional 3 observational studies. Most common pain sites, risks and preventative measure for MSK injuries were revealed. CONCLUSION There is high prevalence of WRMSK pain among general surgeons. Surgeons were primarily affected at physical body parts ranging from the neck, shoulders, upper back and lower back to upper extremity. Robotic-assisted surgery led to lower post-operative discomfort and decreased demanding muscle activity in upper extremities but enhanced static neck position resulting in subjective back stiffness compared with laparoscopic surgery.
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Affiliation(s)
- Michael El Boghdady
- Department of General Surgery, St Georges' University Hospitals NHS Foundation Trust, London, UK; University of Edinburgh, Edinburgh, UK.
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Jovanović D, Backović D, Tomas A, Bukumirić Z, Koprivica B. Predisposition and Working Conditions for the Occurrence of Lumbar Syndrome in Medical Workers of the Clinical Center of Montenegro during the COVID-19 Pandemic. J Clin Med 2024; 13:2431. [PMID: 38673704 PMCID: PMC11051405 DOI: 10.3390/jcm13082431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2024] [Revised: 04/12/2024] [Accepted: 04/18/2024] [Indexed: 04/28/2024] Open
Abstract
Background: Lumbar pain is a condition of discomfort in the lower back caused by numerous factors, lasting for short or longer periods of time. Healthcare professionals, regardless of the type of care they are engaged in, are at risk of lumbar pain. This is the first study that deals with the problem of lumbar syndrome in health workers in Montenegro. Methods: This cross-sectional study included full-time health workers employed in the Clinical Center of Montenegro who were involved in the treatment of COVID-19 patients during 2020 and 2021. The survey consisted of general questions for collecting socio-demographic and COVID-19 engagement data; the Modified Nordic questionnaire was used for the analysis of musculoskeletal symptoms, and the EQ-5D-questionnaire was used to measure the quality of life associated with health. Results: The one-year prevalence of lumbar pain was 68.1%. Factors associated with lumbar pain were as follows: a higher degree of physical inactivity (each subject with a higher degree of physical inactivity had a 24% higher chance of occurrence of lumbar pain); a higher degree of load and over-engagement during the COVID-19 pandemic (each subject with a higher degree of workload had a nearly 50% higher chance of occurrence of lumbar pain); duration of engagement during the COVID-19 pandemic (subjects engaged up to a month were 4 times more likely to develop lumbar pain, and subjects engaged for 1-3 months were 3.5 times more likely to develop lumbar pain compared to those who were not engaged in COVID-19 treatment). This study also confirms that lumbar syndrome affects the quality of life of health workers. Conclusions: Lumbar syndrome is highly prevalent among healthcare professionals in the Clinical Center of Montenegro, especially in the population of nurses, where evidence-based preventive measures are needed.
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Affiliation(s)
- Dragana Jovanović
- Clinical Center of Montenegro, 81000 Podgorica, Montenegro; (D.J.); (D.B.)
- Faculty of Medicine, University of Montenegro, 81000 Podgorica, Montenegro
| | - Dragana Backović
- Clinical Center of Montenegro, 81000 Podgorica, Montenegro; (D.J.); (D.B.)
- Faculty of Medicine, University of Montenegro, 81000 Podgorica, Montenegro
| | - Ana Tomas
- Department of Pharmacology and Toxicology, Faculty of Medicine Novi Sad, University of Novi Sad, 21000 Novi Sad, Serbia
| | - Zoran Bukumirić
- Institute of Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, 11080 Belgrade, Serbia;
| | - Bojan Koprivica
- Clinical Center of Montenegro, 81000 Podgorica, Montenegro; (D.J.); (D.B.)
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Campbell RG, Douglas RG, Zadro J, Gamble A, Chan CL, Mackey MG, Pappas E. Don't Just Stand There. Rethinking the Ideal Body Posture for Otorhinolaryngologists. Ann Otol Rhinol Laryngol 2024; 133:355-362. [PMID: 38044532 DOI: 10.1177/00034894231214035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2023]
Abstract
Surgeons have a high rate of work-related musculoskeletal injuries; an area that has received little attention. These injuries result in surgeons performing less efficiently, needing to take time off work, suffering higher rates of burnout, and may ultimately lead surgeons to retire earlier than planned. Otorhinolaryngologists are at particular risk for work-related musculoskeletal injuries. Beyond the clinician, sustaining such injuries can negatively impact patient safety. Ergonomic interventions have been used effectively to reduce work-related musculoskeletal injuries in other professions, yet not in surgery. With traditional teachings of ideal body postures to avoid injury and manual handling training being re-evaluated, it is important to explore evidence based interventions for reducing work-related musculoskeletal injuries in otorhinolaryngologists. New research encourages us to shift the focus away from the traditional one-size-fits-all approach to ergonomics and toward postural recommendations and education that promote a dynamic, individualized approach to avoiding sustained, static and awkward postures.
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Affiliation(s)
- Raewyn G Campbell
- Faculty of Medicine and Health, University of Sydney, Camperdown, NSW, Australia
- Faculty of Medicine, Health and Human Sciences, Macquarie University, Macquarie Park, NSW, Australia
| | - Richard G Douglas
- Faculty of Medical and Health Sciences, Surgery, University of Auckland, Auckland, New Zealand
| | - Joshua Zadro
- Faculty of Medicine and Health, University of Sydney, Camperdown, NSW, Australia
| | - Andrew Gamble
- Faculty of Medicine and Health, University of Sydney, Camperdown, NSW, Australia
| | - Cliffton L Chan
- Faculty of Medicine, Health and Human Sciences, Macquarie University, Macquarie Park, NSW, Australia
| | - Martin G Mackey
- Faculty of Medicine and Health, University of Sydney, Camperdown, NSW, Australia
| | - Evangelos Pappas
- Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, NSW, Australia
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Demissie B, Bayih ET, Demmelash AA. A systematic review of work-related musculoskeletal disorders and risk factors among computer users. Heliyon 2024; 10:e25075. [PMID: 38318034 PMCID: PMC10840111 DOI: 10.1016/j.heliyon.2024.e25075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Revised: 01/18/2024] [Accepted: 01/19/2024] [Indexed: 02/07/2024] Open
Abstract
Introduction Rapid technological developments, especially in the use of electronic devices, have affected workers. MSDs are a major burden for both employees and employers, and in contemporary society. Millions of computer workers suffer musculoskeletal diseases and it is the most common cause of occupational illness in the USA and result in medical costs and absenteeism that cost the sector between $45 and $54 billion annually. A single review was done about WMSDs, however it only investigated neck and upper extremities disorders. Therefore, this study aimed to review epidemiological evidence about the prevalence and risk factors of overall WMSDs among computer user bankers and office workers. Methods An extensive literature search was undertaken in the PubMed, Web of Sciences, Google Scholar, and Scopus databases. Articles published in peer-reviewed English-language journals were considered for inclusion criteria. Articles published in conference proceedings, reports, abstracts, and not full text were excluded. After a thorough search of databases, a total of 90 articles were discovered, and finally, 25 of them met the inclusion criteria and were investigated in detail. Result The magnitude of WMSDs ranged from 33.8 to 95.3 %. The lower back, neck, upper back, and shoulder were the most affected body parts, and the elbow, hip/thigh, knee, wrist/hand, and ankle/feet were the least affected body parts. Prolonged computer use, being older, repetitive moments, female sex, working in awkward posture, low educational status, a lack of physical exercise, and ergonomics training were significantly affected by MSDs. Conclusion and recommendation: The prevalence of WMSDS was very high, and as a result, an interventional study should be conducted. Reducing prolonged use of computers and working in the right posture will reduce the magnitude of MSD among computer users.
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Affiliation(s)
- Biruk Demissie
- Department of Environmental Health, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia
| | - Eniyew Tegegne Bayih
- Department of Environmental Health, College of Health Science, Debre Markos University, Debre Markos, Ethiopia
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Fan X, Yang L, Young N, Kaner I, Kjellman M, Forsman M. Ergonomics and performance of using prismatic loupes in simulated surgical tasks among surgeons - a randomized controlled, cross-over trial. Front Public Health 2024; 11:1257365. [PMID: 38264242 PMCID: PMC10803506 DOI: 10.3389/fpubh.2023.1257365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Accepted: 12/26/2023] [Indexed: 01/25/2024] Open
Abstract
Introduction Recently developed prismatic loupes may mitigate the high physical workload and risk of neck disorders associated with traditional surgical loupes among surgeons. However, research in this area, particularly among surgeons, is sparse. This study examines the impact of prismatic loupes on surgeons' physical workload, musculoskeletal discomfort, and performance during simulated surgical tasks. Materials and methods Nineteen out of twenty recruited surgeons performed three tasks in a fixed-order with their own loupes and both low-tilt (LT) and high-tilt (HT) prismatic loupes, in a randomized order. The primary outcomes were the median inclination angles and velocities of the head, trunk, and upper arms, along with the median muscle activity of the cervical erector spinae (CES), upper trapezius (UT), and lumbar erector spinae (LES) for each pair of loupes. The secondary outcomes included performance (completion time and errors), perceived body-part discomfort, and subjective evaluation of the three pairs of loupes. Results Using prismatic loupes, either LT or HT, compared with the surgeons' own loupes yielded lower head inclinations (all p < 0.001), lower neck muscle activity (all p < 0.05), and lower neck discomfort in indirect comparisons (p < 0.01) with no significant difference in surgical errors (p = 0.628). However, HT loupes resulted in a longer task completion time in two tasks (p < 0.001). Most surgeons preferred LT loupes (N = 12) for their comfort and visual functions. Discussion The results indicate that prismatic loupes can reduce physical workload in the neck during simulated surgical task, with no significant difference in surgical errors. Future studies are needed to investigate the long-term effects of prismatic loupes among surgeons.
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Affiliation(s)
- Xuelong Fan
- Department of Medical Sciences, Uppsala University, Uppsala, Sweden
| | - Liyun Yang
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Nathalie Young
- Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
| | - Ilayda Kaner
- Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
| | - Magnus Kjellman
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
- Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
| | - Mikael Forsman
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
- Division of Ergonomics, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), KTH Royal Institute of Technology, Huddinge, Sweden
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Bryndal A, Glowinski S, Hebel K, Grochulska J, Grochulska A. The Prevalence of Neck and Back Pain among Paramedics in Poland. J Clin Med 2023; 12:7060. [PMID: 38002673 PMCID: PMC10672622 DOI: 10.3390/jcm12227060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Revised: 11/06/2023] [Accepted: 11/10/2023] [Indexed: 11/26/2023] Open
Abstract
Neck Pain (NP) and low back pain (LBP) are ubiquitous musculoskeletal conditions and some of the major causes of disability worldwide. The aim of the study was to assess the incidence and risk factors of back pain among paramedics and their correlation with the nature of work, anthropometric features and the level of recreational physical activity. A group of 201 individuals (39 females (19.40%); 162 males (80.60%)), licensed to practice as paramedics in Poland completed a questionnaire containing the author's interview as well as the Neck Disability Index (NDI) questionnaire and the Revised Oswestry Disability Index (ODI). Among the examined paramedics, 92% of the subjects reported the presence of back pain in different parts of the spine (36% C; 17% Th; and 85% LBP). The pain intensity, determined by VAS, was on average 4.26 (SD 1.77). The level of disability, assessed by NDI, was 7.67 (SD 5.73) on average, while the ODI was 7.51 (5.90). Work-related spinal strain has a major impact on the intensity and incidence of spinal pain. Spinal pain in paramedics mainly occurs in the lower back.
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Affiliation(s)
- Aleksandra Bryndal
- Institute of Health Sciences, Pomeranian University in Slupsk, Westerplatte 64, 76-200 Slupsk, Poland; (S.G.); (K.H.); (A.G.)
