The hazards to practitioners of obstetric and gynecological ultrasound

Hackmon, Rinat; Barnhard, Yoni; Beer, Renate; Meizner, Israel

doi:10.1002/uog.2800

Cited by 8 publications

(8 citation statements)

References 10 publications

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“…However, female gender was not found to be an independent risk factor for joint pain when assessed by multivariate analysis in the previous study [11]. The same study reported significantly higher rates of operative intervention in males despite the reported female predominance regarding joint and back pain (Table 1).…”

Section: Discussionmentioning

confidence: 69%

Work-related repetitive strain injuries amongst practitioners of obstetric and gynaecological ultrasound worldwide

Janga

Akinfenwa

2012

Arch Gynecol Obstet

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Section: Discussionmentioning

confidence: 69%

Work-related repetitive strain injuries amongst practitioners of obstetric and gynaecological ultrasound worldwide

Janga

Akinfenwa

2012

Arch Gynecol Obstet

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“…Most of the previous studies discuss musculoskeletal complaints mainly fatigue and back pain among gynecologists and surgeons without special emphasis or review to their occupational exposure (Wu et al, 1999, Dolan and Martin, 2001and Hackmon et al, 2006.…”

Section: Laparoscopicmentioning

confidence: 99%

Neck and Upper Limb Pain Among Gynecologists Working at Menoufia Governorate in Egypt

Elbadry

Allam

Marawan

2018

Egypt. J. Occup. Med.

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Introduction: Little attention was paid to explore the prevalence of neck and upper limb pain among gynecologists particularly those who perform laparoscopic procedures. Aim of work: To assess the frequency of pain in the neck and upper limbs among gynecologists working at Menoufia governorate in Egypt and to explore common risk factors. Materials and methods: A pre-designed questionnaire was sent to 642 gynecologists who worked at Menoufia governorate in Egypt; 583 were returned (90.8%). Descriptive and analytical statistical analyses were performed to assess the frequency of pain in neck and upper limb and to detect their risk factors. Results: Among 583 gynecologists, 293 (50.3%) were male and 290 (49.7%) were females; age ranged from 27 to 60 years old, out of them 315 (54.03%) experienced neck and/ or upper limb pain. Most of the affected participants experience pain 1-2 times/week (80.6%), received medical treatment for pain (92.7%), applied for sick leave 1-2 times/ month (77.1%) and taught that attaining certain posture while operating is the main cause of their pain (73.3%). Age above 45 years (odd's ratio 1.45), clinical practice over 15 years, laparoscopic procedures (odd's ratio 1.88), more than ten operations per week (odd's ratio 2.78) and operations took more than one hour (odd's ratio 2.10) increase the risk for developing neck and/or upper limb pain. Conclusion: This study revealed that neck and/or upper limb pain is common among gynecologic laparoscopists. Adoption of ergonomic posture and decreasing working hours when performing laparoscopic procedures may help to minimize the risk of a work-related pain. Future research should explore the implementation of ergonomic guidelines and correlation with subsequent improvement of outcome.

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“…However, back pain is independent of exposure and sex. In addition to joint problems, deterioration of visual acuity is the second most commonly reported condition (19.2%) 10 …”

Section: Prevalence and Consequences Of Musculoskeletal Disorders Amomentioning

confidence: 99%

“…The severity of symptoms may even lead to medical and surgical treatments. Hackmon et al 10 showed that of 133 professionals, 15% used mesotherapy; 11.3% acknowledged taking analgesics for pain relief; and 3.8% reported having surgical treatments. Carpal tunnel release and shoulder surgery are the most common procedures.…”

Section: Prevalence and Consequences Of Musculoskeletal Disorders Amomentioning

confidence: 99%

Practice Guidelines for Prevention of Musculoskeletal Disorders in Obstetric Sonography

Rousseau

Mottet

Macé

et al. 2013

Journal of Ultrasound in Medicine

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quipment installation and ergonomic work environments in obstetric sonography are seldom addressed. However, it is very important for sonographers of all experience levels to know the different musculoskeletal disorders that can occur in regular practice. These disorders have been clinically recognized since the late 1990s. 1 They denote a set of conditions responsible for pain and discomfort, affecting primarily the upper limbs and the cervical and lumbar spine.Many studies on the subject, mainly conducted in Englishspeaking countries, show that more than 80% of experienced sonographers of all specialties describe pain when performing examinations. 2 The average time between the start of regular sonography practice and the onset of pain is 5 years. Given the reality of this problem, it seems essential to continue research to better understand the causes of these disorders and improve prevention. After a literature review and our own work analysis, we propose and illustrate rules of good practice to limit harmful postures. REVIEW ARTICLEErgonomics and prevention of musculoskeletal disorders in obstetric sonography is a subject seldom discussed. However, 80% of sonographers describe pain when performing these examinations. The consequences of these disorders can range from impaired quality of life to the complete cessation of professional activity. Some diseases may even require surgical treatments such as carpal tunnel syndrome and shoulder rotator cuff injuries. After joint disorders mainly affecting the upper limbs and neck, deterioration of visual acuity is the second most commonly reported condition. A literature review can identify risk factors, particularly arm abduction greater than 30°, repeated isometric maneuvers without compensatory rest, the level of force applied to the probe, abdominal scanning approaches, examination times longer than 25 minutes, and more than 100 sonographic examinations per month. The ergonomics of the operator's workstation and posture are essential to prevent these disorders. Machine, probe, chair, and examination bed designs are already subject to industrial consensus, but sonographers are responsible for configuring their ideal workstations to preserve their professional and physical potential. Therefore, this article proposes rules of good practice and illustrates recommended positions and those to avoid.

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The hazards to practitioners of obstetric and gynecological ultrasound

Abstract: Objectives

Cited by 8 publications

References 10 publications

Work-related repetitive strain injuries amongst practitioners of obstetric and gynaecological ultrasound worldwide

Work-related repetitive strain injuries amongst practitioners of obstetric and gynaecological ultrasound worldwide

Neck and Upper Limb Pain Among Gynecologists Working at Menoufia Governorate in Egypt

Practice Guidelines for Prevention of Musculoskeletal Disorders in Obstetric Sonography

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