Ergonometry in Endoscopic Procedures: Prevention of Musculoskeletal Injuries During Endoscopic Procedures by Using Belt-Like Manouvring Device with Joystick Capabilities

Aims Gastrointestinal endoscopy forms a significant proportion of clinicians’ workloads. However, little attention is given to the ergonomic aspects of endoscopy. Experimental studies showed that forces and loads placed on endoscopists’ bodies during procedures place them at risk of occupational injury. The main goal of the study was to show the difference in muscle work and overload during endoscopic procedures by applying belt-manouvering device (Endojoystick) with joystick abilities. It is a novelty in the area of endoscopic ergonometry with the intent of risk reduction and prevention of musculoskeletal injuries related to endoscopy.

Methods By using surface electromyography (EMG) muscle potentials were measured in areas of specific muscles of the left hand (Deltoid, Biceps, Triceps, Flexors, Extensors). Potentials were measured with and without the application of belt-manouvering device. The subject exercised the same basic set of endoscopic manouvers and movements for 1 minute, with and without the application of the belt-manouvering device.

Results Measured potentials showed that by using belt-like manouvring device muscle load on the left upper limb and shoulder significantly decreased. Subjectively, scope stability was improved.

Conclusions Injury prevention is a wery important part of the modern endoscopy. Until now, no ergonomic accessorise was available. Our data suggest a reduced risk in endoscopy related musculoskeletal injuries and subjective scope stabilisation improvement. Further studies on greater population are in progress.

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Citation: Duric T eP193 ERGONOMETRY IN ENDOSCOPIC PROCEDURES: PREVENTION OF MUSCULOSKELETAL INJURIES DURING ENDOSCOPIC PROCEDURES BY USING BELT-LIKE MANOUVRING DEVICE WITH JOYSTICK CAPABILITIES. Endoscopy 2021; 53: S160.

Publication History

Article published online:
19 March 2021