- Institute of Physical Culture and Health, State Higher School of Vocational Education in Koszalin, Leśna 1, 75-582 Koszalin, Poland
| | - Sebastian Glowinski
- Institute of Health Sciences, Pomeranian University in Slupsk, Westerplatte 64, 76-200 Slupsk, Poland; (S.G.); (K.H.); (A.G.)
- Institute of Physical Culture and Health, State Higher School of Vocational Education in Koszalin, Leśna 1, 75-582 Koszalin, Poland
| | - Kazimiera Hebel
- Institute of Health Sciences, Pomeranian University in Slupsk, Westerplatte 64, 76-200 Slupsk, Poland; (S.G.); (K.H.); (A.G.)
| | - Julia Grochulska
- Medical Department, Poznan University of Medical Sciences, Fredry 10, 61-701 Poznan, Poland;
| | - Agnieszka Grochulska
- Institute of Health Sciences, Pomeranian University in Slupsk, Westerplatte 64, 76-200 Slupsk, Poland; (S.G.); (K.H.); (A.G.)
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Nino V, Monfort SM, Claudio D. Exploring the influence of individual factors on the perception of mental workload and body postures. ERGONOMICS 2023:1-16. [PMID: 37545434 DOI: 10.1080/00140139.2023.2243406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Accepted: 07/19/2023] [Indexed: 08/08/2023]
Abstract
Studies have revealed that physical and mental demands, psychosocial factors, and individual factors can contribute to the development of WMSDs. Yet, much is still unknown regarding the effects of individual characteristics on WMSDs susceptibility. Previous studies discovered people assumed more awkward body postures to perform an activity when the perception of mental workload is higher. This research study explored if individual characteristics such as age, sex, personality, and anxiety help explain changes or differences in the perception of mental workload and body postures assume when performing activities. The study provided evidence that these individual characteristics have a modifying role on perceived mental workload and body postures. The results suggest that perceived mental workload is influenced to a higher extent by individual characteristics such as anxiety, sex, and personality traits. Women have a higher (18.7%) mental workload perception than men. Likewise, NASA-TLX scores are 22% higher for feelers than thinkers. In general, higher perceptions of mental workload were observed in participants with higher anxiety levels. On the other hand, body postures seem to be influenced by different individual factors depending on the nature of the activity. RULA scores increased on average by 13.1% between baseline and time constraint conditions. Larger differences were observed in certain individuals (e.g. introverts (19.7%) and intuitors (13.8%)) across conditions.
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Affiliation(s)
- Valentina Nino
- Department of Industrial and Systems Engineering, Kennesaw State University, Marietta, GA, USA
| | - Scott M Monfort
- Department of Mechanical & Industrial Engineering, Montana State University, Bozeman, MT, USA
| | - David Claudio
- Department of Mechanical Engineering, University of Massachusetts Lowell, Lowell, MA, USA
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Zhang C, Roossien CC, Verkerke GJ, Houdijk H, Hijmans JM, Greve C. Biomechanical Load of Neck and Lumbar Joints in Open-Surgery Training. SENSORS (BASEL, SWITZERLAND) 2023; 23:6974. [PMID: 37571757 PMCID: PMC10422459 DOI: 10.3390/s23156974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Revised: 08/01/2023] [Accepted: 08/02/2023] [Indexed: 08/13/2023]
Abstract
The prevalence of musculoskeletal symptoms (MSS) like neck and back pain is high among open-surgery surgeons. Prolonged working in the same posture and unfavourable postures are biomechanical risk factors for developing MSS. Ergonomic devices such as exoskeletons are possible solutions that can reduce muscle and joint load. To design effective exoskeletons for surgeons, one needs to quantify which neck and trunk postures are seen and how much support during actual surgery is required. Hence, this study aimed to establish the biomechanical profile of neck and trunk postures and neck and lumbar joint loads during open surgery (training). Eight surgical trainees volunteered to participate in this research. Neck and trunk segment orientations were recorded using an inertial measurement unit (IMU) system during open surgery (training). Neck and lumbar joint kinematics, joint moments and compression forces were computed using OpenSim modelling software and a musculoskeletal model. Histograms were used to illustrate the joint angle and load distribution of the neck and lumbar joints over time. During open surgery, the neck flexion angle was 71.6% of the total duration in the range of 10~40 degrees, and lumbar flexion was 68.9% of the duration in the range of 10~30 degrees. The normalized neck and lumbar flexion moments were 53.8% and 35.5% of the time in the range of 0.04~0.06 Nm/kg and 0.4~0.6 Nm/kg, respectively. Furthermore, the neck and lumbar compression forces were 32.9% and 38.2% of the time in the range of 2.0~2.5 N/kg and 15~20 N/kg, respectively. In contrast to exoskeletons used for heavy lifting tasks, exoskeletons designed for surgeons exhibit lower support torque requirements while additional degrees of freedom (DOF) are needed to accommodate combinations of neck and trunk postures.
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Affiliation(s)
- Ce Zhang
- Department of Rehabilitation Medicine, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands; (G.J.V.); (J.M.H.); (C.G.)
| | - Charlotte Christina Roossien
- Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands; (C.C.R.); (H.H.)
| | - Gijsbertus Jacob Verkerke
- Department of Rehabilitation Medicine, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands; (G.J.V.); (J.M.H.); (C.G.)
- Department of Biomechanical Engineering, University of Twente, Drienerlolaan 5, 7522 NB Enschede, The Netherlands
| | - Han Houdijk
- Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands; (C.C.R.); (H.H.)
| | - Juha M. Hijmans
- Department of Rehabilitation Medicine, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands; (G.J.V.); (J.M.H.); (C.G.)
| | - Christian Greve
- Department of Rehabilitation Medicine, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands; (G.J.V.); (J.M.H.); (C.G.)
- Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands; (C.C.R.); (H.H.)
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Gorce P, Jacquier-Bret J. Effect of Assisted Surgery on Work-Related Musculoskeletal Disorder Prevalence by Body Area among Surgeons: Systematic Review and Meta-Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6419. [PMID: 37510651 PMCID: PMC10379148 DOI: 10.3390/ijerph20146419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Revised: 06/23/2023] [Accepted: 07/11/2023] [Indexed: 07/30/2023]
Abstract
Surgeons are highly exposed to work-related musculoskeletal disorders (WMSDs). The objective of this review was to summarize the WMSD prevalence by body area with and without assistive devices. The underlying question was whether there is an effect of assistive device use (robot, video, or other) during surgery on WMSD prevalence by body area among surgeons, regardless of their specialty. The systematic review was conducted according to the PRISMA guidelines. The Google Scholar, Pubmed/Medline, and ScienceDirect databases were scanned to identify relevant studies. The article selection, review, critical appraisal, and data extraction were performed by two authors independently. Among the 34,854 unique identified records, 77 studies were included. They were divided into two groups: 35 focused on robotic- and video-assisted surgery (RVAS) and 48 concerning surgery without video/robotic assistance (WAS) (6 studies evaluated the prevalence for both groups). WMSD prevalence was reported for 13 body areas: the neck, back, upper back, mid-back, lower back, shoulders, elbows, wrists, fingers, thumbs, hips, knees, and ankles. The results showed that WMSD prevalence was significantly higher (unpaired t-test, p < 0.05) for RVAS in the shoulders (WAS: 28.3% vs. RVAS: 41.9%), wrists (WAS: 20.9% vs. RVAS: 31.5%), and thumbs (WAS: 9.9% vs. RVAS: 21.8%). A meta-analysis was performed for 10 body areas (with 4 areas including more than 25 studies). No sufficient data were available for the mid-back, thumbs, or hips. A high heterogeneity (Cochran's Q test and I2 statistic) was observed. A random-effects model revealed that the highest worldwide prevalence was in the neck (WAS: 41% and RVAS: 45.3%), back (WAS: 37.7% and RVAS: 49.9%), lower back (WAS: 40.0% and RVAS: 37.8%), and shoulders (WAS: 27.3% and RVAS: 41.4%). Future work could focus on work environment design, particularly the positioning and adjustment of equipment, and on postural analysis to reduce the appearance of WMSDs. Recommendations are proposed for future reviews and meta-analyses.
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Affiliation(s)
- Philippe Gorce
- International Institute of Biomechanics and Occupational Ergonomics, ErBio, Avenue du Dr Marcel Armanet, 83400 Hyères, France
- Université de Toulon, CS60584, CEDEX 9, 83041 Toulon, France
| | - Julien Jacquier-Bret
- International Institute of Biomechanics and Occupational Ergonomics, ErBio, Avenue du Dr Marcel Armanet, 83400 Hyères, France
- Université de Toulon, CS60584, CEDEX 9, 83041 Toulon, France
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Norasi H, Wang T, Tetteh E, Smith T, Davila VJ, Erben Y, DeMartino RR, Hallbeck MS, Mendes BC. Intraoperative workload in elective open vascular and endovascular surgery: A study of procedural drivers. APPLIED ERGONOMICS 2023; 111:104049. [PMID: 37210778 DOI: 10.1016/j.apergo.2023.104049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Revised: 05/11/2023] [Accepted: 05/15/2023] [Indexed: 05/23/2023]
Abstract
This study investigated vascular surgeon workload and its association with specific procedural drivers over different procedure types. Thirteen attending vascular surgeons (two females) were emailed a survey over a 3-month period. Data from 253 surgical procedures (118 open, 85 endovascular, 18 hybrid, and 32 venous) revealed high physical and cognitive workload among vascular surgeons. Based on the statistically significant findings and similar non-significant trends in the data (significance level of 0.01), open and hybrid vascular procedures showed higher levels of physical and cognitive workload compared to venous cases, while endovascular procedures were relatively more moderate. Additionally, the workload subscales for five subcategories of open procedures (e.g., arteriovenous access) as well as three subcategories of endovascular procedures (e.g., aortic) were compared. The granularity of the intraoperative workload drivers across various vascular procedure types and adjunct equipment could be the key to create targeted ergonomic interventions to reduce workload during vascular surgeries.
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Affiliation(s)
- Hamid Norasi
- Mayo Clinic, Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, 205 3rd Avenue SW, Rochester, MN, 55905, USA; Mayo Clinic, Division of Health Care Delivery Research, 200 1st St. SW, Rochester, MN, 55905, USA.
| | - Tianke Wang
- Mayo Clinic, Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, 205 3rd Avenue SW, Rochester, MN, 55905, USA.
| | - Emmanuel Tetteh
- Mayo Clinic, Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, 205 3rd Avenue SW, Rochester, MN, 55905, USA; Mayo Clinic, Division of Health Care Delivery Research, 200 1st St. SW, Rochester, MN, 55905, USA.
| | - Tianqi Smith
- Mayo Clinic, Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, 205 3rd Avenue SW, Rochester, MN, 55905, USA.
| | - Victor J Davila
- Mayo Clinic, Division of Vascular Surgery, Department of Surgery, 5777 E. Mayo Blvd., Phoenix, AZ, 85054, USA.
| | - Young Erben
- Mayo Clinic, Division of Vascular Surgery, Department of Surgery, 4500 San Pablo Road, Jacksonville, FL, 32224, USA.
| | - Randall R DeMartino
- Mayo Clinic, Division of Vascular Surgery, Department of Surgery, 200 1st St. SW, Rochester, MN, 55905, USA.
| | - M Susan Hallbeck
- Mayo Clinic, Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, 205 3rd Avenue SW, Rochester, MN, 55905, USA; Mayo Clinic, Division of Health Care Delivery Research, 200 1st St. SW, Rochester, MN, 55905, USA.
| | - Bernardo C Mendes
- Mayo Clinic, Division of Vascular Surgery, Department of Surgery, 200 1st St. SW, Rochester, MN, 55905, USA.
