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Using Wearable Technology to Measure the Association Between Neck Posture and Pain During Urologic Open and Robotic Surgery.
Bigham, Joseph J; Chang, Edward K; Sorensen, Mathew; Chansky, Howard A; Telfer, Scott.
Afiliação
  • Bigham JJ; Department of Orthopaedics and Sports Medicine and University of Washington School of Medicine, Seattle, Washington, USA.
  • Chang EK; Department of Urology, University of Washington School of Medicine, Seattle, Washington, USA.
  • Sorensen M; Department of Urology, University of Washington School of Medicine, Seattle, Washington, USA.
  • Chansky HA; Division of Urology, VA Puget Sound Health Care System, Seattle, Washington, USA.
  • Telfer S; Department of Orthopaedics and Sports Medicine and University of Washington School of Medicine, Seattle, Washington, USA.
J Endourol ; 35(11): 1710-1715, 2021 11.
Article em En | MEDLINE | ID: mdl-33940950
ABSTRACT

Purpose:

Chronic neck pain is the most prevalent work-related musculoskeletal injury among surgeons. Urologists may be at higher risk of neck injury due to extended time spent operating in deep anatomical structures during open surgery. Our goal was to use wearable technology to quantify the relationship between neck posture and pain during open and robotic surgery. Materials and

Methods:

Urologic attendings and residents who spent at least 1 day per week performing surgery for >6 hours took part in this study. Neck posture was measured in real time during surgery using inertial measurement devices attached at the occipital protuberance and seventh cervical vertebrae. Self-reported neck pain scores were obtained throughout their workday.

Results:

Thirty participants and 202 hours of surgery were included in the study (21 attendings, 9 residents). There was a significant association between neck posture and pain (p = 0.04). Surgeons performing open procedures spent on average 147 minutes with their head in neck flexion postures of 30° or greater compared with 68 minutes for those performing robotic procedures (p = 0.007). Surgeons performing open procedures reported a mean change in neck pain of 2.0 on the numeric analogue scale, compared with 1.3 for those performing robotic procedures (p = 0.04).

Conclusions:

Real-time measurements of neck flexion during urologic surgery shows that greater duration and higher degree of neck flexion were associated with increased neck pain. Raising awareness about ergonomics in the operating room during residency will enable future generations of surgeons to make conscious decisions regarding their neck posture in surgery.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Procedimentos Cirúrgicos Robóticos / Dispositivos Eletrônicos Vestíveis / Doenças Profissionais Tipo de estudo: Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: J Endourol Assunto da revista: UROLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Procedimentos Cirúrgicos Robóticos / Dispositivos Eletrônicos Vestíveis / Doenças Profissionais Tipo de estudo: Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: J Endourol Assunto da revista: UROLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos