Prevalence and risk factors for musculoskeletal problems associated with microlaryngeal surgery: A national survey

Wong, Adrienne W.; Baker, Nancy A.; Smith, Libby J.; Rosen, Clark A.

doi:10.1002/lary.24367

Cited by 31 publications

(53 citation statements)

References 16 publications

(31 reference statements)

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“…First, this study had a small sample size and was from a single institution, which may limit its generalizability. However, we had an excellent response rate of 68.6%, which compares very favorably to the literature . Additionally, assessment of the REBA score can be subjective, as most postural positions are scored based on both an angular and a time factor.…”

Section: Discussionsupporting

confidence: 68%

“…However, we had an excellent response rate of 68.6%, which compares very favorably to the literature. 1,[8][9][10]19,20,[22][23][24] Additionally, assessment of the REBA score can be subjective, as most postural positions are scored based on both an angular and a time factor. A static picture can be used to accurately measure an angle, but does not capture the length of time a position is maintained or how many repetitions per minute occurred.…”

Section: Discussionmentioning

confidence: 99%

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Ergonomic hazards in otolaryngology

et al. 2018

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Objectives/Hypothesis To evaluate the presence of postural‐related strain and musculoskeletal discomfort, along with the level of ergonomics training and the availability of ergonomic equipment among otolaryngology surgeons. Study Design Intraoperative observations and survey study. Methods Using the Rapid Entire Body Assessment score system to identify ergonomic hazards, we conducted intraoperative observations assessing operating room personnel during different otolaryngological subspecialty procedures. Based on these findings, otolaryngology surgeons at a single academic institution in the United States were sent a survey that evaluated ergonomic practice, environmental infrastructure, and prior ergonomic training or education. Results A response rate of 69% was obtained from 70 surgeons, with 72.9% of responding surgeons suffering from some level of back pain, with cervical spine pain being the most common. Interestingly, residents were equally affected when compared to more senior surgeons both in subjective survey reports and from observational risk analysis. Furthermore, 43.8% of surgeons reported suffering from the highest level of pain when standing, whereas only 12.5% experienced pain when sitting. Importantly, 10% stated that pain impacted their work. Only 24% of surgeons had any prior ergonomic training or education. Conclusions Our data suggest that pain and disability induced by poor ergonomics are widespread among the otolaryngology community and confirm that surgeons rarely receive ergonomic training in the surgical context. Additionally, intraoperative observational findings identified that the majority of observed surgeons display poor posture, particularly a poor cervical angle and use of ergonomic setups, both of which increase ergonomic risk hazard. These data provide guidance for future interventional studies. Level of Evidence NA Laryngoscope, 129:370–376, 2019

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Section: Discussionsupporting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Ergonomic hazards in otolaryngology

et al. 2018

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“…With longer or more difficult procedures, fatigue is an additional problem, particularly of the larger muscle groups (upper arm and shoulder). Musculoskeletal symptoms occur in around 83% of surgeons performing microlaryngeal surgery, previous studies have identified neck flexion, and lack of arm supports is associated with high risk of musculoskeletal injury…”

Section: Introductionmentioning

confidence: 99%

A helpful technique for manual stability and avoiding fatigue during microlaryngoscopy

Osborne

Mitchell‐Innes

Costello

2015

Clinical Otolaryngology

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“…Musculoskeletal symptoms associated with performing microsuspension laryngeal surgery (MLS) are common. Wong et al found that 83% of otolaryngology survey respondents reported the presence of musculoskeletal symptoms while performing MLS, with some symptoms even persisting 48 hours after performing surgery . Accommodations to avoid pain associated with MLS need evaluation.…”

Section: Introductionmentioning

confidence: 99%

“…RULA is a validated survey method developed to assess ergonomic postures in the occupational setting and estimate risk of injury . Despite this compelling data, 38% of otolaryngologists continue to report not using arm support during MLS . This highlights the lack of insight regarding the ergonomics of performing MLS.…”

Section: Introductionmentioning

confidence: 99%