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Hancharoenkul B, Joseph L, Khamwong P, Pirunsan U. An investigation of the prevalence of work-related musculoskeletal pain and related disability among poultry slaughterhouse workers: a cross-sectional study. Int Arch Occup Environ Health 2023; 96:463-472. [PMID: 36484843 DOI: 10.1007/s00420-022-01940-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Accepted: 11/28/2022] [Indexed: 12/13/2022]
Abstract
PURPOSE The poultry slaughterhouse workers (PSW) are at substantial risk of developing work-related musculoskeletal pain (WMSP) at workplace due to their work. This study investigated the prevalence rate of WMSP and related disability among the PSW. METHODS A cross-sectional descriptive study was conducted among 78 PSW (40 women and 38 men) in the region of northern Thailand. The prevalence rate of WMSP was evaluated using the Standardized Nordic Musculoskeletal Questionnaire (SNMQ). The disability related to the MSP was evaluated using a series of disability questionnaires. Descriptive statistics were used to evaluate the WMSP. Data on the disability were summarized in frequency, mean (M), standard deviation (SD) and percentage. RESULTS The prevalence rate of WMSP in the past 7 days were higher in the shoulder region (61.5%, N = 48) followed by wrists/hands (60.3%, N = 47), and lower back region (35.9%, N = 28). The WMSP over the past 12 months was also high at the shoulder (61.5%, N = 48), wrists/hands (60.3%, N = 47), and neck region (37.1%, N = 29), respectively. The overall disability related to WMSP among PSW was found to be mild to moderate across different body regions. CONCLUSIONS PSW had a high prevalence rate of WMSP in the shoulders, wrists/hands, lower back, and neck regions. However, the PSW with WMSP reported only mild to moderate disability in the work.
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Affiliation(s)
- Benjamaporn Hancharoenkul
- Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand
| | - Leonard Joseph
- School of Sports and Health Sciences, University of Brighton, Robert Dodd Building, 49 Darley Road, Eastbourne, BN20 7UR, East Sussex, UK.
| | - Peanchai Khamwong
- Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand
| | - Ubon Pirunsan
- Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand
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12
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Amiri S. Longer working hours and musculoskeletal pain: a meta-analysis. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2023; 29:1-16. [PMID: 35098904 DOI: 10.1080/10803548.2022.2036488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Objectives. Musculoskeletal pain is the most common health problem in the workplace, and one of the most important risk factors for this pain is longer working hours. This study aimed to investigate the association between long working hours and musculoskeletal pain. Methods. Based on the keywords, two scientific sources - PubMed and Embase - were reviewed. The time limit search included articles that were published until May 2020 and only studies published in English were eligible. The results of the studies were combined based on random effects and pooled odds ratio (OR) reported. The degree of heterogeneity in all analyses was investigated and reported based on χ2 and I2 tests. Publishing bias was also measured using statistical tests. Results. Longer working hours are associated with increased musculoskeletal pain with OR = 1.11 and 95% confidence interval (CI) [1.08, 1.14]. The result was OR = 1.52 and 95% CI [1.14, 2.03] in men and OR = 1.11 and 95% CI [1.00, 1.24] in women. Conclusion. Long working hours are an important and threatening factor for musculoskeletal health. Therefore, this issue should be considered in health policy as well as treatment and prevention.
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Affiliation(s)
- Sohrab Amiri
- Medicine, Quran and Hadith Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
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13
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Alaseem AM, Turcotte RE, Ste-Marie N, Alzahrani MM, Alqahtani SM, Goulding KA. Occupational injuries and burn out among orthopedic oncology surgeons. World J Orthop 2022; 13:1056-1063. [PMID: 36567863 PMCID: PMC9782546 DOI: 10.5312/wjo.v13.i12.1056] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2022] [Revised: 10/12/2022] [Accepted: 11/29/2022] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND Orthopedic oncology surgeons commonly engage in prolonged and complex surgical procedures. These types of surgeries increase the risk of physical and psychological stressors, which may in turn make these physicians prone to work-related occupational injuries.
AIM The aim of this study was to explore in orthopedic oncologists, the prevalence of work-related physical injuries and psychological disturbances.
METHODS A modified version of the physical discomfort survey was developed to assess occupational injuries among orthopedic oncology surgeon members of the Musculoskeletal Tumor Society, the Canadian Orthopedic Oncology Society and European Musculoskeletal Oncology Societies. The survey was sent by email, and it explored musculoskeletal complaints, psychological disturbances, treatment required for these complaints and the requirement of time off work.
RESULTS A total of 67 surgeon responses were collected. A high number of orthopedic oncologists (84%) reported an occupational injury. Low back pain (39%) was the most prevalent musculoskeletal condition, followed by lumbar disk herniation (16%), shoulder tendinitis (15%) and lateral epicondylitis (13%). Of the cohort, 46% required surgery and 31% required time off work due to their injury. Thirty-three respondents reported a psychological disorder. Burnout (27%), anxiety (20%) and insomnia (20%) were the most commonly reported. Time required off work due to injury was associated with old age and years in practice.
CONCLUSION Orthopedic oncology surgeons report a high prevalence of work-related disorders. Lower back related injury and burnout were the most reported disorders. Improving operative room ergonomics and prevention of stress related to the work environment should be areas to explore in upcoming research.
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Affiliation(s)
- Abdulrahman M Alaseem
- Department of Orthopedic Surgery, College of Medicine, King Saud University, Riyadh 12372, Saudi Arabia
| | - Robert E Turcotte
- Department of Orthopedic Surgery, McGill University Health Centre, Montreal H4A3J1, Canada
| | - Nathalie Ste-Marie
- Department of Orthopedic Surgery, McGill University Health Centre, Montreal H4A3J1, Canada
| | - Mohammad M Alzahrani
- Department of Orthopedic Surgery, College of Medicine, Imam Abdulrahman Bin Faisal university, Dammam 34212, Saudi Arabia
| | - Saad M Alqahtani
- Department of Orthopedic Surgery, College of Medicine, Imam Abdulrahman Bin Faisal university, Dammam 34212, Saudi Arabia
| | - Krista A Goulding
- Department of Orthopaedic Surgery, Mayo Clinic, Phoenix, Arizona 85054, USA
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14
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Zhang C, Greve C, Verkerke GJ, Roossien CC, Houdijk H, Hijmans JM. Pilot Validation Study of Inertial Measurement Units and Markerless Methods for 3D Neck and Trunk Kinematics during a Simulated Surgery Task. SENSORS (BASEL, SWITZERLAND) 2022; 22:8342. [PMID: 36366040 PMCID: PMC9658075 DOI: 10.3390/s22218342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Revised: 10/24/2022] [Accepted: 10/27/2022] [Indexed: 06/16/2023]
Abstract
Surgeons are at high risk for developing musculoskeletal symptoms (MSS), like neck and back pain. Quantitative analysis of 3D neck and trunk movements during surgery can help to develop preventive devices such as exoskeletons. Inertial Measurement Units (IMU) and markerless motion capture methods are allowed in the operating room (OR) and are a good alternative for bulky optoelectronic systems. We aim to validate IMU and markerless methods against an optoelectronic system during a simulated surgery task. Intraclass correlation coefficient (ICC (2,1)), root mean square error (RMSE), range of motion (ROM) difference and Bland-Altman plots were used for evaluating both methods. The IMU-based motion analysis showed good-to-excellent (ICC 0.80-0.97) agreement with the gold standard within 2.3 to 3.9 degrees RMSE accuracy during simulated surgery tasks. The markerless method shows 5.5 to 8.7 degrees RMSE accuracy (ICC 0.31-0.70). Therefore, the IMU method is recommended over the markerless motion capture.
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Affiliation(s)
- Ce Zhang
- Department of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands
| | - Christian Greve
- Department of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands
- Department of Human Movement Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands
| | - Gijsbertus Jacob Verkerke
- Department of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands
- Department of Biomechanical Engineering, University of Twente, Drienerlolaan 5, 7522 NB Enschede, The Netherlands
| | - Charlotte Christina Roossien
- Department of Human Movement Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands
| | - Han Houdijk
- Department of Human Movement Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands
| | - Juha M. Hijmans
- Department of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands
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15
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Oh J, Lee MK. Shoulder pain, shoulder disability, and depression as serial mediators between stress and health-related quality of life among middle-aged women. Health Qual Life Outcomes 2022; 20:142. [PMID: 36224565 PMCID: PMC9558984 DOI: 10.1186/s12955-022-02054-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2022] [Accepted: 10/05/2022] [Indexed: 11/16/2022] Open
Abstract
This study analyzed the mediating effects of shoulder pain, disability, and depression on the relationship between stress and health-related quality of life among middle-aged women using a serial mediation model. Methods. Data on stress, health-related quality of life, shoulder pain, shoulder disability, and depression were collected from 565 women aged 35–64 years living in Seoul, South Korea, from May 13 to 23, 2021, using a self-reported, structured survey. SPSS PROCESS macro (Model 6) and serial mediation analysis were used to analyze the relationship between stress and health-related quality of life among participants, with shoulder pain, shoulder disability, and depression as mediators. Results. The results indicate that stress had a statistically direct impact on health-related quality of life. In the serial mediation analysis, shoulder pain, disability, and depression were found to be statistically significant, thus affecting the relationship between stress and health-related quality of life, with an explanatory power of 33%. Therefore, the relationship between stress and health-related quality of life was partially mediated by these variables. Conclusions. Thus, this study suggests the need for healthcare workers to develop methods, such as exercise intervention programs based on various degrees and types of physical activity, to improve health-related quality of life and reduce stress caused by shoulder pain, shoulder disability, and depression among middle-aged women.
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Affiliation(s)
- Jihyun Oh
- Department of Nursing, College of Nursing and Health, Kongju National University, 32588, Kongju, South Korea
| | - Myung Kyung Lee
- College of Nursing, Research Institute of Nursing Science, Kyungpook National University, 41944, Daegu, South Korea.
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16
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Demissie B, Yenew C, Amsalu A, Yideg Yitbarek G, Dagnew Baye N, Walle G, Asnakew S, Minuye B, Tadele Adimasu F, Tilahun Mulu A, Sisay E, Teshome Dagnaw F, Tegegne E. Magnitude of Work-Related Musculoskeletal Disorders and its Associated Factors Among Computer User Bankers in South Gondar Zone, Northwest Ethiopia, 2021. ENVIRONMENTAL HEALTH INSIGHTS 2022; 16:11786302221125048. [PMID: 36185497 PMCID: PMC9516420 DOI: 10.1177/11786302221125048] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/19/2022] [Accepted: 08/22/2022] [Indexed: 06/16/2023]
Abstract
INTRODUCTION Musculoskeletal disorders (MSDs), which are the leading cause of workplace health problems; affect workers, employers, and society as a whole following direct and indirect cost. Bankers are expected to perform at computer workstations for long periods of time. As a result, they are at risk of developing musculoskeletal disorders. Hence, this study intends to assess magnitude of work related musculoskeletal disorders and its predictors among computer user bankers in this study area. MATERIAL AND METHODS Institutional based cross-sectional study was conducted from September to December 2021. A total of 422 private and Public own computer user bankers were participated. Simple random sampling technique was used to select the study participants. Binary logistic regression model was used to investigate the relationship between dependent and independent variables. P value less than .05 at 95% CI was considered as a significant association between dependent and independent variables. RESULT Overall, 245 (58.8%) of computer-user bankers were suffered work-related musculoskeletal disorders in the previous 12 months. Aged 30 and above [AOR:6.5 (1.7-24.6)], no regular physical exercise [AOR: 6.03 (2.2-16.3)], not received ergonomics training [AOR: 5.46 (2.2-13.1)] and working in awkward posture [AOR: 8.76 (2.9-25.9)] were significantly associated to work related musculoskeletal disorders in the previous 12 months. CONCLUSION The magnitude of musculoskeletal disorders among computer user bankers was high. Implementing proper working posture, regular physical exercise, avoiding prolonged use of computer and receiving ergonomics training will reduce the burden of musculoskeletal disorders among computer user bankers. The implications of the findings enhance the need for training supervision, cascading tasks taking the age of workers in to account, sustained supply of work station materials and promoting physical exercise by banks to their workers uninterruptedly.
