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探索可穿戴传感器在骨科手术中评估风险因素的应用:数据收集方案。

Exploring the use of wearable sensors for assessing risk factors during orthopedic surgeries: A protocol for data collection.

作者信息

Santos Catarina, Gabriel Ana Teresa, Quaresma Cláudia, Nunes Isabel L

机构信息

UNIDEMI, Department of Mechanical and Industrial Engineering, NOVA School of Science and Technology, NOVA University Lisbon, Monte da Caparica, 2829-516 Caparica, Portugal.

Intelligent Systems Associate Laboratory, LASI, 4800-058 Guimarães, Portugal.

出版信息

MethodsX. 2024 Oct 9;13:102994. doi: 10.1016/j.mex.2024.102994. eCollection 2024 Dec.

DOI:10.1016/j.mex.2024.102994
PMID:39484017
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11525149/
Abstract

During orthopedic surgeries, surgeons are generally exposed to prolonged periods of standing, awkward and sustained body postures, and forceful movements, which can increase the likelihood of developing work-related musculoskeletal disorders (WRMSD). Therefore, this study proposes a protocol to measure parameters related to physical risk factors contributing to lower limb WRMSD, during orthopedic surgery procedures. The protocol development was preceded by an initial phase of understanding and specifying the context of use, followed by pre-tests in laboratory environment. It integrates a motion capture system, using inertial measurement units (IMU) to collect posture data from hip, knee, and ankle, and electromyography system (EMG) to measure and record data from muscle activity of biceps femoris, rectus femoris, and gastrocnemius lateralis. Pre-tests provided insights for protocol optimization, estimating a 3-hour data collection session per surgery due to sensor battery limitations, streamlining the process by placing EMG sensors before IMU and refining thigh sensor placement strategies. The protocol presents an opportunity for a real-time and quantitative approach to monitor surgeon's exposure to risk factors contributing to lower limb WRMSD while performing surgical procedures. Two months after pre-tests, the protocol implementation began in a real work context. The study's final outcomes fall outside the paper's scope.

摘要

在骨科手术过程中,外科医生通常需要长时间站立,保持 awkward 和持续的身体姿势,并进行用力动作,这会增加患与工作相关的肌肉骨骼疾病(WRMSD)的可能性。因此,本研究提出了一种方案,用于在骨科手术过程中测量与导致下肢 WRMSD 的物理风险因素相关的参数。该方案的开发之前有一个理解和确定使用背景的初始阶段,随后在实验室环境中进行预测试。它集成了一个运动捕捉系统,使用惯性测量单元(IMU)从髋部、膝盖和脚踝收集姿势数据,以及肌电图系统(EMG)来测量和记录股二头肌、股直肌和腓骨外侧肌的肌肉活动数据。预测试为方案优化提供了见解,由于传感器电池限制,估计每次手术的数据收集时间为 3 小时,通过在 IMU 之前放置 EMG 传感器并完善大腿传感器放置策略来简化流程。该方案为在手术过程中实时定量监测外科医生暴露于导致下肢 WRMSD 的风险因素提供了机会。预测试两个月后,该方案在实际工作环境中开始实施。该研究的最终结果不在本文范围内。 (注:原文中“awkward”未准确翻译,可能是有拼写错误,这里保留原文未翻译。)

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bea7/11525149/599e2923d0d1/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bea7/11525149/52be5f31a24b/gr7.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bea7/11525149/85953fc23e59/gr9.jpg

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本文引用的文献

1
Prevalence and Spectrum of Occupational Injury Among Orthopaedic Surgeons: A Cross-Sectional Study.骨科医生职业伤害的患病率及范围:一项横断面研究
JB JS Open Access. 2023 Jan 31;8(1). doi: 10.2106/JBJS.OA.22.00083. eCollection 2023 Jan-Mar.
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The Biomechanical Burden of Orthopaedic Procedures and Musculoskeletal Injuries Sustained by Orthopaedic Surgeons: A Systematic Review.骨科医生承受的骨科手术和肌肉骨骼损伤的生物力学负担:系统评价。
JBJS Rev. 2023 Jan 13;11(1). doi: e22.00202. eCollection 2023 Jan 1.
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A Comparative Analysis of Ergonomic Risk Utilizing the 4K-3D Exoscope Versus Standard Operating Microscope for Male Fertility Microsurgery.
利用 4K-3D 手术显微镜与标准手术显微镜对男性生育力显微手术的人机工程学风险进行比较分析。
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