Stretching and Strength Training to Improve Postural Ergonomics and Endurance in the Operating Room

The first-line treatment of temporomandibular joint disorders (TMDs) should include self-management and education. Self-management techniques include moist heat application, stretching, diet control, and mandibular rest position adjustment. Although the effectiveness of video educational resources has been studied in multiple sectors, their application in TMD management has not yet been explored. This study seeks to assess how effective media education was at motivating TMD patients to self-management and improve symptoms.Methods: Methods: Data were obtained from the hospital records of TMD patients who visited the

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“…The effectiveness of video education materials has been studied in multiple fields. According to Winters et al [25],…”

Section: Discussionmentioning

confidence: 99%

A Study on the Effect of Media Education in Patients with Temporomandibular Joint Disorders

et al. 2022

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“…To alleviate these symptoms, in addition to medical treatments, using prismatic loupes, strength training, exercise, conditioning, and retraining of posture have been found useful, and should become important adjuncts for every craniofacial surgeon. 16,20 Interestingly, over half the respondents expressed concerns about their ability to operate in the future due to musculoskeletal issues, with 59% reporting that it had already affected their work. 73% percent reporting knowing someone with chronic musculoskeletal discomfort, 56.6% reporting knowing a colleague who underwent an operation for a work-related musculoskeletal injury and 30.2% reporting a colleague on temporary or permanent disability for work-related musculoskeletal injuries.…”

Section: Discussionmentioning

confidence: 99%

Ergonomics Among Craniofacial Surgeons: A Survey of Work-Related Musculoskeletal Discomfort and Injury

Shah

Wang

Kest

et al. 2021

Journal of Craniofacial Surgery

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Introduction: Surgical procedures with loupe magnification, headlights, and microscopes expose craniofacial surgeons to mechanical stress that can increase risk of long-term musculoskeletal pain and injury. Identifying the prevalence and cause of work-related musculoskeletal discomfort may guide preventative strategies to prolong well-being, job satisfaction, and greater duration of surgical careers. Methods: A 29-question online survey was distributed to the surgeon members of the American Cleft Palate-Craniofacial Association. Eight hundred seventy-three surveys were distributed, and the anonymous responses were recorded using Google forms. Results: One hundred ninety-six unique responses were recorded (22.5% response rate). A total of 64.2% reported experiencing musculoskeletal symptoms during their career, with neck, lower back, and shoulders being the most common problem areas. Multivariate analysis demonstrated surgical loupes (odds ratio 2.36, P ¼ 0.03) and length of surgical practice >15 years (odds ratio 1.95, P ¼ 0.04) were independently associated with greater odds of developing symptoms. Headlights (median pain ¼ 3, P < 0.001), loupes (median pain ¼ 3.5, P < 0.001), and operative microscope use (median pain ¼ 2, P ¼ 0.02) were all associated with higher pain while operating. A total of 52.5% respondents sought medical treatments, 50.5% were concerned musculoskeletal discomfort would affect their careers, 56.6% reported a colleague that required an operation, and 30.2% reported a colleague on temporary or permanent disability. Conclusions: Craniofacial surgery often involves long procedures, use of surgical adjuncts, and ergonomically straining postures, which can lead to musculoskeletal discomfort and injury. This under-reported and important phenomenon merits candid conversation and active preventative strategies to prolong surgical careers, improve professional satisfaction, and maximize patient safety.

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“…In another study, plastic surgeons teamed up with physical therapists to identify common awkward postures and then developed strengthening exercises in an educational video. 28…”

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confidence: 99%

“…In another study, plastic surgeons teamed up with physical therapists to identify common awkward postures and then developed strengthening exercises in an educational video. 28 The imperative to address a workforce facing decreased productivity, career compromise, and Fig. 5.…”

mentioning

confidence: 99%

Surgical Ergonomics and Preventing Work-Related Musculoskeletal Disorders

Yurteri-Kaplan

Park

2023

Obstetrics &Amp; Gynecology

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A 45-year-old gynecologist feels a snap in his wrist during robotic surgery while sitting on the console. He is permanently disabled from a tendon rupture and is unable to operate again. A 44-year-old gynecologic oncologist has to take 6 weeks off work to rehabilitate lumbar disc herniation causing pain in the hips, buttocks, and down the leg. She can perform only minor surgery for the subsequent 2 months. To become a surgeon takes years of education and rigorous training. The job is physically and mentally demanding, but, during this intense training, minimal attention is given to the potential negative effect on a surgeon's health. 1 We believe that there needs to be a paradigm shift-to view the surgeon as a highperformance athlete. For each surgical case, the surgeon must assure mental acuity and create an environment to ensure maximal physical dexterity and longevity. This culture shift begins with an ergonomic work environment in which the environment fits the worker by creating conditions for optimal surgical performance.The health care industry has one of the highest rates of work-related injury and illness compared with other private sectors, with 582,800 cases in 2017. 2 This was 153,900 more cases than in manufacturing,

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Stretching and Strength Training to Improve Postural Ergonomics and Endurance in the Operating Room

Abstract: Supplemental Digital Content is available in the text.

Cited by 13 publications

References 51 publications

A Study on the Effect of Media Education in Patients with Temporomandibular Joint Disorders

A Study on the Effect of Media Education in Patients with Temporomandibular Joint Disorders

Ergonomics Among Craniofacial Surgeons: A Survey of Work-Related Musculoskeletal Discomfort and Injury

Surgical Ergonomics and Preventing Work-Related Musculoskeletal Disorders

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