Application of a motion capture data glove for hand and wrist ergonomic analysis during laparoscopy

Sánchez‐Margallo, Francisco M.; Pérez-Duarte, Francisco J.; Sánchez‐Margallo, Juan A.; Lucas-Hernández, Marcos; Matos-Azevedo, Ana Maria; Dı́az-Güemes, Idoia

doi:10.3109/13645706.2014.925928

Cited by 15 publications

(12 citation statements)

References 26 publications

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“…The RULA score results of their study suggest that all study surgeons adopt an inadequate position of the wrist associated with a marked hyperflexion of this joint. [38] They computed the RULA scores for the risk based on sagittal plane deviations (i.e., flexion-extension). In our study, we included the WJ deflections in the both sagittal and frontal planes to compute wrist RULA.…”

Section: Discussionmentioning

confidence: 99%

Objective ergonomic risk assessment of wrist and spine with motion analysis technique during simulated laparoscopic cholecystectomy in experienced and novice surgeons

et al. 2017

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INTRODUCTION:There is a rise in prevalence of work-related musculoskeletal disorders in surgeons performing laparoscopic surgeries due to lack of ergonomic considerations to the minimal access surgical environment. The objective of this study was to assess the physical ergonomics in experienced and novice surgeons during a simulated laparoscopic cholecystectomy.METHODOLOGY:Thirty-two surgeons participated in this study and were distributed in two groups (experienced and novices) based on the inclusion criteria. Both groups were screened for the spinal and wrist movements on the orientation sensor-based, motion analysis device while performing a simulated laparoscopic cholecystectomy. Simultaneous video recording was used to estimate the other joint positions. The RULA (Rapid Upper Limb Assessment) ergonomic risk scores were estimated with the acquired data.RESULTS:We found that surgeons in both novice and experienced groups scored a high on the RULA. Limited awareness of the influence of monitor position on the postural risk caused surgeons to adopt non-neutral range cervical postures. The thoracolumbar spine is subjected to static postural demand. Awkward wrist postures were adopted during the surgery by both groups. There was no statistically significant difference in the RULA scores between the novice and experienced, but some differences in maximum joint excursions between them as detected on the motion analysis system.CONCLUSION:Both experienced and novice surgeons adopted poor spinal and wrist ergonomics during simulated cholecystectomy. We concluded that the physical ergonomic risk is medium as estimated by the RULA scoring method, during this minimally invasive surgical procedure, demanding implementation of change in the ergonomic practices.

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Section: Discussionmentioning

confidence: 99%

Objective ergonomic risk assessment of wrist and spine with motion analysis technique during simulated laparoscopic cholecystectomy in experienced and novice surgeons

et al. 2017

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“…In the clinical field, these devices have been used in conjunction with virtual reality systems for rehabilitation purposes [25] and surgical planning applications [26]. Recently, this technology has been used to analyze the surgeon's hand movements while using different surgical instruments during laparoscopic practice [5,8,11,27] (Figure 4).…”

Section: Data Glovesmentioning

confidence: 99%

“…Several metrics of muscle activity during the execution of a certain task can be computed by analyzing the EMG signal such as the percentage of the maximal voluntary contraction (MVC) [29], the amplitude probability distribution function (APDF) [30], or the muscle fatigue [6]. EMG has been an extended ergonomic assessment method in laparoscopic surgery to analyze the surgeon's postural muscle activity [5,11], the use of different surgical instruments, and instrument handles [27,31] (Figure 5).…”

Section: Electromyographymentioning

confidence: 99%

“…Results showed that the surgeons with a higher degree of laparoscopic experience exhibited a lower level of muscle activity when compared with the novice surgeons. In another study with 50 surgeons, we analyzed the surgeons' hand spatial configuration during the use of two laparoscopic instrument handles, axial and ring-handled [11]. Movements of the surgeon's hand and wrist were recorded by a data glove and the level of wrist disorder was computed by a modified version of the RULA method [27] (Figure 6).…”

Section: Ergonomics In Laparoscopic Surgerymentioning

confidence: 99%

“…The main objective of this field is to adapt environments to workers, improving equipment, workplaces, productivity, and training [10]. In this respect, ergonomics applied to laparoscopic surgery is focused on instruments' design and ergonomic assessment, surgeons' posture and workload analysis, surgical environment, and visual displays development [11,12]. The main objective of this chapter is to review and analyze the ergonomic conditions during laparoscopic surgery and novel minimally invasive surgical approaches such as LESS and robotic surgery, as well as to establish ergonomic guidelines for laparoscopic surgical practice.…”

Section: Introductionmentioning

confidence: 99%

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Ergonomics in Laparoscopic Surgery

Sánchez‐Margallo¹,

Sánchez‐Margallo²

2017

Laparoscopic Surgery

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Despite the many advantages for patients, laparoscopic surgery entails certain ergonomic inconveniences for surgeons, which may result in decreasing the surgeons' performance and musculoskeletal disorders. In this chapter, the current status of ergonomics in laparoscopy, laparoendoscopic single-site surgery (LESS), and robotassisted surgery will be reviewed. Ergonomic guidelines for laparoscopic surgical practice and methods for ergonomic assessment in surgery will be described. Results will be based on the scientific literature and our experience. Results showed that the surgeon's posture during laparoscopic surgery is mainly affected by the static body postures, the height of the operating table, the design of the surgical instruments, the position of the main screen, and the use of foot pedals. Ergonomics during the laparoscopic surgical practice is related to the level of experience. Better ergonomic conditions entail an improvement in task performance. Laparoscopic instruments with axial handle lead to a more ergonomic posture for the wrist compared to a ring handle. LESS is physically more demanding than conventional and hybrid approaches, requiring greater level of muscular activity in the back and arm muscles, but better wrist position compared with traditional laparoscopy. Physical and cognitive ergonomics with robotic assistance were significantly less challenging when compared to conventional laparoscopic surgery.

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Electromechanical instruments

Ortenzi,

Szold

2023

The Technical Principles of Endoscopic Surgery

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Application of a motion capture data glove for hand and wrist ergonomic analysis during laparoscopy

Cited by 15 publications

References 26 publications

Objective ergonomic risk assessment of wrist and spine with motion analysis technique during simulated laparoscopic cholecystectomy in experienced and novice surgeons

Objective ergonomic risk assessment of wrist and spine with motion analysis technique during simulated laparoscopic cholecystectomy in experienced and novice surgeons

Ergonomics in Laparoscopic Surgery

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