Venkatesh Ramesh, Kumar Sumit
Department of Retina and Vitreous, Dr. Shroff's Charity Eye Hospital, Daryaganj, New Delhi, India.
Indian J Ophthalmol. 2017 Aug;65(8):678-682. doi: 10.4103/ijo.IJO_344_17.
The aim is to assess the prevalence, severity, and associations of back pain among Indian ophthalmologists.
A self-reporting questionnaire was sent to ophthalmologists with valid e-mail addresses registered with the All India Ophthalmological Society. The survey was open for responses for 2 months.
A total of 651 (5.96%) responses were obtained; 394 (61%) males and 257 (39%) females. Half (50%) of responses were obtained from doctors belonging to 31-40 years' age group. Two hundred and thirty (35%) of the ophthalmologists had height ranging from 161 to 170 cm and 443 (68%) had weight ranging from 51 to 75 kg. Four hundred and eighty-one (73.8%) of the respondents had <15 years of ophthalmic experience. Cataract (346; 53.1%) and general ophthalmology (342; 52.5%) were commonly practised by the ophthalmologists. Time spent in the outpatient department (OPD) was 39.37 ± 16.32 h/week and in the operating theater 13.64 ± 9.89 h/week, respectively. Self-reported prevalence of back pain was 70.5%. Fully 49% of respondents had low back pain, followed by neck pain (33%) and upper extremity symptoms (16%). Age <50 years (odds ratio [OR] = 2.4485), female gender (OR = 2.0265), long working hours in OPD (OR = 1.6524), and performing retinal lasers and indirect ophthalmoscopy (OR = 3.3251) showed positive association with back pain. The intolerable back pain was noted in <7% of the respondents. Around 398 (61%) respondents felt that their back pain was exacerbated while doing work and 86.6% felt that up to 5 h/week was lost due to persistent backache. Yoga and some form of exercise (74.3%) was practised to alleviate back pain.
Back pain symptoms appear to be common among ophthalmologists. Awkward posture and prolonged working hours are responsible for developing back pain among ophthalmologists. Performing yoga and regular exercises, modifications in instrumentation and creating a larger workforce of eye care practitioners are needed to prevent ophthalmologists from developing back pain.
旨在评估印度眼科医生背痛的患病率、严重程度及相关因素。
向在全印度眼科协会注册有有效电子邮箱地址的眼科医生发送一份自填式问卷。该调查为期2个月，接受回复。
共获得651份（5.96%）回复；其中男性394人（61%），女性257人（39%）。一半（50%）的回复来自年龄在31 - 40岁的医生。230名（35%）眼科医生身高在161至170厘米之间，443名（68%）体重在51至75千克之间。481名（73.8%）受访者眼科工作经验不足15年。白内障（346例；53.1%）和普通眼科（342例；52.5%）是眼科医生常见的执业领域。在门诊（OPD）每周花费的时间为39.37 ± 16.32小时，在手术室每周花费13.64 ± 9.89小时。自我报告的背痛患病率为70.5%。整整49%的受访者有下背痛，其次是颈部疼痛（33%）和上肢症状（16%）。年龄小于50岁（优势比[OR]=2.4485）、女性（OR = 2.0265）、在门诊长时间工作（OR = 1.6524）以及进行视网膜激光手术和间接检眼镜检查（OR = 3.3251）与背痛呈正相关。不到7%的受访者有难以忍受的背痛。约398名（61%）受访者认为他们在工作时背痛加剧，86.6%的人认为由于持续背痛每周损失多达5小时的工作时间。74.3%的人通过练习瑜伽和某种形式的锻炼来缓解背痛。
背痛症状在眼科医生中似乎很常见。不良姿势和长时间工作是眼科医生背痛的原因。需要通过练习瑜伽和定期锻炼、改进器械以及增加眼科护理从业人员数量来预防眼科医生背痛。