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Affiliation(s)
- Biruk Demissie
- Department of Public Health
(Environmental Health), College of Health Sciences, Debre Tabor University, Debre
Tabor, Ethiopia
| | - Chalachew Yenew
- Department of Public Health
(Environmental Health), College of Health Sciences, Debre Tabor University, Debre
Tabor, Ethiopia
| | - Alebachew Amsalu
- Department of Public Health
(Environmental Health), College of Health Sciences, Debre Tabor University, Debre
Tabor, Ethiopia
| | - Getachew Yideg Yitbarek
- Department of Biomedical Sciences
(Medical Physiology), College of Health Sciences, Debre Tabor University, Debre
Tabor, Ethiopia
| | - Nega Dagnew Baye
- Department of Biomedical Sciences
(Human Anatomy), College of Health Sciences, Debre Tabor University, Debre Tabor,
Ethiopia
| | - Gashaw Walle
- Department of Biomedical Sciences
(Human Anatomy), College of Health Sciences, Debre Tabor University, Debre Tabor,
Ethiopia
| | - Sintayehu Asnakew
- Department of Psychiatry (Clinical
Psychiatry), College of Health Sciences, Debre Tabor University, Debre Tabor,
Ethiopia
| | - Binyam Minuye
- Department of Nursing (Nurse), College
of Health Science, Debre Tabor University, Debre Tabor, Ethiopia
| | - Fitalew Tadele Adimasu
- Department of Biomedical Sciences
(Medical Biochemistry), College of Health Sciences, Debre Tabor University, Debre
Tabor, Ethiopia
| | - Anemut Tilahun Mulu
- Department of Biomedical Sciences
(Medical Biochemistry), College of Health Sciences, Debre Tabor University, Debre
Tabor, Ethiopia
| | - Ermias Sisay
- Department of Pediatrics and Child
Health Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor,
Ethiopia
| | - Fentaw Teshome Dagnaw
- Department of Social and Public Health
(MPH in Health Services Management), College of Health Sciences, Debre Tabor
University, Debre Tabor, Ethiopia
| | - Eniyew Tegegne
- Department of Environmental Health,
College of Health Science, Debre Markos University, Debre Markos, Ethiopia
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17
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Afzal R, Akram S, Rehman HU, Abbas A, Hassan Javed MT, Sana Ashraf H. Prevalence Of Neck and Back Pain Among Gynecologists and Obstetrics in Tertiary Care Hospital of Lahore. PAKISTAN BIOMEDICAL JOURNAL 2022:23-27. [DOI: 10.54393/pbmj.v5i7.489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
Abstract
Neck pain is identified as the ache, irritation and discomfort in the area below your head up to third Thoracic vertebrae. It can radiate to shoulders, arms and fingers also. The presenting complaints of cervical patients include headache, stiff neck, stress, muscle pain, fever, and tenderness, radiating pain, weakness in the arm and difficulty in lifting or gripping activities. Patients may also present with numbness, tingling and weakness of the arm. Objective: To determine the prevalence of neck and back pain among gynecologists and obstetrics in different tertiary care hospitals of Lahore. Methods: The cross-sectional study included 310 gynecologist and obstetrics that were recruited using non-probability convenience sampling. The cases of the neck pain were recruited from the obstetrics and gynecology department of different hospitals including: Fatima Memorial Hospital, Shalimar Hospital, Services Hospital, Mayo Hospital and Sir Ganga Ram Hospital, Lahore. Research was completed within six months from 23 October 2021 to 30th April 2022. Results: Among 310 participants, 196 (63.2%) reported neck pain among which; 153 (44.4%) gynecologists reported pain two times per week. Out of total, 306 (98.7%) reported fatigue especially on long days. Results regarding pain area showed that 196 (63.2%) had neck pain, 64 (24.6%) had back pain and 50 (16.1%) had shoulder pain. Results regarding frequency of pain showed that out of 310 (100%), 153 (49.4%) had pain 2 times per week and 105 (33.9%) had pain 0-2 times per month. Conclusions: Prevalence of low back pain was 20.65% whereas prevalence of neck pain in gynecologists was 63.23%. The study suggests that neck pain and fatigue were common in gynecologists and obstetrics. They lack of postural awareness and don’t follow ergonomics principles during surgical procedures.
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18
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Yaghoubitajani Z, Gheitasi M, Bayattork M, Andersen LL. Online supervised versus workplace corrective exercises for upper crossed syndrome: a protocol for a randomized controlled trial. Trials 2021; 22:907. [PMID: 34895301 PMCID: PMC8665858 DOI: 10.1186/s13063-021-05875-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Accepted: 11/24/2021] [Indexed: 11/20/2022] Open
Abstract
Background and objective Musculoskeletal disorders (MSDs) including upper crossed syndrome (UCS) are considered as the leading cause of work-related issues worldwide among office workers. Therefore, the present study aims to evaluate the effect of workplace-based versus online-supervised home-based corrective exercises among office workers with UCS. Methods and design To this end, 45 subjects within the age range of 30–45 years are randomly assigned to three groups in the present parallel-group, randomized control trial using a pretest-posttest design. These groups include the subjects who receive online-supervised exercise and workplace exercise containing three sessions of intervention for 8 weeks and the control group receives no intervention while performing routine activities. The primary outcome variables are neck-shoulder pain (NSP) and consequent sick leave due to NSP, followed by alignment, workability, and the surface electromyography of upper, middle, and lower trapezius (UT, MT, and LT), sternocleidomastoid (SCM), and serratus anterior (SA) as the secondary variables. Discussion The present study seeks to assess the effect of workplace versus online-supervised corrective exercise interventions among 45 office workers suffering from UCS. It is expected to improve and reduce the related symptoms including postural malalignment and imbalance muscles after 8 weeks of corrective exercises. If effective, the findings may lead to adherence and work performance among the office workers, and individuals subjected to UCS can use the benefits of an online-supervised intervention. In addition, the findings may be useful in different workplaces as the evidence for employers to benefit from the reduction in the related costs and side effects of work-related neck/shoulder disorders including work disability, productivity loss, time expense, social insurance, work absenteeism, and treatment costs. Finally, clinicians and corrective exercise therapists can consider it as a clinical based-evidence intervention for their further actions. Trial registration Iranian Registry of Clinical Trials IRCT20200729048249N1. Registered on 5 October 2020 (https://en.irct.ir/user/trial/49992/view)
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Affiliation(s)
- Zohreh Yaghoubitajani
- Department of Health and Sports Rehabilitation, Faculty of Sports Science and Health, Shahid Beheshti University, Tehran, Iran
| | - Mehdi Gheitasi
- Department of Health and Sports Rehabilitation, Faculty of Sports Science and Health, Shahid Beheshti University, Tehran, Iran.
| | - Mohammad Bayattork
- Sport Sciences and Physical Education, Faculty of Humanities Science, University of Hormozgan, Bandar Abbas, Iran
| | - Lars Louis Andersen
- National Research Centre for the Working Environment, Copenhagen, Denmark.,Sport Sciences, Department of Health Science and Technology, Aalborg University, 9220, Aalborg, Denmark
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19
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Shaygan M, Yazdanpanah M. Depression and work-family conflict mediating the effects of job stress on chronic pain: A structural equation modelling approach. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2021; 28:2551-2558. [PMID: 34789081 DOI: 10.1080/10803548.2021.2008130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
PURPOSE The majority of research studying the relationship between job stress and chronic pain has relied on physiological responses. This study aims to determine psycho-social mechanisms by which job stress can influence chronic pain in workers. METHODS This cross-sectional study was carried out among 793 workers in gas and oil platforms or petroleum refinery plants in southern Iran. Structural equation modelling was applied to evaluate the direct, indirect, and total effects of job stress on chronic pain in the presence of mediating variables (work-family conflict and depression). RESULTS According to the results, job stress (B=0.024, β=0.477), 95% CI [0.016, 0.032], work-family conflict (B=0.031, β=0.446), 95% CI [0.023, 0.038], depression (B=0.046, β=0.224), 95% CI [0.028, 0.064], and work experience (B=0.083, β=0.380), 95% CI [0.065, 0.101] had significant direct effects on chronic pain. The indirect paths from job stress to chronic pain via depression (B=0.002, β=0.042), 95%CI [0.001, 0.003] and work-family conflict (B=0.004, β=0.085), 95%CI [0.003, 0.006] were significant. CONCLUSIONS Given that depression and work-family conflict mediate the effects of job stress on pain, stress management programs for workers might include various strategies to reduce negative thoughts as well as cognitive biases and minimize role conflicts between work and private life.
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Affiliation(s)
- Maryam Shaygan
- Community Based Psychiatric Care Research Center, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Maryam Yazdanpanah
- Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
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20
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Nejad NH, Mohammadian M, Haghdoost AA, Charkhloo E. The Relationship of Grip and Pinch Strength to Musculoskeletal Disorders in Female Carpet Weavers in Southeastern Iran, 2019. Indian J Occup Environ Med 2021; 25:138-146. [PMID: 34759600 PMCID: PMC8559880 DOI: 10.4103/ijoem.ijoem_223_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2020] [Revised: 07/06/2020] [Accepted: 09/17/2020] [Indexed: 11/05/2022] Open
Abstract
Background: The repetitive and prolonged exertion of grip and pinch strength are current among carpet weaver tasks. The three objectives of this study were (1) to investigate the relationship between symptoms of musculoskeletal disorders and grip and pinch strength of carpet weavers in carpet weaving workshops in Kerman province, (2) to compare the grip and pinch strength of carpet weavers with normal values, and (3) to identify the relationship between hand postures of carpet weavers during work and force exertion. Methods: In this cross-sectional study, grip strength and key, tip and palmar pinch strengths of 101 female carpet weavers aged 20 to 71 years were measured in Kerman province, in 2018. Nordic Musculoskeletal Questionnaire (Extended version) was also used to evaluate musculoskeletal disorders. Results: Bivariate and multivariate linear regression analyses showed that participants who suffered from musculoskeletal disorders had lower grip and pinch strength than others and this decrease was statistically significant in upper back, wrists/hands, and knees. Moreover, there was a significant difference between grip and three types of pinch strength of carpet weavers and normal values. Furthermore, for both hands, the grip strength in the position recommended by American Society of Hand Therapists was significantly greater than that in the normal position carpet weavers usually adopt. Conclusion: Based on the results, the high prevalence of musculoskeletal disorders has led to a significant decrease in the grip and pinch strength of carpet weavers. Therefore, it is necessary to undertake ergonomic interventions in designing the carpet weaving workstation.
