Tools and Modalities for Postural Ergonomics Research in Surgery and Neurosurgery.

Ergonomics Ergonomics research Inertial measurement units Surface electromyography Work-related musculoskeletal disorders

Journal

Acta neurochirurgica. Supplement
ISSN: 0065-1419
Titre abrégé: Acta Neurochir Suppl
Pays: Austria
ID NLM: 100962752

Informations de publication

Date de publication:
2023
Historique:
medline: 28 12 2023
pubmed: 28 12 2023
entrez: 28 12 2023
Statut: ppublish

Résumé

Work-related musculoskeletal disorders (WMSDs) are common amongst neurosurgeons and can affect a surgeon's ability to operate. Performing surgical ergonomics research is important to minimize the prevalence and effect of WMSDs on the surgeons. The aim of this review is to highlight some of the most important objective and subjective tools available for surgical ergonomics research. Subjective tools can be divided into three categories: (1) questionnaires (either validated or non-validated) filled out by the participants, (2) survey assessments/standardized scoring systems filled out by the researchers, and (3) video analysis. Subjective tools have the drawbacks of recall bias and intra-rater and inter-rater variability. Some of the most important objective tools available are surface electromyography, force plate/pressure sensors analysis, inertial measurement units (IMUs) and kinematics data capturing using reflective markers. Although these modalities do not have the drawbacks that hinder the use of subjective tools, using most of them in the real-life operating theatre, with the exception of IMUs, is challenging. Conducting surgical ergonomics research is important to optimize the performance of neurosurgeons. The advancements towards wearable, wireless technologies will make it easier for surgeons to perform ergonomics research in the operating room.

Identifiants

pubmed: 38153443
doi: 10.1007/978-3-031-36084-8_4
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

15-20

Informations de copyright

© 2023. The Author(s), under exclusive license to Springer Nature Switzerland AG.

