Optimizing ergonomics during endoscopy

Chang, Michael; Mitchell, Jeffrey; Fehmi, Syed M. Abbas

doi:10.1016/j.vgie.2017.03.005

Cited by 13 publications

(6 citation statements)

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“…The lack of endoscopy-specific ergonomics education is believed to play a significant role in the overall poor compliance among endoscopists with regard to ergonomic practices 14 , and our study demonstrates a willingness among the majority of fellows (67 % of all responders) to address this issue by receiving ergonomics training. As such, we believe there is a need to train the instructors in applying endoscopic-specific ergonomic principles to their education of fellows and that there is a clear role for widespread education and implementation of guidelines for best clinical practice of ergonomics 3 14 15 16 . Based on our study, that training should begin at the start of fellowship.…”

Section: Discussionmentioning

confidence: 99%

Endoscopy-related musculoskeletal injuries in gastroenterology fellows

et al. 2019

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Background and study aims Gastroenterologists are at high risk for work-related musculoskeletal injuries. Studies have shown that 37 % to 89 % of endoscopists have work-related musculoskeletal injuries. While all surveys until now have focused on practicing endoscopists, there have been no publications assessing the prevalence of musculoskeletal injuries among gastrointerology fellows, which we sought to investigate. Methods A 22-question survey about ergonomics and work-related musculoskeletal injuries was sent to 114 gastroenterology fellows in different programs across the United States in June 2016, and an additional 103 surveys were distributed at Digestive Disease Week in May 2017. Responses were collected, and data were analyzed. Results A total of 156 surveys were collected. Of these, 74 fellows (47 %) reported a new musculoskeletal injury related to endoscopy. Injuries occurred mostly in the first year of fellowship (85 %, P < 0.001). The most common sites of injury were the right wrist (53 %), left thumb (42 %), back (27 %), and neck (22 %). Only 26 % those who had endoscopy-related musculoskeletal injuries had received training in ergonomics compared to 45 % of those who did not have injury (P = 0.012), and ergonomics training was highly desirable among respondents, particularly among those with previous injuries (P = 0.0030) Conclusion Musculoskeletal injuries related to endoscopy are very common among gastroenterology fellows, particularly during the first year of fellowship. While the overall percentage of fellows who received training in ergonomics was low, those who did receive training were less like to report a musculoskeletal injury. There is an urgent need for ergonomics training among Gastroenterology fellows.

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Section: Discussionmentioning

confidence: 99%

Endoscopy-related musculoskeletal injuries in gastroenterology fellows

et al. 2019

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“…The issue is worth addressing for better clinical practice of ergonomics and better outcomes not only for qualified but also skilled HCPs (endoscopists). [20][21][22] Although our findings indicate a higher prevalence of ergonomic injuries among endoscopists than among non-endoscopists, several study limitations need to be considered. Among the studied predictors or contributing factors, none was found to significantly contribute to ergonomic injuries and MSK pain among endoscopists.…”

Section: Discussionmentioning

confidence: 69%

“…The issue is worth addressing for better clinical practice of ergonomics and better outcomes not only for qualified but also skilled HCPs (endoscopists) [ 20 - 22 ]. Although our findings indicate a higher prevalence of ergonomic injuries among endoscopists than among non-endoscopists, several study limitations need to be considered.…”

Section: Discussionmentioning

confidence: 99%

Ergonomic Injuries in Endoscopists and Their Risk Factors

Kamani

Kalwar²

2021

Clin Endosc

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Work-related musculoskeletal (MSK) injury is the principal occupational health problem reported by the majority of health-care providers (HCPs), as routine practice poses a continuous risk. Moreover, MSK injury is an often reported complaint among endoscopists. 1-5 The continuous occupational load and its associated risks have been known to affect the overall quality of life and the working routine of physicians. Ergonomic injuries have been reported to occur owing to static muscle loading, repetitive movements, and inappropriate body posture during procedures. 6,7 Additionally, continuous repetitive procedures, lack of breaks, and personal routines and practices of HCPs double the risk of occupational injuries. 8 Ergonomic injuries leading to pain in MSK sites (neck, low back, thumb, and hand) are frequently reported by HCPs, specifically endoscopists. 3,4 Previous studies have reported that the overall prevalence of these procedural injuries among endoscopists ranges from 39 % to 89 %. 9,10 Endoscopy has become the most important and frequently performed procedure in gastroenterology. 11 Therefore, the injury risk is comparatively higher among physicians and surgeons involved in endoscopic procedures. Additionally, the disease crisis has intensified during the recent years, thus increasing procedural stress and predisposing endoscopists to occupational injuries at a high rate. 12 Currently, work-related MSK disorders and the associated ergonomic mechanisms are points of concern for the health sector. The condition is threatening for both HCPs and patients, as it results in compromised occupational per

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“…Trainees often tend to bend their body unconsciously when trying to get a better view on the screen. Other tips include to use the endoscope as a lever to reduce right hand torqueing, using a neutral thumb grip position, using gauze with right-hand grip to reduce pressure, and using the left-hand pinky grip technique to reduce right-hand strain in difficult or tight endoscope positions[55]. SBT can be used to teach these skills to the trainees by helping them practice posturing with a model that mimics the physical aspects of the endoscope workstation.…”

Section: Future Directionsmentioning

confidence: 99%

Virtual reality simulation in endoscopy training: Current evidence and future directions

Mahmood

Scaffidi

Khan

et al. 2018

WJG

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Virtual reality simulation is becoming the standard when beginning endoscopic training. It offers various benefits including learning in a low-stakes environment, improvement of patient safety and optimization of valuable endoscopy time. This is a review of the evidence surrounding virtual reality simulation and its efficacy in teaching endoscopic techniques. There have been 21 randomized controlled trials (RCTs) that have investigated virtual reality simulation as a teaching tool in endoscopy. 10 RCTs studied virtual reality in colonoscopy, 3 in flexible sigmoidoscopy, 5 in esophagogastroduodenoscopy, and 3 in endoscopic retrograde cholangiopancreatography. RCTs reported many outcomes including distance advanced in colonoscopy, comprehensive assessment of technical and non-technical skills, and patient comfort. Generally, these RCTs reveal that trainees with virtual reality simulation based learning improve in all of these areas in the beginning of the learning process. Virtual reality simulation was not effective as a replacement of conventional teaching methods. Additionally, feedback was shown to be an essential part of the learning process. Overall, virtual reality endoscopic simulation is emerging as a necessary augment to conventional learning given the ever increasing importance of patient safety and increasingly valuable endoscopy time; although work is still needed to study the nuances surrounding its integration into curriculum.

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Optimizing ergonomics during endoscopy

Cited by 13 publications

References 0 publications

Endoscopy-related musculoskeletal injuries in gastroenterology fellows

Endoscopy-related musculoskeletal injuries in gastroenterology fellows

Ergonomic Injuries in Endoscopists and Their Risk Factors

Virtual reality simulation in endoscopy training: Current evidence and future directions

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