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Affiliation(s)
- Naser Hashemi Nejad
- Departments of Occupational Health, Faculty of Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Mostafa Mohammadian
- Departments of Occupational Health, Faculty of Health, Kerman University of Medical Sciences, Kerman, Iran.,Department of Occupational Health, Faculty of Health, Jiroft University of Medical Sciences, Jiroft, Iran
| | - Ali Akbar Haghdoost
- Department of Biostatistics and Epidemiology, Faculty of Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Esmail Charkhloo
- Department of Environment Health Engineering, Faculty of Health, Jiroft University of Medical Sciences, Jiroft, Iran
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21
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Hodgetts CJ, Leboeuf-Yde C, Beynon A, Walker BF. Shoulder pain prevalence by age and within occupational groups: a systematic review. Arch Physiother 2021; 11:24. [PMID: 34736540 PMCID: PMC8567712 DOI: 10.1186/s40945-021-00119-w] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2020] [Accepted: 10/13/2021] [Indexed: 12/21/2022] Open
Abstract
Background Shoulder pain was previously shown to diminish in older populations and it was suggested that this could be explained by reduced usage with age. Our objectives were to investigate if estimates of shoulder pain continue to increase after the age of 50 in working populations and to compare these estimates in physically demanding occupations with sedentary occupations. Methods A systematic review of retrospective, cross-sectional, prospective, or longitudinal. studies reporting prevalence or incidence of non-specific shoulder pain in occupational groups stratified by age. Searches were conducted in PubMed, Scopus, and CINAHL from inception until January 2020. Study characteristics and prevalence estimates stratified by age were extracted. Two reviewers independently performed a critical analysis of the included studies to determine their validity and risk of bias. Results Twenty studies with a total of 40,487 participants and one study of a clinical data base were included and assigned a direction of the estimates for shoulder pain as either ‘increasing’, ‘remaining stable’ or ‘decreasing’ past the age of 50. Shoulder pain generally increased past 50, with 16 of the 21 included studies reporting higher estimates/odds ratios in older participants. In the more physically active occupations over 50, the estimates increased in 14 of the 18 samples compared to only two of the four involving sedentary occupations. Conclusions Shoulder pain prevalence remains common in workers beyond the age of 50. Prevalence continues to increase in physically demanding occupations. Clinicians should consider factors of occupation when managing shoulder pain. Trial registration PROSPERO (CRD42019137831). Supplementary Information The online version contains supplementary material available at 10.1186/s40945-021-00119-w.
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Affiliation(s)
- Christopher J Hodgetts
- Discipline of Chiropractic, College of Science, Health, Engineering and Education, Murdoch University, Perth, Western Australia, Australia. .,Centre for Molecular Medicine and Innovative Therapeutics, Health Futures Institute, Murdoch University, Perth, Western Australia, Australia.
| | - Charlotte Leboeuf-Yde
- Discipline of Chiropractic, College of Science, Health, Engineering and Education, Murdoch University, Perth, Western Australia, Australia.,Institute of Regional Health Research, University of Southern Denmark, Odense C, Denmark
| | - Amber Beynon
- Discipline of Chiropractic, College of Science, Health, Engineering and Education, Murdoch University, Perth, Western Australia, Australia
| | - Bruce F Walker
- Discipline of Chiropractic, College of Science, Health, Engineering and Education, Murdoch University, Perth, Western Australia, Australia
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Rață AL, Barac S, Garleanu LL, Onofrei RR. Work-Related Musculoskeletal Complaints in Surgeons. Healthcare (Basel) 2021; 9:healthcare9111482. [PMID: 34828528 PMCID: PMC8619976 DOI: 10.3390/healthcare9111482] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Revised: 10/25/2021] [Accepted: 10/27/2021] [Indexed: 11/16/2022] Open
Abstract
The aim of the present study was to examine the prevalence of work-related musculoskeletal complaints and potential risk factors among Romanian surgeons. Ninety-five surgeons of different specialties (62.11% males) completed a questionnaire about work-related musculoskeletal complaints (WMSCs). Ninety-one surgeons (95.78%) experienced WMSCs at least in one body part in the last year. Most surgeons reported pain in four body parts (33.68%). The most common WMSCs were reported on the lower back (74.73%), followed by complaints in the neck region (55.79%), shoulder and upper back (46.32%), knee (31.58%), wrist-hand (16.84%), elbow (14.74%), hip (11.58%) and ankle-foot (4.21%). Surgeons rated their pain more severe on upper back, lower back and knees. A higher percentage of male surgeons reported upper back pain (χ2(1) = 5.818, p = 0.015). Significant age differences were found between the reported pain sites (F8,278 = 2.666, p = 0.008); the surgeons reporting wrist-hand pain were younger than those reporting neck, shoulders, elbows, dorsal and lumbar pain. Surgeons with significantly less experience in years reported significantly more WMSCs in wrist-hand, hip and ankle-foot regions compared with those more experienced (p < 0.05). Surgeons are at high risk of developing work-related musculoskeletal complaints, which affects both their professional and personal life. Further studies are needed to identify all risk factors and ergonomic strategies to reduce the prevalence and the negative impact of WMSCs.
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Affiliation(s)
- Andreea Luciana Rață
- Department of Vascular Surgery, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq no 2, 300042 Timisoara, Romania;
- “Pius Brinzeu” Emergency County Hospital, 300723 Timisoara, Romania
| | - Sorin Barac
- Department of Vascular Surgery, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq no 2, 300042 Timisoara, Romania;
- “Pius Brinzeu” Emergency County Hospital, 300723 Timisoara, Romania
- Correspondence:
| | | | - Roxana Ramona Onofrei
- Department of Rehabilitation, Physical Medicine and Rheumatology, Research Center for Assessment of Human Motion, Functionality and Disability, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania;
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Low back pain and its related risk factors in health care providers at hospitals: A systematic review. Ann Med Surg (Lond) 2021; 70:102903. [PMID: 34691437 PMCID: PMC8519806 DOI: 10.1016/j.amsu.2021.102903] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2021] [Revised: 09/27/2021] [Accepted: 09/28/2021] [Indexed: 01/08/2023] Open
Abstract
Background Health care personnel are exposed to ergonomic hazards, musculoskeletal disorders, and other work-related injuries. Low back pain is the most common musculoskeletal disorder. The aim of this study was to determine the prevalence of low back pain and the risk factors in health care personnel at the hospital in a form of a systematic review and meta-analysis. Methods In this systematic review and meta-analysis, the articles published in international electronic databases including Web of Knowledge, Embase, Scopus, PubMed were searched until May 2019. We included cohort, case-control and cross-sectional studies estimate the prevalence and risk factors for low back pain in health personnel. Data were analyzed using Stata-14 software and random effect model at 95% confidence level. Findings 154 studies were included in the study for analysis. The estimated lifetime prevalence of lower back pain in health care personnel was 54.8%. The estimated odds ratios were as follows: age 1.23, female gender 1.11, BMI 1.17, lack of regular physical activity 1.56 occupational factors 1.12, patient related factors 1.24, body position at work 2.55, and stress 1.67. Conclusions /application to practice: The prevalence of low back pain in health care personnel is high. Body position at work, stress and lack of physical activity were the strongest risk factors, respectively. Future studies and educational programs are required to reduce the incidence of low back pain in health care personnel. Health care personnel are exposed to ergonomic hazards, musculoskeletal disorders. Low back pain is the most common musculoskeletal disorder. The prevalence of low back pain in health care personnel is high. Body position at work, stress and lack of physical activity were the strongest risk factors. Future studies and educational programs are required to reduce the incidence of low back pain.
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Ireland J, Window P, O'Leary SP. The impact of exercise intended for fitness or sport on the prevalence of non-specific neck pain in adults: A systematic review. Musculoskeletal Care 2021; 20:229-244. [PMID: 34586706 DOI: 10.1002/msc.1592] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Accepted: 09/15/2021] [Indexed: 11/05/2022]
Abstract
OBJECTIVE This study systematically reviewed the literature investigating the relationship between participation in exercise intended to improve fitness or sport and the prevalence of non-specific neck pain in adults. A secondary objective evaluated if exercise characteristics (frequency, and total duration of weekly exercise) impacted any observed relationship between this form of exercise and neck pain prevalence. DESIGN Narrative systematic review. LITERATURE SEARCH Six databases including Pubmed/Medline, Scopus, EMBASE, SPORTDiscus, CINAHL, and the Cochrane Library were searched from their inception up to April 2021. STUDY SELECTION CRITERIA Studies were deemed eligible if they investigated the relationship between exercise participation and prevalence of non-specific neck pain. Only full-text, cross-sectional and longitudinal studies in an adult population were included. DATA SYNTHESIS Due to heterogeneity of characteristics in the included studies, a meta-analysis was not deemed feasible. Data were synthesised using narrative synthesis with subgroup analysis of exercise themes including frequency, and total weekly duration. RESULTS Fair to good quality evidence from eight studies indicated that regular participation in exercise intended for fitness or sport was associated with a reduced prevalence of neck pain in adults. Three cross-sectional studies reported a positive relationship between greater weekly exercise duration and reduced neck pain prevalence. CONCLUSION The results of this review provide preliminary evidence of a potential protective effect of participation in exercise intended for fitness or sport on the prevalence of non-specific neck pain in the community. This protective relationship appeared to be stronger when exercise was undertaken for a greater total weekly duration.
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Affiliation(s)
- Josh Ireland
- School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Queensland, Australia
| | - Peter Window
- Physiotherapy Department, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia
| | - Shaun P O'Leary
- School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Queensland, Australia.,Physiotherapy Department, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia
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Mahmoudi D, Nazari S, Castellucci HI, Dianat I. Perception of just culture and its association with work-related psychosocial factors in an Iranian industrial setting: Implications for prevention of errors. Work 2021; 68:1179-1186. [PMID: 33867377 DOI: 10.3233/wor-213447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
BACKGROUND A just culture is one in which the reporting of errors and near misses is supported without fear of retribution. The relationship of just culture and psychosocial factors at work has not been explored sufficiently in the literature. OBJECTIVE To investigate the perception of just culture and its association with socio-demographic and work-related psychosocial factors among 302 employees in an industrial setting in Iran. METHODS Just culture was assessed using the Just Culture Assessment Tool, and the Copenhagen Psychosocial Questionnaire was used for evaluation of psychosocial work factors (including influence at work, meaning of work, commitment to the workplace, predictability, rewards, quality of leadership, social support from supervisors, trust, and justice and respect). Data were analysed using t test, analysis of variance (ANOVA), and general linear regression analysis. RESULTS The results indicated that the employees had a fairly positive view on their organisation's just culture, though there were some areas such as trust and balance that needed further attention. The psychosocial issues (particularly commitment to the workplace, meaning of work, social support from supervisors, and rewards) were not adequate from the employees' perspective. Predictability, rewards, and quality of leadership, were the significant psychosocial predictors of just culture in a multivariate regression model. CONCLUSIONS The findings highlight the areas that need to be considered to improve the experience of organisational just culture, which is important from the point of view of prevention of safety errors and incidents.
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Affiliation(s)
- Davoud Mahmoudi
- Department of Occupational Health and Ergonomics, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Saeed Nazari
- Health and Safety Department, Farab Group's Civil and Construction Company, Tehran, Iran
| | - Héctor Ignacio Castellucci
- Centro de Estudio del Trabajo y Factores Humanos, Escuela de Kinesiología, Facultad de Medicina, Universidad de Valparaíso, Valparaíso, Chile
| | - Iman Dianat
- Department of Occupational Health and Ergonomics, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran
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26
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Biligere S, Heng CT, Cracco C, Mangat R, Ong CSH, Thandapani K, Inoue T, Sarica K, Sabnis RB, Desai M, Scoffone C, Gauhar V. Tips and Tricks to Improve Ergonomics, Efficacy, Versatility, and Overcome Limitations of Micro Percutaneous Nephrolithotomy. Front Surg 2021; 8:668928. [PMID: 34095208 PMCID: PMC8170413 DOI: 10.3389/fsurg.2021.668928] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Accepted: 04/19/2021] [Indexed: 11/25/2022] Open
Abstract
Percutaneous Nephrolithotomy (PCNL) has evolved over the decades from Standard to Mini to Ultramini PCNL to Micro-perc, with miniaturisation being the dominant theme and supine approach gaining momentum world over. Aim: In literature, miniaturised PCNL with microperc needle access system has raised concerns of intrarenal pressure and has some limitations with its success for larger stones. Our tips and tricks explain how to overcome these pitfalls by utilising the full construct of the needle system to its maximum potential. These will in turn help make the procedure versatile, precise, ergonomical, and enhance a surgeon's experience with improved outcomes for patients especially in large renal stones. Materials and Methods: We describe the limitations of microperc needle access as stated in literature and proposals by the co-authors using microperc for miniaturised access on how to overcome the same. Results: A simplified table describing the limitations and tips and tricks on overcoming these is provided for quick reference. Conclusion: As Technological advancements and techniques for miniaturised access in urolithiasis improve, we believe our suggestions will help surgeons overcome the quoted limitations of microperc needle access for miniaturised PCNL, making this a versatile, safe and efficacious technique even in large and complex stones. A multi centre trial will be the best way to validate the suggestions proposed in this article.