Références

The International Ergonomics Association. What Is Ergonomics? The International Ergonomics Association is a global federation of human factors/ergonomics societies, registered as a nonprofit organization in Geneva, Switzerland.
Gadjradj PS, Ogenio K, Voigt I, Harhangi BS. Ergonomics and related physical symptoms among neurosurgeons. World Neurosurg. 2020;134:e432–41.
doi: 10.1016/j.wneu.2019.10.093 pubmed: 31655238
Mavrovounis G, Meling TR, Lafuente J, Fountas KN, Demetriades AK. Postural ergonomics and work-related musculoskeletal disorders in neurosurgery: lessons from an international survey. Acta Neurochir. 2021;163(6):1541–52.
doi: 10.1007/s00701-021-04722-5 pubmed: 33594483
Demetriades AK, Meling TR, Ringel FA, Schaller K. Postural ergonomics and micro-neurosurgery: microscope has an edge over loupes. J Am Coll Surg. 2020;231(2):300–1.
doi: 10.1016/j.jamcollsurg.2020.04.026 pubmed: 32446542
Catanzarite T, Tan-Kim J, Whitcomb EL, Menefee S. Ergonomics in surgery: a review. Fem Pel Med Reconstr Surg. 2018;24(1):1–12.
doi: 10.1097/SPV.0000000000000456
Lavé A, Gondar R, Demetriades AK, Meling TR. Ergonomics and musculoskeletal disorders in neurosurgery: a systematic review. Acta Neurochir. 2020;162(9):2213–20.
doi: 10.1007/s00701-020-04494-4 pubmed: 32705353
Hart SG, Staveland LE. Development of NASA-TLX (Task Load Index): results of empirical and theoretical research. Adv Psychol. 1988;52:139–83.
doi: 10.1016/S0166-4115(08)62386-9
Ramakrishnan VR, Milam BM. Ergonomic analysis of the surgical position in functional endoscopic sinus surgery. Int Forum Allergy Rhinol. 2017;7(6):570–5.
doi: 10.1002/alr.21911 pubmed: 28296272
Wilson MR, Poolton JM, Malhotra N, Ngo K, Bright E, Masters RSW. Development and validation of a surgical workload measure: the surgery task load index (SURG-TLX). World J Surg. 2011;35(9):1961–9.
doi: 10.1007/s00268-011-1141-4 pubmed: 21597890 pmcid: 3152702
Alleblas CCJ, Formanoy MAG, Könemann R, Radder CM, Huirne JA, Nieboer TE. Ergonomics in gynecologists’ daily practice: a nationwide survey in The Netherlands. Work. 2016;55(4):841–8.
doi: 10.3233/WOR-162451 pubmed: 28059816
Forst L, Friedman L, Shapiro D. Carpal tunnel syndrome in spine surgeons: a pilot study. Arch Environ Occup Health. 2006;61(6):259–62.
doi: 10.3200/AEOH.61.6.259-262 pubmed: 17967747
Lawson EH, Curet MJ, Sanchez BR, Schuster R, Berguer R. Postural ergonomics during robotic and laparoscopic gastric bypass surgery: a pilot project. J Robot Surg. 2007;1(1):61–7.
doi: 10.1007/s11701-007-0016-z pubmed: 25484939 pmcid: 4247428
McAtamney L, Nigel Corlett E. RULA: a survey method for the investigation of work-related upper limb disorders. Appl Ergon. 1993;24(2):91–9.
doi: 10.1016/0003-6870(93)90080-S pubmed: 15676903
Hignett S, McAtamney L. Rapid entire body assessment (REBA). Appl Ergon. 2000;31(2):201–5.
doi: 10.1016/S0003-6870(99)00039-3 pubmed: 10711982
Aaron KA, Vaughan J, Gupta R, Ali N-E-S, Beth AH, Moore JM, Ma Y, Ahmad I, Jackler RK, Vaisbuch Y. The risk of ergonomic injury across surgical specialties. PLoS One. 2021;16(2):e0244868.
doi: 10.1371/journal.pone.0244868 pubmed: 33561117 pmcid: 7872272
Chowdhury RH, Reaz MBI, Ali MABM, Bakar AAA, Chellappan K, Chang Tae G. Surface electromyography signal processing and classification techniques. Sensors. 2013;13(9):12431–66.
doi: 10.3390/s130912431 pubmed: 24048337 pmcid: 3821366
Albayrak A, van Veelen MA, Prins JF, Snijders CJ, de Ridder H, Kazemier G. A newly designed ergonomic body support for surgeons. Surg Endosc. 2007;21(10):1835–40.
doi: 10.1007/s00464-007-9249-1 pubmed: 17356937
Ito K, Horiuchi T, Seguchi T, Hongo K. Usefulness of a device for body support during operations performed while standing. Neurosurg Rev. 2015;38(4):731–7.
doi: 10.1007/s10143-015-0633-3 pubmed: 25862668
