File Download
 
Links for fulltext
(May Require Subscription)
 
Supplementary

Article: Surgeons' static posture and movement repetitions in open and laparoscopic surgery
  • Basic View
  • Metadata View
  • XML View
TitleSurgeons' static posture and movement repetitions in open and laparoscopic surgery
 
AuthorsSzeto, GPY2
Cheng, SWK1
Poon, JTC1
Ting, ACW1
Tsang, RCC3
Ho, P4
 
Keywordslaparoscopic
movement
open surgery
posture
surgeons
work-related musculoskeletal disorders
 
Issue Date2012
 
PublisherElsevier Inc.. The Journal's web site is located at http://www.elsevier.com/locate/jsre
 
CitationJournal Of Surgical Research, 2012, v. 172 n. 1, p. e19-e31 [How to Cite?]
DOI: http://dx.doi.org/10.1016/j.jss.2011.08.004
 
AbstractBackground: There is increasing concern about the surgeon maintaining a static posture during laparoscopic surgery, which can contribute to musculoskeletal disorders. A series of studies are being conducted in Hong Kong examining the surgeons' real-time movements and electromyography in the operating theater during different operations. The present paper examines the postures and movements of surgeons during real-time open and laparoscopic procedures. Materials and Methods: Fourteen surgeons participated in the study (12 men, 2 women). Cervical spine movements were measured using a biaxial inclinometer attached to the surgeon's head via a headband. Biaxial electrogoniometers were attached to the surgeon's bilateral shoulder joints. Real-time joint movements in sagittal and coronal planes were recorded during open and laparoscopic surgeries for periods ranging from 30 to 80 min. Results: Surgeons generally maintained a flexed neck posture during open surgery and a more extended neck posture during laparoscopic procedures. There were statistically significant differences in mean neck posture and mean left shoulder abduction posture between the two types of surgery. Laparoscopic procedures showed a trend for longer duration in static posture in the neck, while open procedures showed trends for higher frequencies of movements. Conclusions: This study presented a novel approach to quantify the physical workload of surgeons using biomechanical parameters to describe duration of static posture and repetitiveness of movements. Results showed that long durations of static postures in laparoscopic surgery were closely associated with low-level muscle tension, which may contribute to an increased risk of surgeons developing musculoskeletal disorders. © 2012 Elsevier Inc. All rights reserved.
 
ISSN0022-4804
2013 Impact Factor: 2.121
 
DOIhttp://dx.doi.org/10.1016/j.jss.2011.08.004
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorSzeto, GPY
 
dc.contributor.authorCheng, SWK
 
dc.contributor.authorPoon, JTC
 
dc.contributor.authorTing, ACW
 
dc.contributor.authorTsang, RCC
 
dc.contributor.authorHo, P
 
dc.date.accessioned2012-03-27T09:03:53Z
 
dc.date.available2012-03-27T09:03:53Z
 
dc.date.issued2012
 
dc.description.abstractBackground: There is increasing concern about the surgeon maintaining a static posture during laparoscopic surgery, which can contribute to musculoskeletal disorders. A series of studies are being conducted in Hong Kong examining the surgeons' real-time movements and electromyography in the operating theater during different operations. The present paper examines the postures and movements of surgeons during real-time open and laparoscopic procedures. Materials and Methods: Fourteen surgeons participated in the study (12 men, 2 women). Cervical spine movements were measured using a biaxial inclinometer attached to the surgeon's head via a headband. Biaxial electrogoniometers were attached to the surgeon's bilateral shoulder joints. Real-time joint movements in sagittal and coronal planes were recorded during open and laparoscopic surgeries for periods ranging from 30 to 80 min. Results: Surgeons generally maintained a flexed neck posture during open surgery and a more extended neck posture during laparoscopic procedures. There were statistically significant differences in mean neck posture and mean left shoulder abduction posture between the two types of surgery. Laparoscopic procedures showed a trend for longer duration in static posture in the neck, while open procedures showed trends for higher frequencies of movements. Conclusions: This study presented a novel approach to quantify the physical workload of surgeons using biomechanical parameters to describe duration of static posture and repetitiveness of movements. Results showed that long durations of static postures in laparoscopic surgery were closely associated with low-level muscle tension, which may contribute to an increased risk of surgeons developing musculoskeletal disorders. © 2012 Elsevier Inc. All rights reserved.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationJournal Of Surgical Research, 2012, v. 172 n. 1, p. e19-e31 [How to Cite?]
DOI: http://dx.doi.org/10.1016/j.jss.2011.08.004
 
dc.identifier.doihttp://dx.doi.org/10.1016/j.jss.2011.08.004
 
dc.identifier.epagee31
 
dc.identifier.hkuros198823
 
dc.identifier.issn0022-4804
2013 Impact Factor: 2.121
 
dc.identifier.issue1
 
dc.identifier.pmid22079837
 
dc.identifier.scopuseid_2-s2.0-82955236095
 
dc.identifier.spagee19
 
dc.identifier.urihttp://hdl.handle.net/10722/145949
 
dc.identifier.volume172
 
dc.languageeng
 
dc.publisherElsevier Inc.. The Journal's web site is located at http://www.elsevier.com/locate/jsre
 