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Affiliation(s)
- Sarvajit Biligere
- Division of Urology, Department of General Surgery, Ng Teng Fong General Hospital, National University Health System, Singapore, Singapore
| | - Chin-Tiong Heng
- Division of Urology, Department of General Surgery, Ng Teng Fong General Hospital, National University Health System, Singapore, Singapore
| | - Cecilia Cracco
- Department of Urology, Cottolengo Hospital, Turin, Italy
| | - Reshma Mangat
- Division of Urology, Department of General Surgery, Ng Teng Fong General Hospital, National University Health System, Singapore, Singapore
| | - Chloe Shu-Hui Ong
- Division of Urology, Department of General Surgery, Ng Teng Fong General Hospital, National University Health System, Singapore, Singapore
| | - Karthik Thandapani
- Division of Urology, Department of General Surgery, Ng Teng Fong General Hospital, National University Health System, Singapore, Singapore
| | - Takaaki Inoue
- Hara Genito-Urinary Hospital, Kobe University, Kobe, Japan
| | - Kemal Sarica
- Department of Urology, Biruni University Medical School, Istanbul, Turkey
| | | | - Mahesh Desai
- Muljhibhai Patel Urological Hospital, Nadiad, India
| | | | - Vineet Gauhar
- Division of Urology, Department of General Surgery, Ng Teng Fong General Hospital, National University Health System, Singapore, Singapore
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Tajvar A, Daneshmandi H, Dortaj E, Seif M, Parsaei H, Shakerian M, Choobineh A. Common errors in selecting and implementing pen-paper observational methods by Iranian practitioners for assessing work-related musculoskeletal disorders risk: a systematic review. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2021; 28:1552-1558. [PMID: 33736566 DOI: 10.1080/10803548.2021.1905993] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Objectives. This study aimed to determine the types and frequency of pen-paper observational methods (OMs) used by Iranian practitioners and to identify their errors in selecting and implementing these methods. Methods. This was a systematic review and analytical study of papers in which the OMs had been used. Scientific databases were analyzed from September 1970 to September 2018. Errors were determined based on a list of wrong practices both in the selection and implementation of methods. Three ergonomists carried out the process of identifying errors independently. Results. The most frequently used methods were rapid upper limb assessment (RULA), quick exposure check (QEC) and rapid entire body assessment (REBA), respectively. Errors in selecting and implementing pen-paper OMs were 53.3 and 36.4%, respectively. Conclusions. Despite the abundant number of pen-paper OMs, Iranian practitioners use few of them. The high rate of errors can indicate a lack of knowledge and skills among practitioners for selecting and implementing OMs. The development of decision-making tools may help practitioners to select appropriate pen-paper OMs for assessing different types of tasks.
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Affiliation(s)
| | - Hadi Daneshmandi
- Institute of Health, Shiraz University of Medical Sciences, Iran
| | - Elahe Dortaj
- School of Health, Shiraz University of Medical Sciences, Iran
| | - Mozhgan Seif
- School of Health, Shiraz University of Medical Sciences, Iran
| | - Hossein Parsaei
- Shiraz Neuroscience Research Center, Shiraz University of Medical Sciences, Iran
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28
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López-González MJ, González-Menéndez E, González S, Torrano F. Study of the interrelationships between musculoskeletal disorders and psychosocial risk factors in occupational health and safety technicians. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2021; 28:1502-1510. [PMID: 33704004 DOI: 10.1080/10803548.2021.1902137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Objectives. The aim of this work is to examine the presence of musculoskeletal disorders (MSDs) and the exposure to psychosocial risk in a sample of 399 occupational health and safety technicians (OHSTs), deepening the associations between both aspects. Methods. The standardized Nordic questionnaire and the Decore questionnaire were used. Different descriptive and correlational analyses and a multivariate analysis model were carried out. Results. In total, 77.17% of the participants affirmed having suffered some muscle ailments. The most critical psychosocial risk factors are those related to the rewards that the worker obtains for their work, with 54.7% of the technicians in a situation of alert or emergency. It is highlighted that the fact of not feeling professionally valued, working outside working hours, having musculoskeletal discomfort and perceiving a state of poor or fair health increase the global risk index (GRI) score. Conclusions. The study highlights the high exposure of OHSTs to both physical and psychosocial risk factors as well as the significant relationship between these variables. Furthermore, the predictive model shows the variables that best predict the probability of MSDs: gender, training in emerging risks, perceived health and exposure to psychosocial risk.
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Affiliation(s)
- Mª Jesús López-González
- Escuela Superior de Ingeniería y Tecnología (ESIT), Universidad Internacional de La Rioja (UNIR), Spain
| | - Eva González-Menéndez
- Escuela Superior de Ingeniería y Tecnología (ESIT), Universidad Internacional de La Rioja (UNIR), Spain
| | - Silvia González
- Escuela Superior de Ingeniería y Tecnología (ESIT), Universidad Internacional de La Rioja (UNIR), Spain
| | - Fermín Torrano
- Escuela Superior de Ingeniería y Tecnología (ESIT), Universidad Internacional de La Rioja (UNIR), Spain
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Carbonaro N, Mascherini G, Bartolini I, Ringressi MN, Taddei A, Tognetti A, Vanello N. A Wearable Sensor-Based Platform for Surgeon Posture Monitoring: A Tool to Prevent Musculoskeletal Disorders. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18073734. [PMID: 33918411 PMCID: PMC8038272 DOI: 10.3390/ijerph18073734] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/27/2021] [Revised: 03/25/2021] [Accepted: 03/28/2021] [Indexed: 11/16/2022]
Abstract
Surgeons are workers that are particularly prone to the development of musculoskeletal disorders. Recent advances in surgical interventions, such as laparoscopic procedures, have caused a worsening of the scenario, given the harmful static postures that have to be kept for long periods. In this paper, we present a sensor-based platform specifically aimed at monitoring the posture during actual surgical operations. The proposed system adopts a limited number of Inertial Measurement Units (IMUs) to obtain information about spine and neck angles across time. Such a system merges the reliability of sensor-based approaches and the validity of state-of-the-art scoring procedure, such as RULA. Specifically, three IMUs are used to estimate the flexion, lateral bending, and twisting angles of spine and neck. An ergonomic risk index is thus estimated in a time varying fashion borrowing relevant features from the RULA scoring system. The detailed functioning of the proposed systems is introduced, and the assessment results related to a real surgical procedure, consisting of a laparoscopy and mini-laparotomy sections, are shown and discussed. In the exemplary case study introduced, the surgeon kept a high score, indicating the need for an intervention on the working procedures, for a large time fraction. The system allows separately analyzing the contribution of spine and neck, also specifying the angle configuration. It is shown how the proposed approach can provide further information, as related to dynamical analysis, which could be used to enlarge the features taken into account by currently available approaches for ergonomic risk assessment. The proposed system could be adopted both for training purposes, as well as for alerting surgeons during actual surgical operations.
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Affiliation(s)
- Nicola Carbonaro
- Department of Information Engineering, University of Pisa, 56122 Pisa, Italy; (A.T.); (N.V.)
- Research Center ‘‘E. Piaggio,’’ University of Pisa, 56122 Pisa, Italy
- Correspondence:
| | - Gabriele Mascherini
- Department of Experimental and Clinical Medicine, University of the Study of Florence, 50121 Florence, Italy; (G.M.); (I.B.); (M.N.R.); (A.T.)
| | - Ilenia Bartolini
- Department of Experimental and Clinical Medicine, University of the Study of Florence, 50121 Florence, Italy; (G.M.); (I.B.); (M.N.R.); (A.T.)
| | - Maria Novella Ringressi
- Department of Experimental and Clinical Medicine, University of the Study of Florence, 50121 Florence, Italy; (G.M.); (I.B.); (M.N.R.); (A.T.)
| | - Antonio Taddei
- Department of Experimental and Clinical Medicine, University of the Study of Florence, 50121 Florence, Italy; (G.M.); (I.B.); (M.N.R.); (A.T.)
| | - Alessandro Tognetti
- Department of Information Engineering, University of Pisa, 56122 Pisa, Italy; (A.T.); (N.V.)
- Research Center ‘‘E. Piaggio,’’ University of Pisa, 56122 Pisa, Italy
| | - Nicola Vanello
- Department of Information Engineering, University of Pisa, 56122 Pisa, Italy; (A.T.); (N.V.)
- Research Center ‘‘E. Piaggio,’’ University of Pisa, 56122 Pisa, Italy
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Norasi H, Tetteh E, Money SR, Davila VJ, Meltzer AJ, Morrow MM, Fortune E, Mendes BC, Hallbeck MS. Intraoperative posture and workload assessment in vascular surgery. APPLIED ERGONOMICS 2021; 92:103344. [PMID: 33359926 DOI: 10.1016/j.apergo.2020.103344] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Revised: 10/31/2020] [Accepted: 12/11/2020] [Indexed: 06/12/2023]
Abstract
Quantifying the workload and postural demand on vascular surgeons provides valuable information on the physical and cognitive factors that predispose vascular surgeons to musculoskeletal pain and disorders. The aim of this study was to quantify the postural demand, workload, and discomfort experienced by vascular surgeons and to identify procedural factors that influence surgical workload. Both objective (wearable posture sensors) and subjective (surveys) assessment tools were used to evaluate intraoperative workload during 47 vascular surgery procedures. Results demonstrate unfavorable neck and low back postures as well as high pain scores for those body segments. Additionally, workload from subjective surveys increased significantly as a function of operative duration, and mental workload was high across all procedure types. Neck postural risk exposure and physical demand were among the variables that increased with surgical duration, procedure type, and loupes used by the surgeons. Correlations among postural angles and pain scores showed consistency between the objective assessment and the subjective surveys for neck and trunk. The authors believe that the results of this study highlight the need for developing mitigating measures such as ergonomic interventions for vascular surgery.
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Affiliation(s)
- Hamid Norasi
- Department of Industrial and Manufacturing Systems Engineering, Iowa State University, Ames, IA, USA; Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, Mayo Clinic, Rochester, MN, USA
| | - Emmanuel Tetteh
- Department of Industrial and Manufacturing Systems Engineering, Iowa State University, Ames, IA, USA; Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, Mayo Clinic, Rochester, MN, USA
| | | | | | | | - Melissa M Morrow
- Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, Mayo Clinic, Rochester, MN, USA; Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA
| | - Emma Fortune
- Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, Mayo Clinic, Rochester, MN, USA; Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA
| | | | - M Susan Hallbeck
- Department of Industrial and Manufacturing Systems Engineering, Iowa State University, Ames, IA, USA; Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, Mayo Clinic, Rochester, MN, USA; Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA; Department of Surgery, Mayo Clinic, Rochester, MN, USA.
