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

A pilot study

Research output: Contribution to journalJournal articleResearchpeer-review

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

Fingerprint

Laparoscopy
Human Engineering
Robotics
Ergonomics
ergonomics
Muscle
Muscles
surgery
pain
Physical Exertion
Surgery
Surgeons
Wounds and Injuries

Keywords

  • Electromyography
  • Ergonomics
  • Robotic-assisted laparoscopy

Cite this

@article{5885626269c54396bc7758898832cb9a,
title = "Surgeons’ muscle load during robotic-assisted laparoscopy performed with a regular office chair and the preferred of two ergonomic chairs: A pilot study",
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.",
keywords = "Electromyography, Ergonomics, Robotic-assisted laparoscopy",
author = "T. Dalager and Jensen, {P. T.} and Winther, {T. S.} and Savarimuthu, {T. R.} and A. Markauskas and O. Mogensen and K. S{\o}gaard",
year = "2019",
month = "7",
day = "1",
doi = "10.1016/j.apergo.2018.03.016",
language = "English",
volume = "78",
pages = "286--292",
journal = "Applied Ergonomics",
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publisher = "Pergamon Press",

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TY - JOUR

T1 - Surgeons’ muscle load during robotic-assisted laparoscopy performed with a regular office chair and the preferred of two ergonomic chairs

T2 - A pilot study

AU - Dalager, T.

AU - Jensen, P. T.

AU - Winther, T. S.

AU - Savarimuthu, T. R.

AU - Markauskas, A.

AU - Mogensen, O.

AU - Søgaard, K.

PY - 2019/7/1

Y1 - 2019/7/1

N2 - 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.

AB - 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.

KW - Electromyography

KW - Ergonomics

KW - Robotic-assisted laparoscopy

U2 - 10.1016/j.apergo.2018.03.016

DO - 10.1016/j.apergo.2018.03.016

M3 - Journal article

VL - 78

SP - 286

EP - 292

JO - Applied Ergonomics

JF - Applied Ergonomics

SN - 0003-6870

ER -