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.
Fig.1
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.