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31
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Ghasemi F, Rahmani R, Behmaneshpour F, Fazli B. Quality of work life among surgeons and its association with musculoskeletal complaints. COGENT PSYCHOLOGY 2021. [DOI: 10.1080/23311908.2021.1880256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Affiliation(s)
- Fakhradin Ghasemi
- Department of Ergonomics and Occupational Health and Safety Research Center, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Ramin Rahmani
- MSc Student of Occupational Hygiene Engineering, Student Research Committee, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Fateme Behmaneshpour
- Lecturer of Nursing, Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
| | - Babak Fazli
- Lecturer of Occupational Hygiene Engineering, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
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Campbell RG, Harvey RJ. How close are we to anterior robotic skull base surgery? Curr Opin Otolaryngol Head Neck Surg 2021; 29:44-52. [PMID: 33337610 DOI: 10.1097/moo.0000000000000683] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
PURPOSE OF REVIEW The application of robotic surgery to anterior skull base disease has yet to be defined despite the potential for improved tumour resection with less morbidity in this region. Complex anatomy and restricted access have limited the development of robotic anterior skull base surgery. RECENT FINDINGS A limited number of transoral robotic surgical anterior skull base procedures have been undertaken; however, there are significant limitations to the utilization of this technology in the anterior skull base. In this article, the advantages, disadvantages and limitations of robotic anterior skull base surgery are discussed. Currently, the major limitation is the size of the robotic endoscope and of the available instrumentation. Technological advancements that provide promise for the future development of robotic anterior skull base surgery are in development, such as single-port robots, flexible instrument systems and miniaturization and growth of minimally invasive platforms. SUMMARY Although transnasal access to the skull base is not possible with the currently available robotic systems, promising technology does exist and is in development. Robotic anterior skull base surgery promises to provide greater access to skull base disease, improve oncologic results, reduce morbidity and to reduce the ergonomic burden on the surgeon.
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Affiliation(s)
- Raewyn G Campbell
- Faculty of Medicine, Health and Human Sciences, Macquarie University
- Department of Otolaryngology - Head and Neck Surgery, Royal Prince Alfred Hospital
- Rhinology and Skull Base Research Group, St. Vincent's Centre for Applied Medical Research, University of New South Wales, Sydney, Australia
| | - Richard J Harvey
- Faculty of Medicine, Health and Human Sciences, Macquarie University
- Rhinology and Skull Base Research Group, St. Vincent's Centre for Applied Medical Research, University of New South Wales, Sydney, Australia
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Alhusuny A, Cook M, Khalil A, Johnston V. Visual symptoms, Neck/shoulder problems and associated factors among surgeons performing Minimally Invasive Surgeries (MIS): A comprehensive survey. Int Arch Occup Environ Health 2021; 94:959-979. [PMID: 33515063 DOI: 10.1007/s00420-020-01642-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2020] [Accepted: 12/24/2020] [Indexed: 10/22/2022]
Abstract
PURPOSE Minimally Invasive Surgery (MIS) is demanding on the musculoskeletal and visual systems. Prevalence, severity and association of neck/shoulder problems and visual symptoms were examined among MIS surgeons. The associations of workplace and individual factors with these symptoms independently and combined were also examined. METHODS MIS surgeons completed a comprehensive online survey inclusive of 52 questions about individual and workplace physical factors, neck/shoulder problems and visual symptoms. Binary logistic regression models were conducted to determine the associations of the neck/shoulder problems, visual symptoms and combined symptoms with workplace and individual factors. RESULTS 290 surgeons completed the survey. Neck/shoulder problems and visual symptoms were reported by 31.0% and 29.0%, respectively, 15.5% reported both problems. The prevalence and severity of neck/shoulder problems and visual symptoms were significantly associated (p < 0.001). Several workplace and individual factors were associated with these symptoms (p ≤ 0.05). CONCLUSIONS Several factors in the workplace environment (temperature, asymmetrical weight bearing and forward head movement) and individual (being female and wearing vision correction glasses) were significantly associated with neck/shoulder problems and visual symptoms. Evaluation of different strategies to minimise the strain on the neck/shoulder region and the visual system is required.
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Affiliation(s)
- Ameer Alhusuny
- School of Health and Rehabilitation Sciences, The University of Queensland, Level 3, Therapies Annexe Building 84, Brisbane, St Lucia, QLD, 4068, Australia.
| | - Margaret Cook
- School of Earth and Environmental Sciences, Faculty of Science, The University of Queensland, Brisbane, Australia
| | - Akram Khalil
- Faculty of Medicine, The University of Queensland, Brisbane, Australia.,Royal Brisbane and Women's Hospital, Brisbane, Australia
| | - Venerina Johnston
- RECOVER Injury Research Centre, The University of Queensland, Brisbane, Australia
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Gender equity in ergonomics: does muscle effort in laparoscopic surgery differ between men and women? Surg Endosc 2021; 36:396-401. [PMID: 33492502 DOI: 10.1007/s00464-021-08295-3] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2020] [Accepted: 01/05/2021] [Indexed: 10/22/2022]
Abstract
BACKGROUND Women surgeons may experience more ergonomic challenges while performing surgery. We aimed to assess ergonomics between men and women surgeons. METHODS Laparoscopic surgeons from a single institution were enrolled. Demographics and intraoperative data were collected. Muscle groups were evaluated objectively using surface electromyography (EMG; TrignoTM, Delsys, Inc., Natick, MA), and comprised upper trapezius (UT), anterior deltoid, flexor carpi radialis (FCR), and extensor digitorum (ED). Comparisons were made between women (W) and men (M) for each muscle group, assessing maximal voluntary contraction (MVC) and median frequency (MDF). The Piper Fatigue Scale-12 (PFS-12) was used to assess self-perceived fatigue. Statistical analyses were performed using SPSS v26.0, α = 0.05. RESULTS 18 surgeries were recorded (W:8, M:10). Women had higher activation of UT (32% vs 23%, p < 0.001), FCR (33% vs 16%, p < 0.001), and ED (13% vs 10%, p < 0.001), and increased effort of ED (90.4 ± 18.13 Hz vs 99.1 ± 17.82 Hz). Comparisons were made between W and M for each muscle group, assessing MVC and MDF. CONCLUSIONS After controlling for surgeon's height and duration of surgery, an increase in muscle activation was seen for women laparoscopic surgeons. Since poor ergonomics could be a major cause of work-related injuries, we must understand differences in ergonomics between men and women and evaluate which factors impact these variations.
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Health, Physical Activity and Musculoskeletal Symptoms among Stone, Sand, and Gravel Mine Workers: Implications for Enhancing and Sustaining Worker Health and Safety. SAFETY 2020. [DOI: 10.3390/safety6040052] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
There is little data delineating relationships between health and worker musculoskeletal symptoms (MSS), particularly among stone, sand, and gravel mine (SSGM) workers. There is also little data detailing the relationships between physical activity and MSS among these workers. A cross-sectional study using data from 459 SSGM workers was completed. Logistic regression analyses assessed relationships between health factors, physical activity, and low back, neck, shoulder, and knee MSS. Those who reported their health as very good/excellent were less likely to suffer low back and knee MSS. Those who indicated their health was poor/fair were more likely to suffer shoulder, neck, and knee MSS. Obese workers were more likely to experience knee MSS and those who smoked in the past had higher odds of neck MSS. Vigorous physical activity was mostly protective, but those performing more than 5 h of moderate physical activity each week had greater odds of shoulder and neck MSS. Given these results, workers in SSGM may benefit from targeted interventions that bolster vigorous physical activity and improve health. Further, health protection efforts need to be initiated by SSGM operations to address work issues and to sustain health as job roles and work hours impacted MSS as well.
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Musculoskeletal Symptoms among Stone, Sand and Gravel Mine Workers and Associations with Sociodemographic and Job-Related Factors. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17103512. [PMID: 32443415 PMCID: PMC7277222 DOI: 10.3390/ijerph17103512] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/11/2020] [Revised: 05/14/2020] [Accepted: 05/16/2020] [Indexed: 11/24/2022]
Abstract
Stone, sand and gravel mining (SSGM) constitutes the vast majority of mining operations in the United States. Despite musculoskeletal disorders being one of the most common occupational health problems across several industries, limited research has examined the extent of reported musculoskeletal symptoms or disorders among actively employed SSGM workers. To address this knowledge gap, cross sectional data were collected from 459 SSGM workers in the Midwestern United States to determine the prevalence of musculoskeletal symptoms. Sociodemographic and job-related factors were examined to identify possible risk factors in SSGM. Musculoskeletal symptoms of the low back (57%), neck (38%), shoulder (38%) and knee (39%) were highly prevalent among SSGM employees. The results, among other findings, showed that working more than 60 h a week increased the likelihood of musculoskeletal symptoms at the low back (OR: 4.7 95% CI: 1.9–11.5), neck (OR: 5.1, 95% CI: 2.2–11.8) and knee (OR: 4.5, 95% CI: 2.0–10.3). Working as a mechanic/maintenance worker increased the likelihood of low back (OR: 2.1, 95% CI: 1.1–4.2) and knee (OR: 2.2, 95% CI: 1.1–4.6) musculoskeletal symptoms. Intervention measures aimed at improving ergonomic hazard identification for various job tasks as well as administrative controls limiting hours worked may help reduce the burden of musculoskeletal problems in the SSGM industry.
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Miranda Bispo LG, Norte da Silva JM, Bolis I, Karla Dos Santos Leite W, Marama de Araujo Vieira E, Colaço GA, Lopes de Souza E, Gontijo LA, Bueno da Silva L. Effects of a worksite physical activities program among men and women: An interventional study in a footwear industry. APPLIED ERGONOMICS 2020; 84:103005. [PMID: 31765918 DOI: 10.1016/j.apergo.2019.103005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/27/2019] [Revised: 11/14/2019] [Accepted: 11/15/2019] [Indexed: 06/10/2023]
Abstract
The study aims to assess the association between various levels of engagement in a worksite physical activities program and variables related to musculoskeletal symptoms, psychophysiological well-being, difficulty to perform tasks, willingness to work, and interpersonal relationships, among men and women in a footwear industry. This program involved 1113 workers. Data were analysed using an ordinal logistic regression model. In women, an increase in the frequency of participation in the worksite physical activities program was associated with less musculoskeletal pain (OR = 3.12; 2.07-4.71), better relationships among colleagues (OR = 2.83; 1.67-4.81), and a higher level of psychophysiological well-being (OR = 1.98; 1.06-3.70). In men, an increase in the frequency participation in the worksite physical activities program was associated with less difficulty in performing occupational tasks (OR = 0.49; 0.27-0.87). Thus, the association between occupational exercises and studied variables differed between genders.
