Download PDF
CC BY-NC-ND 4.0 · Endosc Int Open 2021; 09(12): E1909-E1913
DOI: 10.1055/a-1594-2037
Innovation forum

Ability of ergonomic timeout to reduce musculoskeletal discomfort related to fluoroscopic endoscopy

Yasuki Hori
1   Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
,
Taisei Nagai
2   Department of Occupational and Environmental Health, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
,
Kazuki Hayashi
1   Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
,
Hiroyuki Izumi
3   Department of Ergonomics, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Kitakyushu, Japan
,
Kiyoko Yokoyama
4   Nagoya City University Graduate School of Design and Architecture, Nagoya, Japan
,
Takeshi Ebara
2   Department of Occupational and Environmental Health, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Abstract

Endoscopists performing fluoroscopy procedures often suffer from musculoskeletal disorders (MSDs) due to persistent static muscle contraction and the load imposed by radiation personal protective equipment. We devised the “practical load-on-the-shoulders releasing technique” (PoRT), integrated it within the work-rest schedule, and investigated its ability to reduce muscular discomfort. The results showed that PoRT lowered discomfort, including by maintaining the head angle closer to the neutral position and keeping the trunk in a stable state, which together resulted in an ideal posture. As a simple, no-cost intervention based on an ergonomic approach, PoRT may contribute to reducing MSDs.



Publication History

Received: 12 May 2021

Accepted: 10 August 2021

Article published online:
14 December 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 O'Sullivan S, Bridge G, Ponich T. Musculoskeletal injuries among ERCP endoscopists in Canada. Can J Gastroenterol 2002; 16: 369-374
    CrossrefPubMedGoogle Scholar
  • 2 Ridtitid W, Coté GA, Leung W. et al. Prevalence and risk factors for musculoskeletal injuries related to endoscopy. Gastrointest Endosc 2015; 81: 294-302.e4
    CrossrefPubMedGoogle Scholar
  • 3 Pedrosa MC, Farraye FA, Shergill AK. et al. Minimizing occupational hazards in endoscopy: personal protective equipment, radiation safety, and ergonomics. Gastrointest Endosc 2010; 72: 227-235
    CrossrefPubMedGoogle Scholar
  • 4 Shergill AK, McQuaid KR, Rempel D. Ergonomics and GI endoscopy. Gastrointest Endosc 2009; 70: 145-153
    CrossrefPubMedGoogle Scholar
  • 5 Ebara T, Kubo T, Inoue T. et al. Effects of adjustable sit-stand VDT workstations on workers' musculoskeletal discomfort, alertness and performance. Ind Health 2008; 46: 497-505
    CrossrefPubMedGoogle Scholar
  • 6 Liao MH, Drury CG. Posture, discomfort and performance in a VDT task. Ergonomics 2000; 43: 345-359
    CrossrefPubMedGoogle Scholar
  • 7 Takanishi T, Ebara T, Murasaki GI. et al. Interactive model of subsidiary behaviors, work performance and autonomic nerve activity during visual display terminal work. J Occup Health 2010; 52: 39-47
    CrossrefPubMedGoogle Scholar
  • 8 Balci R, Aghazadeh F. The effect of work-rest schedules and type of task on the discomfort and performance of VDT users. Ergonomics 2003; 46: 455-465
    CrossrefPubMedGoogle Scholar