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Article: A study of surgeons' postural muscle activity during open, laparoscopic, and endovascular surgery
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TitleA study of surgeons' postural muscle activity during open, laparoscopic, and endovascular surgery
 
AuthorsSzeto, GPY
Ho, P1 3
Ting, ACW1
Poon, JTC1
Tsang, RCC2
Cheng, SWK1
 
KeywordsElectromyography
Ergonomics
Laparoscopy
Minimally invasive surgery
Neck pain.
Surgeon
 
Issue Date2010
 
PublisherSpringer New York LLC. The Journal's web site is located at http://link.springer-ny.com/link/service/journals/00464/
 
CitationSurgical Endoscopy And Other Interventional Techniques, 2010, v. 24 n. 7, p. 1712-1721 [How to Cite?]
DOI: http://dx.doi.org/10.1007/s00464-009-0834-3
 
AbstractBackground Different surgical procedures impose different physical demands on surgeons and high prevalence rates of neck and shoulder pain have been reported among general surgeons. Past research has examined electromyography in surgeons mainly during simulated conditions of laparoscopic and open surgery but not during real-time operations and not for long durations. The present study compares the neck-shoulder muscle activities in three types of surgery and between different surgeons. The relationships of postural muscle activities to musculoskeletal symptoms and personal factors also are examined. Methods Twenty-five surgeons participated in the study (23 men). Surface electromyography (EMG) was recorded in the bilateral cervical erector spinae, upper trapezius, and anterior deltoid muscles during three types of surgical procedures: open, laparoscopic, and endovascular. In each procedure, EMG data were captured for 30 min to more than 1 h. The surgeons were asked to rate any musculoskeletal symptoms before and after surgery. Results The present study showed significantly higher muscle activities in the cervical erector spinae and upper trapezius muscles in open surgery compared with endovascular and laparoscopic procedures. Muscle activities were fairly similar between endovascular and laparoscopic surgery. The upper trapezius usually has an important role in stabilizing both the neck and upper limb posture, and this muscle also recorded higher activities in open compared with laparoscopic and endovascular surgeries. Surgeons reported similar degrees of musculoskeletal symptoms in open and laparoscopic surgeries, which were higher than endovascular surgery. Conclusions The present study showed that open surgery imposed significantly greater physical demands on the neck muscles compared with endovascular and laparoscopic surgeries. This may be due to the lighter manual task demands of these minimally invasive surgeries compared with open procedures, which generally required more dynamic movements and more forceful exertions. © Springer Science+Business Media, LLC 2009.
 
ISSN0930-2794
2013 Impact Factor: 3.313
 
DOIhttp://dx.doi.org/10.1007/s00464-009-0834-3
 
ISI Accession Number IDWOS:000279036800028
Funding AgencyGrant Number
Bupa Foundation
Bupa Foundation Medical Research
Funding Information:

The authors express their sincere appreciation to the Bupa Foundation for funding this research project, and thank all of the surgeons who participated in the study. The authors thank the research assistants, Silvana Lau, Y. Y. Wong, Winnie Leung, and Ted Wong; without their help, this project would not be run so smoothly. The authors acknowledge Mr. Raymond Chung from the Hong Kong Polytechnic University for providing expert advice on statistical analysis, and Mr. Man Cheung for the technical advice on EMG data collection and analysis.