Koneczny S, Matern U. Instruments for the evaluation of ergonomics in surgery. Minim Invasive Ther Allied Technol. 2004;13(3):167–77.
doi: 10.1080/13645700410033652 pubmed: 16754506
Cerone GL, Botter A, Gazzoni M. A modular, smart, and wearable system for high density sEMG detection. IEEE Trans Biomed Eng. 2019;66(12):3371–80.
doi: 10.1109/TBME.2019.2904398 pubmed: 30869608
Sánchez-Margallo FM, Sánchez-Margallo JA. Ergonomics in laparoscopic surgery. In: Laparoscopic surgery. London: IntechOpen; 2017. https://doi.org/10.5772/66170 .
doi: 10.5772/66170
Lee G, Lee T, Dexter D, Godinez C, Meenaghan N, Catania R, Park A. Ergonomic risk associated with assisting in minimally invasive surgery. Surg Endosc. 2009;23(1):182–8.
doi: 10.1007/s00464-008-0141-4 pubmed: 18815838
Park JY, Kim KH, Kuh SU, Chin DK, Kim KS, Cho YE. Spine surgeon’s kinematics during discectomy according to operating table height and the methods to visualize the surgical field. Eur Spine J. 2012;21(12):2704–12.
doi: 10.1007/s00586-012-2425-6 pubmed: 22772353 pmcid: 3508227
Park JY, Kim KH, Kuh SU, Chin DK, Kim KS, Cho YE. Spine surgeon’s kinematics during discectomy, part II: operating table height and visualization methods, including microscope. Eur Spine J. 2014;23(5):1067–76.
doi: 10.1007/s00586-013-3125-6 pubmed: 24366356
Lee G, Lee T, Dexter D, Klein R, Park A. Methodological infrastructure in surgical ergonomics: a review of tasks, models, and measurement systems. Surg Innov. 2007;14(3):153–67.
doi: 10.1177/1553350607307956 pubmed: 17928614
Fukuchi RK, Fukuchi CA, Duarte M. A public dataset of running biomechanics and the effects of running speed on lower extremity kinematics and kinetics. PeerJ. 2017;5:e3298, figure 2.
doi: 10.7717/peerj.3298 pubmed: 28503379 pmcid: 5426356
Fukuchi RK, Fukuchi CA, Duarte M. A public dataset of running biomechanics and the effects of running speed on lower extremity kinematics and kinetics. PeerJ. 2017;5:e3298, figure 1.
doi: 10.7717/peerj.3298 pubmed: 28503379 pmcid: 5426356
Yu D, Dural C, Morrow MMB, Yang L, Collins JW, Hallbeck S, Kjellman M, Forsman M. Intraoperative workload in robotic surgery assessed by wearable motion tracking sensors and questionnaires. Surg Endosc. 2017;31(2):877–86.
doi: 10.1007/s00464-016-5047-y pubmed: 27495330
Yang L, Money SR, Morrow MM, Lowndes BR, Weidner TK, Fortune E, Davila VJ, Meltzer AJ, Stone WM, Hallbeck MS. Impact of procedure type, case duration, and adjunctive equipment on surgeon intraoperative musculoskeletal discomfort. J Am Coll Surg. 2020;230(4):554–60.
doi: 10.1016/j.jamcollsurg.2019.12.035 pubmed: 32220445
Nimbarte AD, Sivak-Callcott JA, Zreiqat M, Chapman M. Neck postures and cervical spine loading among microsurgeons operating with loupes and headlamp. IIE Trans Occup Ergon Hum Fact. 2013;1(4):215–23.
doi: 10.1080/21577323.2013.840342
Lamkin-Kennard K, Popovic MB. Sensors: natural and synthetic sensors. In: Biomechatronics. London: Academic Press; 2019. https://doi.org/10.1016/B978-0-12-812939-5.00004-5 .
doi: 10.1016/B978-0-12-812939-5.00004-5
Singh R, Carranza Leon DA, Morrow MM, Vos-Draper TL, McGree ME, Weaver AL, Woolley SM, Hallbeck S, Gebhart JB. Effect of chair types on work-related musculoskeletal discomfort during vaginal surgery. Am J Obstet Gynecol. 2016;215(5):648.e1–9.
doi: 10.1016/j.ajog.2016.06.016 pubmed: 27319363

Auteurs

Georgios Mavrovounis (G)

Department of Neurosurgery, Faculty of Medicine, University of Thessaly, Larissa, Greece.

Torstein R Meling (TR)

Department of Neurosurgery, The National Hospital of Denmark, Rigshospitalet, Copenhagen, Denmark.

Jesus Lafuente (J)

Spine Center, Hospital Del Mar, Barcelona, Spain.

Konstantinos N Fountas (KN)

Department of Neurosurgery, Faculty of Medicine, University of Thessaly, Larissa, Greece.

Andreas K Demetriades (AK)

Department of Neurosurgery, New Royal Infirmary, Edinburgh, UK.

Classifications MeSH