a Ipswich Hospital NHS Trust , UK.
b Faculty of Health and Science , University Campus Suffolk , UK.
Int J Occup Saf Ergon. 2019 Sep;25(3):402-411. doi: 10.1080/10803548.2017.1386411. Epub 2017 Dec 1.
Musculoskeletal pain is a common occupational hazard experienced by surgeons. Ear, nose and throat (ENT) surgeons are predisposed to neck and back pain due to regular prolonged microscopic work. We conducted a prospective pilot study to investigate the effects of sustained microscopic work on the neck and back, its correlation to surgical experience and to assess the benefits of a prototype postural support chair (PSC) amongst 10 male, ENT clinicians. We used a subjective measure of time to fatigue and pain for the neck and back as well as objective readings from a surface electromyogram (sEMG). We found that an increase in surgical experience correlated with the time taken to experience fatigue and pain in the neck and back. This was corroborated by our sEMG findings. The PSC significantly delayed the sensations in the neck and also eliminated the difference seen amongst the varying seniority of clinicians.
肌肉骨骼疼痛是外科医生常见的职业危害。由于经常进行长时间的微观工作，耳鼻喉科 (ENT) 外科医生容易出现颈部和背部疼痛。我们进行了一项前瞻性试点研究，以调查持续微观工作对颈部和背部的影响、其与手术经验的相关性，并评估原型姿势支撑椅 (PSC) 在 10 名男性 ENT 临床医生中的益处。我们使用颈部和背部疲劳和疼痛的主观时间测量以及表面肌电图 (sEMG) 的客观读数。我们发现，手术经验的增加与颈部和背部出现疲劳和疼痛的时间相关。这与我们的 sEMG 发现相符。PSC 显著延迟了颈部的感觉，并且消除了不同资历的临床医生之间的差异。
