Surgeons’ muscle load during robotic-assisted laparoscopy performed with a regular office chair and the preferred of two ergonomic chairs: A pilot study

T. Dalager*, P. T. Jensen, T. S. Winther, T. R. Savarimuthu, A. Markauskas, O. Mogensen, K. Søgaard

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

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Abstract

Surgeons work in awkward work postures and have high precision demands - well-known risk factors for musculoskeletal pain. Robotic-assisted laparoscopy is expected to be less demanding compared to conventional laparoscopy; however, studies indicate that robotic-assisted laparoscopy is also associated with poor ergonomics and musculoskeletal pain. The ergonomic condition in the robotic console is partially dependent upon the chair provided, which often is a regular office chair. Our study quantified and compared the muscular load during robotic-assisted laparoscopy using one of two custom built ergonomic chairs and a regular office chair. The results demonstrated no differences that could be considered clinically relevant. Overall, the study showed high levels of static and mean muscular activity, increased perceived physical exertion from pre-to-post surgery, and moderate to high risk for musculoskeletal injuries measured by the Rapid Upper Limb Assessment worksheet. Authors advocate for further investigation in surgeons’ ergonomics and physical work demands in robotic surgery.

Original languageEnglish
JournalApplied Ergonomics
Volume78
Pages (from-to)286-292
ISSN0003-6870
DOIs
Publication statusPublished - 1. Jul 2019

Keywords

  • Electromyography
  • Ergonomics
  • Robotic-assisted laparoscopy

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