dc.publisher.placeUnited States
 
dc.relation.ispartofJournal of Surgical Research
 
dc.relation.referencesReferences in Scopus
 
dc.subject.meshDigestive System Surgical Procedures
 
dc.subject.meshLaparoscopy
 
dc.subject.meshMovement - physiology
 
dc.subject.meshPhysicians
 
dc.subject.meshPosture - physiology
 
dc.subjectlaparoscopic
 
dc.subjectmovement
 
dc.subjectopen surgery
 
dc.subjectposture
 
dc.subjectsurgeons
 
dc.subjectwork-related musculoskeletal disorders
 
dc.titleSurgeons' static posture and movement repetitions in open and laparoscopic surgery
 
dc.typeArticle
 
<?xml encoding="utf-8" version="1.0"?>
<item><contributor.author>Szeto, GPY</contributor.author>
<contributor.author>Cheng, SWK</contributor.author>
<contributor.author>Poon, JTC</contributor.author>
<contributor.author>Ting, ACW</contributor.author>
<contributor.author>Tsang, RCC</contributor.author>
<contributor.author>Ho, P</contributor.author>
<date.accessioned>2012-03-27T09:03:53Z</date.accessioned>
<date.available>2012-03-27T09:03:53Z</date.available>
<date.issued>2012</date.issued>
<identifier.citation>Journal Of Surgical Research, 2012, v. 172 n. 1, p. e19-e31</identifier.citation>
<identifier.issn>0022-4804</identifier.issn>
<identifier.uri>http://hdl.handle.net/10722/145949</identifier.uri>
<description.abstract>Background: There is increasing concern about the surgeon maintaining a static posture during laparoscopic surgery, which can contribute to musculoskeletal disorders. A series of studies are being conducted in Hong Kong examining the surgeons&apos; real-time movements and electromyography in the operating theater during different operations. The present paper examines the postures and movements of surgeons during real-time open and laparoscopic procedures. Materials and Methods: Fourteen surgeons participated in the study (12 men, 2 women). Cervical spine movements were measured using a biaxial inclinometer attached to the surgeon&apos;s head via a headband. Biaxial electrogoniometers were attached to the surgeon&apos;s bilateral shoulder joints. Real-time joint movements in sagittal and coronal planes were recorded during open and laparoscopic surgeries for periods ranging from 30 to 80 min. Results: Surgeons generally maintained a flexed neck posture during open surgery and a more extended neck posture during laparoscopic procedures. There were statistically significant differences in mean neck posture and mean left shoulder abduction posture between the two types of surgery. Laparoscopic procedures showed a trend for longer duration in static posture in the neck, while open procedures showed trends for higher frequencies of movements. Conclusions: This study presented a novel approach to quantify the physical workload of surgeons using biomechanical parameters to describe duration of static posture and repetitiveness of movements. Results showed that long durations of static postures in laparoscopic surgery were closely associated with low-level muscle tension, which may contribute to an increased risk of surgeons developing musculoskeletal disorders. &#169; 2012 Elsevier Inc. All rights reserved.</description.abstract>
<language>eng</language>
<publisher>Elsevier Inc.. The Journal&apos;s web site is located at http://www.elsevier.com/locate/jsre</publisher>
<relation.ispartof>Journal of Surgical Research</relation.ispartof>
<subject>laparoscopic</subject>
<subject>movement</subject>
<subject>open surgery</subject>
<subject>posture</subject>
<subject>surgeons</subject>
<subject>work-related musculoskeletal disorders</subject>
<subject.mesh>Digestive System Surgical Procedures</subject.mesh>
<subject.mesh>Laparoscopy</subject.mesh>
<subject.mesh>Movement - physiology</subject.mesh>
<subject.mesh>Physicians</subject.mesh>
<subject.mesh>Posture - physiology</subject.mesh>
<title>Surgeons&apos; static posture and movement repetitions in open and laparoscopic surgery</title>
<type>Article</type>
<description.nature>Link_to_subscribed_fulltext</description.nature>
<identifier.doi>10.1016/j.jss.2011.08.004</identifier.doi>
<identifier.pmid>22079837</identifier.pmid>
<identifier.scopus>eid_2-s2.0-82955236095</identifier.scopus>
<identifier.hkuros>198823</identifier.hkuros>
<relation.references>http://www.scopus.com/mlt/select.url?eid=2-s2.0-82955236095&amp;selection=ref&amp;src=s&amp;origin=recordpage</relation.references>
<identifier.volume>172</identifier.volume>
<identifier.issue>1</identifier.issue>
<identifier.spage>e19</identifier.spage>
<identifier.epage>e31</identifier.epage>
<publisher.place>United States</publisher.place>
</item>
Author Affiliations
  1. The University of Hong Kong
  2. Hong Kong Polytechnic University
  3. Queen Mary Hospital Hong Kong
  4. National University of Singapore