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Affiliation(s)
- Lucas Gomes Miranda Bispo
- Department of Industrial Engineering, Federal University of Alagoas, Delmiro Gouveia, Alagoas, Brazil
| | | | - Ivan Bolis
- Department of Psychology, Federal University of Paraíba, João Pessoa, Paraíba, Brazil.
| | | | | | - Geraldo Alves Colaço
- Department of Industrial Engineering, Estácio de Sá School, Salvador, Bahia, Brazil
| | - Erivaldo Lopes de Souza
- Department of Industrial Engineering, Federal University of Paraíba, João Pessoa, Paraíba, Brazil
| | - Leila Amaral Gontijo
- Department of Industrial Engineering, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - Luiz Bueno da Silva
- Department of Industrial Engineering, Federal University of Paraíba, João Pessoa, Paraíba, Brazil
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Al-Mohrej OA, Elshaer AK, Al-Dakhil SS, Sayed AI, Aljohar S, AlFattani AA, Alhussainan TS. Work-related musculoskeletal disorders among Saudi orthopedic surgeons: a cross-sectional study. Bone Jt Open 2020; 1:47-54. [PMID: 33215107 PMCID: PMC7659643 DOI: 10.1302/2633-1462.14.bjo-2020-0005] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
INTRODUCTION Studies have addressed the issue of increasing prevalence of work-related musculoskeletal (MSK) pain among different occupations. However, contributing factors to MSK pain have not been fully investigated among orthopaedic surgeons. Thus, this study aimed to approximate the prevalence and predictors of MSK pain among Saudi orthopaedic surgeons working in Riyadh, Saudi Arabia. METHODS A cross-sectional study using an electronic survey was conducted in Riyadh. The questionnaire was distributed through email among orthopaedic surgeons in Riyadh hospitals. Standardized Nordic questionnaires for the analysis of musculoskeletal symptoms were used. Descriptive measures for categorical and numerical variables were presented. Student's t-test and Pearson's χ2 test were used. The level of statistical significance was set at p ≤ 0.05. RESULTS The response rate was 80.3%, with a total number of 179 of Saudi orthopaedic surgeons (173 males and six females). Of our sample, 67.0% of the respondents complained of having MSK pain. The most commonly reported MSK pain was lower back (74.0%), followed by neck (58.2%). Age and body mass index were implicated in the development of more than one type of MSK pain. Increased years of experience (≥ 6 years) was linked to shoulder/elbow, lower back, and hip/thigh pain. Smoking is widely associated with lower back pain development, whereas physicians who do not smoke and exercise regularly reported fewer pain incidences. Excessive bending and twisting during daily practice have been correlated with increased neck pain. CONCLUSION MSK pain was found to be common among Saudi orthopaedic surgeons. Further extensive research should be conducted to understand and analyze the risk factors involved and search for possible improvements to avoid further complications. However, ergonomics education during surgical training could be effective at modifying behaviors and reducing MSK pain manifestations.
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Affiliation(s)
- Omar A. Al-Mohrej
- Department of Orthopedic Surgery, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
| | | | - Sahar S. Al-Dakhil
- Department of Orthopedic Surgery, King Abdulaziz Medical City, Riyadh, Saudi Arabia
| | - AlBraa I. Sayed
- Department of Orthopedic Surgery, King Khalid University Hospital, Riyadh, Saudi Arabia
| | - Seham Aljohar
- Biostatistics Unit, Epidemiology and Scientific computing Department, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
| | - Areej A. AlFattani
- Biostatistics Unit, Epidemiology and Scientific computing Department, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
| | - Thamer S. Alhussainan
- Department of Orthopedic Surgery, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
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Widyanti A, Ramadhiar A, Fista B, Rahmawati N. The ergonomics of mothering and child care activities (ErgoMOMics) in Indonesia: Individual and social factors influencing musculoskeletal symptoms. Work 2020; 65:625-633. [PMID: 32116281 DOI: 10.3233/wor-203117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Mothering and caring for children have been associated with a decrease in mothers' wellbeing. Limited research has been conducted from the ergonomics perspective of mothering and caring for children due to the belief that being a mother is not considered an occupation. OBJECTIVE To observe the ergonomics of mothering and caring for children (ergoMOMics) among Indonesian mothers and the prevalence of related musculoskeletal symptoms (MSS). PARTICIPANTS Five hundred and twenty-five Indonesian mothers. METHOD The prevalence of MSS was assessed using Nordic Body Map questionnaire. An adapted questionnaire on mothering and child care activities and their consequences were also used. RESULTS Most Indonesian mothers reported some negative consequences of mothering and child care activities, including MSS in the back (50%), neck (26%), and upper shoulder (43%). Demographic data that significantly influences MSS includes the domicile category and help from others. Mothers in large cities reported higher MSS than those residing in small- to medium-sized cities (t (523) = 7.43, ρ< 0.01). The help of family members (commonly children's grandparents) significantly increased reported MSS (F(2, 524) = 3.57, ρ= 0.02). A specific child care activity that influences MSS is the lifting for children. CONCLUSIONS Mothering and child care are very demanding activities that can result in MSS. Therefore, steps must be taken to prevent and overcome these symptoms.
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Affiliation(s)
- Ari Widyanti
- Department of Industrial Engineering, Bandung Institute of Technology (ITB), Indonesia
| | - Anandari Ramadhiar
- Department of Industrial Engineering, Bandung Institute of Technology (ITB), Indonesia
| | - Bela Fista
- Department of Industrial Engineering, Bandung Institute of Technology (ITB), Indonesia
| | - Novia Rahmawati
- Department of Industrial Engineering, Bandung Institute of Technology (ITB), Indonesia
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Lloyd GL, Chung AS, Steinberg S, Sawyer M, Williams DH, Overbey D. Is Your Career Hurting You? The Ergonomic Consequences of Surgery in 701 Urologists Worldwide. J Endourol 2019; 33:1037-1042. [DOI: 10.1089/end.2019.0150] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Affiliation(s)
- Granville L. Lloyd
- Department of Surgery, University of Colorado, Aurora, Colorado
- Division of Urology, Rocky Mountain Regional VA Hospital, Aurora, Colorado
| | - Amanda S.J. Chung
- Department of Surgery/Urology, University of Sydney, Sydney, Australia
- Department of Urology, Royal North Shore Hospital, Sydney, Australia
- Department of Surgery/Urology, Macquarie University Hospital, Sydney, Australia
| | - Steven Steinberg
- Department of Surgery, University of Colorado, Aurora, Colorado
- Division of Urology, Rocky Mountain Regional VA Hospital, Aurora, Colorado
| | - Mark Sawyer
- Department of Surgery, University of Colorado, Aurora, Colorado
- Division of Urology, Rocky Mountain Regional VA Hospital, Aurora, Colorado
| | | | - Douglas Overbey
- Department of Surgery, University of Colorado, Aurora, Colorado
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Davila VJ, Meltzer AJ, Hallbeck MS, Stone WM, Money SR. Physical discomfort, professional satisfaction, and burnout in vascular surgeons. J Vasc Surg 2019; 70:913-920.e2. [DOI: 10.1016/j.jvs.2018.11.026] [Citation(s) in RCA: 36] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2018] [Accepted: 11/05/2018] [Indexed: 11/15/2022]
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Leite WKDS, Araújo AJDS, Norte da Silva JM, Gontijo LA, Vieira EMDA, Lopes de Souza E, Colaço GA, Bueno da Silva L. Risk factors for work-related musculoskeletal disorders among workers in the footwear industry: a cross-sectional study. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2019; 27:393-409. [DOI: 10.1080/10803548.2019.1579966] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
| | | | | | - Leila Amaral Gontijo
- Department of Production Engineering, Federal University of Santa Catarina, Brazil
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Bazazan A, Dianat I, Feizollahi N, Mombeini Z, Shirazi AM, Castellucci HI. Effect of a posture correction-based intervention on musculoskeletal symptoms and fatigue among control room operators. APPLIED ERGONOMICS 2019; 76:12-19. [PMID: 30642516 DOI: 10.1016/j.apergo.2018.11.008] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/11/2017] [Revised: 07/07/2018] [Accepted: 11/26/2018] [Indexed: 06/09/2023]
Abstract
This study was conducted to examine the effect of a posture correction-based intervention (with a biofeedback device) on the occurrence of musculoskeletal symptoms (MSS) and fatigue among control room operators in a petrochemical plant in Iran. A total of 188 office workers (91 in the case group and 97 in the control group) participated at baseline as well as at 6- and 12-month follow-up. A questionnaire survey (including the Nordic Musculoskeletal Questionnaire and Multidimensional Fatigue Inventory) and direct observations of working postures by using the Rapid Upper Limb Assessment (RULA) method were used. The occurrence of MSS in the shoulders, upper back, neck, and low back areas, as well as the mental and physical dimensions of fatigue were found to be the most common problems. The results showed considerable improvements in working postures (in the neck, trunk, and RULA grand scores) and the occurrence of MSS (particularly in the neck, shoulders, and upper back and low back areas) and fatigue (in particular the mental and physical aspects) after the intervention. The overall mean RULA grand score for the case group was significantly decreased after the intervention (mean scores of 5.1, 4.4, and 4.6 at pre-intervention, post-intervention 1, and post-intervention 2, respectively). A total of 81 operators (89.0%) reported some kind of MSS at baseline, which were reduced to 75 operators (82.4%) and 77 operators (84.6%) at post-interventions 1 and 2, respectively. Significant differences were also found between the pre- and post-intervention scores for the physical fatigue (mean of 12.19, 10.16, and 9.99 at pre-intervention, post-intervention 1, and post-intervention 2, respectively) and mental fatigue (mean of 14.03, 12.05, and 12.16 at pre-intervention, post-intervention 1, and post-intervention 2, respectively) dimensions. The findings confirm the effectiveness of this low-cost, simple, and easy-to-use ergonomic intervention.
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Affiliation(s)
- Ahmad Bazazan
- Department of Occupational Health and Ergonomics, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
| | - Iman Dianat
- Department of Occupational Health and Ergonomics, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
| | - Nafiseh Feizollahi
- Department of Electronic, Faculty of Electrical Engineering, Islamic Azad University, Tehran South Branch, Tehran, Iran.
| | - Zohreh Mombeini
- Department of Health Safety and Environment (HSE), Razi Petrochemical Complex, Mahshahr, Iran.
| | - Alireza Mohammad Shirazi
- Department of Orthotics and Prosthetics, Faculty of Rehabilitation, Iran University of Medical Science, Tehran, Iran.
| | - Héctor Ignacio Castellucci
- Centro de Estudio del Trabajo y Factores Humanos, Escuela de Kinesiología, Facultad de Medicina, Universidad de Valparaíso, Valparaíso, Chile.
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Bazazan A, Dianat I, Bahrampour S, Talebian A, Zandi H, Sharafkhaneh A, Maleki-Ghahfarokhi A. Association of musculoskeletal disorders and workload with work schedule and job satisfaction among emergency nurses. Int Emerg Nurs 2019; 44:8-13. [PMID: 30902617 DOI: 10.1016/j.ienj.2019.02.004] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2018] [Revised: 01/09/2019] [Accepted: 02/04/2019] [Indexed: 10/27/2022]
Abstract
BACKGROUND The emergency department is a highly demanding work environment, considered by high workload and stress. The impact of work-related factors on musculoskeletal disorders (MSDs) in emergency nurses (ENs) are not yet well understood. We investigated the association of MSDs and workload with work schedule (permanent day and night work) and job satisfaction in ENs. METHOD Data were collected through a questionnaire including individual and work-related factors, workload (National Aeronautics and Space Administration-Task Load Index [NASA-TLX]) and MSDs (Standardized Nordic Questionnaire) from 380 ENs in five hospitals. RESULTS The findings revealed that work schedule and job satisfaction levels were significantly associated with the MSDs in different body regions. Work schedule was significantly related to physical demand, performance, frustration, and overall workload, whereas it was not to the mental and temporal demands and effort. Job satisfaction level was negatively associated with mental demand and frustration. A high prevalence of musculoskeletal problems, particularly in knees, upper back, lower back, neck and shoulders were found. CONCLUSION MSDs are highly prevalent among ENs involved in night work and with low job satisfaction levels. The results are discussed in terms of their implications for emergency hospital nurses. The findings can help to better understand the working conditions and emphasize the need for ergonomic interventions in order to reduce MSDs and workload. Also, the study findings highlight the importance of mental aspects of workload in this occupational group.
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Affiliation(s)
- Ahmad Bazazan
- Department of Occupational Health and Ergonomics, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
| | - Iman Dianat
- Department of Occupational Health and Ergonomics, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Samira Bahrampour
- Department of Occupational Health and Ergonomics, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Amirhosein Talebian
- Department of Occupational Health and Ergonomics, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Hojat Zandi
- Department of Nursing, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Department of Health, Safety, and Environment (HSE), Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | | | - Azam Maleki-Ghahfarokhi
- Student Research Committee, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran
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