CC BY-NC-ND 4.0 · Journal of Academic Ophthalmology 2023; 15(02): e276-e279
DOI: 10.1055/s-0043-1777411
Research Article

Ergonomics of Ophthalmic Surgery: Evaluating the Effect of a Posture Trainer on Trainee Intraoperative Back Posture

1   Department of Ophthalmology, Baylor College of Medicine Cullen Eye Institute, Houston, Texas
,
Hasenin Al-Khersan
2   Department of Ophthalmology, Bascom Palmer Eye Institute, Miami Florida
,
Meghana Kalavar
3   Department of Ophthalmology, Ohio State University Ophthalmology, Columbus, Ohio
,
Arjun Watane
4   Department of Ophthalmology, Yale Eye Center, New Haven, Connecticut
,
Nicolas Yannuzzi
2   Department of Ophthalmology, Bascom Palmer Eye Institute, Miami Florida
,
Jayanth Sridhar
5   Department of Ophthalmology, University of California Los Angeles Stein Eye Institute, Los Angeles, California
› Author Affiliations

Abstract

Purpose Ophthalmic surgeons are at an increased risk for musculoskeletal disorders resulting from ophthalmology-specific routines and equipment, which have become widely associated with poor posture. The purpose of this study was to observe the effect that a commercially available posture trainer, Upright Go, can have on the improvement of posture of ophthalmic surgeons.

Methods Eight ophthalmologists-in-training were studied over a period of 4 weeks during their surgical rotations between September 2020 and June 2021. Participants underwent an “observation” period, followed by a 2-week “training” period, then a final “testing” period. The percentage of time users spent upright intraoperatively pre- and posttraining was evaluated. Pre- and poststudy surveys were also administered to help measure participant satisfaction and self-reported changes in posture.

Results All eight participants demonstrated an increase in the percentage of time spent upright after the training period. Across all participants, the total average percentage spent upright in the observation period was 59.8%, while in the testing period was 87.1%, resulting in an average improvement of 27.3% of time spent in an upright position after the completion of the training period (p < 0.0001). The range of improvement of time spent upright was 16.0 to 46.5%.

Conclusion This cohort study utilized the Upright Go device to help determine the effect that its training could have on the improvement of posture in ophthalmic surgeons. The results indicated a significant increase in the average proportion of time spent with upright posture compared after the training period.



Publication History

Received: 11 October 2022

Accepted: 09 November 2023

Article published online:
05 December 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Bonafede L, Kazmierczak L, Siddicky SF, Gunton KB. Ergonomics in strabismus surgery. Curr Opin Ophthalmol 2019; 30 (05) 331-336
  • 2 Sivak-Callcott JA, Mancinelli CA, Nimbarte AD. Cervical occupational hazards in ophthalmic plastic surgery. Curr Opin Ophthalmol 2015; 26 (05) 392-398
  • 3 Alrashed W. Ergonomics and work-related musculoskeletal disorders in ophthalmic practice. Imam Journal of Applied Sciences. 2016; 1 (02) 48-63
  • 4 Carbonaro N, Mascherini G, Bartolini I. et al. A wearable sensor-based platform for surgeon posture monitoring: a tool to prevent musculoskeletal disorders. Int J Environ Res Public Health 2021; 18 (07) 3734
  • 5 Catanzarite T, Tan-Kim J, Whitcomb EL, Menefee S. Ergonomics in surgery: a review. Female Pelvic Med Reconstr Surg 2018; 24 (01) 1-12
  • 6 Kitzmann AS, Fethke NB, Baratz KH, Zimmerman MB, Hackbarth DJ, Gehrs KM. A survey study of musculoskeletal disorders among eye care physicians compared with family medicine physicians. Ophthalmology 2012; 119 (02) 213-220
  • 7 Hyer JN, Lee RM, Chowdhury HR, Smith HB, Dhital A, Khandwala M. National survey of back & neck pain amongst consultant ophthalmologists in the United Kingdom. Int Ophthalmol 2015; 35 (06) 769-775
  • 8 Lakhiani C, Fisher SM, Janhofer DE, Song DH. Ergonomics in microsurgery. J Surg Oncol 2018; 118 (05) 840-844
  • 9 Crawford JO. The Nordic Musculoskeletal Questionnaire. Occup Med (Chic Ill) 2007; 57 (04) 300-301
  • 10 Sivak-Callcott JA, Diaz SR, Ducatman AM, Rosen CL, Nimbarte AD, Sedgeman JA. A survey study of occupational pain and injury in ophthalmic plastic surgeons. Ophthal Plast Reconstr Surg 2011; 27 (01) 28-32