 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorSzeto, GPY
 
dc.contributor.authorHo, P
 
dc.contributor.authorTing, ACW
 
dc.contributor.authorPoon, JTC
 
dc.contributor.authorTsang, RCC
 
dc.contributor.authorCheng, SWK
 
dc.date.accessioned2010-10-31T11:30:15Z
 
dc.date.available2010-10-31T11:30:15Z
 
dc.date.issued2010
 
dc.description.abstractBackground Different surgical procedures impose different physical demands on surgeons and high prevalence rates of neck and shoulder pain have been reported among general surgeons. Past research has examined electromyography in surgeons mainly during simulated conditions of laparoscopic and open surgery but not during real-time operations and not for long durations. The present study compares the neck-shoulder muscle activities in three types of surgery and between different surgeons. The relationships of postural muscle activities to musculoskeletal symptoms and personal factors also are examined. Methods Twenty-five surgeons participated in the study (23 men). Surface electromyography (EMG) was recorded in the bilateral cervical erector spinae, upper trapezius, and anterior deltoid muscles during three types of surgical procedures: open, laparoscopic, and endovascular. In each procedure, EMG data were captured for 30 min to more than 1 h. The surgeons were asked to rate any musculoskeletal symptoms before and after surgery. Results The present study showed significantly higher muscle activities in the cervical erector spinae and upper trapezius muscles in open surgery compared with endovascular and laparoscopic procedures. Muscle activities were fairly similar between endovascular and laparoscopic surgery. The upper trapezius usually has an important role in stabilizing both the neck and upper limb posture, and this muscle also recorded higher activities in open compared with laparoscopic and endovascular surgeries. Surgeons reported similar degrees of musculoskeletal symptoms in open and laparoscopic surgeries, which were higher than endovascular surgery. Conclusions The present study showed that open surgery imposed significantly greater physical demands on the neck muscles compared with endovascular and laparoscopic surgeries. This may be due to the lighter manual task demands of these minimally invasive surgeries compared with open procedures, which generally required more dynamic movements and more forceful exertions. © Springer Science+Business Media, LLC 2009.
 
dc.description.naturelink_to_subscribed_fulltext
 
dc.identifier.citationSurgical Endoscopy And Other Interventional Techniques, 2010, v. 24 n. 7, p. 1712-1721 [How to Cite?]
DOI: http://dx.doi.org/10.1007/s00464-009-0834-3
 
dc.identifier.citeulike6500135
 
dc.identifier.doihttp://dx.doi.org/10.1007/s00464-009-0834-3
 
dc.identifier.epage1721
 
dc.identifier.hkuros175982
 
dc.identifier.isiWOS:000279036800028
Funding AgencyGrant Number
Bupa Foundation
Bupa Foundation Medical Research
Funding Information:

The authors express their sincere appreciation to the Bupa Foundation for funding this research project, and thank all of the surgeons who participated in the study. The authors thank the research assistants, Silvana Lau, Y. Y. Wong, Winnie Leung, and Ted Wong; without their help, this project would not be run so smoothly. The authors acknowledge Mr. Raymond Chung from the Hong Kong Polytechnic University for providing expert advice on statistical analysis, and Mr. Man Cheung for the technical advice on EMG data collection and analysis.

 
dc.identifier.issn0930-2794
2013 Impact Factor: 3.313
 
dc.identifier.issue7
 
dc.identifier.pmid20035345
 
dc.identifier.scopuseid_2-s2.0-77955662070
 
dc.identifier.spage1712
 
dc.identifier.urihttp://hdl.handle.net/10722/125417
 
dc.identifier.volume24
 
dc.languageeng
 
dc.publisherSpringer New York LLC. The Journal's web site is located at http://link.springer-ny.com/link/service/journals/00464/
 
dc.publisher.placeUnited States
 
dc.relation.ispartofSurgical Endoscopy and Other Interventional Techniques
 
dc.relation.referencesReferences in Scopus
 
dc.subject.meshAdult
 
dc.subject.meshElectromyography
 
dc.subject.meshFemale
 
dc.subject.meshHumans
 
dc.subject.meshLaparoscopy
 
dc.subject.meshMale
 
dc.subject.meshMuscle, Skeletal - physiology
 
dc.subject.meshNeck
 
dc.subject.meshPhysicians
 
dc.subject.meshPosture - physiology
 
dc.subject.meshShoulder
 
dc.subject.meshSurgical Procedures, Operative - methods
 
dc.subject.meshTask Performance and Analysis
 
dc.subjectElectromyography
 
dc.subjectErgonomics
 
dc.subjectLaparoscopy
 
dc.subjectMinimally invasive surgery
 
dc.subjectNeck pain.
 
dc.subjectSurgeon
 
dc.titleA study of surgeons' postural muscle activity during open, laparoscopic, and endovascular surgery
 
dc.typeArticle
 
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Author Affiliations
  1. The University of Hong Kong
  2. Queen Mary Hospital Hong Kong
  3. National University Hospital, Singapore